Delayed care causes harm
In DRC, clinicians report increases in uterine ruptures, maternal deaths, and untreated cervical cancer as women delay care due to new fees and longer travel distances. In Madagascar, the termination of a USAID-supported maternal health program — previously credited with halving maternal and neonatal mortality in target regions — has led to sharp declines in referrals and facility-based deliveries.
Sources: Physicians for Human Rights, MSH
Midwife training has been halted
In Rwanda, the termination of the USAID-funded Ireme Project halted scholarships for 500 midwifery students, cutting off care for an estimated 250,000–500,000 women in the first year alone. In Afghanistan, a USAID program mentoring 9,000 maternal and newborn health workers was terminated, ending hands-on training in one of the world’s most dangerous places to give birth.
Source: MSH
Pregnancy care is moving farther away
In Afghanistan, women report traveling long distances to Kabul or Charikar after village clinics closed, often unable to afford transport or fees. In Uganda, the termination of community health programs has left millions of households without a local point of contact for prenatal and delivery care.
Source: CARE

