Escalating gang violence in Haiti has hampered aid delivery and left many Haitians turning to local solutions in the absence of robust international support. According to The Christian Science Monitor, donors including USAID have reduced assistance amid the volatile security environment, complicating efforts to address poverty and instability across the country.

According to Forbes, the dismantling of USAID and the U.S. exit from the World Health Organization have left a significant leadership and funding gap in global health initiatives. Without renewed American engagement or alternative governance models, weakened health systems and unmet needs in vulnerable countries could widen, forcing a rethinking of how global health priorities are funded and led.

The Trump administration announced a significant expansion of the Mexico City Policy, barring U.S. foreign aid to those it says support “gender ideology” and diversity, equity and inclusion. Supporters praise the move as protecting U.S. taxpayer dollars from funding abortion internationally, while critics warn the restrictions undermine care for women and marginalized populations, according to NPR.

The Independent reports that changes to U.S. foreign assistance under the Trump administration have coincided with interruptions in health, contraception, and disease control services in several African countries. With the scale of support significantly reduced, the shape of American foreign assistance and its effect on the world going forward looks very different one year on.

In the wake of the USAID closure, philanthropies are trying to fill some of the gap. NPR follows how one organization is trying to do the most good in the face of major cuts to U.S. foreign assistance.

Health Policy Watch reports that one year after the U.S. government paused foreign aid and cut global health projects, gaps continue to emerge in services such as HIV treatment. These changes were a major shock to global health financing and governance, with models estimating significant deaths and disease spread associated with the funding interruptions.

A pan-African HIV vaccine trial originally set to begin with substantial U.S. funding was thrown into jeopardy last year when foreign aid was abruptly cut. According to NPR, even amid those setbacks and a reduced scope, the downsized trial has now started enrolling participants, offering cautious hope that advancing vaccine research.

As USAID funding disappears, NGOs are downsizing, shifting power to local partners, and pursuing mergers and new funding models to survive, according to The Conversation.

One year after the disruptions to U.S. development aid, the dependence of Jordan’s economy and public services on U.S. support have been laid bare. The National reports on slowing progress in education, health care, infrastructure, and employment.

Recent cuts to U.S. foreign assistance will worsen global climate vulnerability, not just humanitarian suffering, according to Foreign Affairs. Reduced development and resilience funding increases long-term climate risk for both vulnerable nations and global stability more broadly.

The dismantling of USAID has shuttered agricultural research labs and destabilized international crop science, with consequences likely to emerge decades from now. Scientists warn today’s cuts could fuel future food shortages and price spikes.

Essential health efforts have been hobbled in many low- and middle-income nations, leaving care gaps and forcing governments to explore new funding strategies, reports Think Global Health.

After U.S. aid cuts disrupted malaria treatment in northern Cameroon, clinics ran short of lifesaving drugs and unpaid health workers struggled to fill the gaps. The New York Times investigates how quickly progress against malaria can unravel when supply chains and frontline care are broken.

Sharp cuts to U.S. foreign aid for the World Food Programme have left refugees at the Kakuma camp in Kenya severely malnourished, with pregnant women facing life-threatening complications, reports ProPublica. Many families must choose between returning to starvation outside the hospital or staying indefinitely to access basic meals.

NPR reports that years of progress against neglected tropical diseases — driven largely by U.S.-backed mass drug distribution and surveillance programs — are now at risk as funding cuts disrupt treatment campaigns.

With USAID programs gutted, conservative groups are advancing new aid frameworks that sideline sexual and reproductive health. Advocates warn this shift could deepen contraceptive shortages and raise the risk of unsafe abortions, The Guardian reports.

ProPublica investigates impacts after the Trump administration cut off food from the third-largest refugee camp in the world. Thousands of families faced impossible choices as their children starved. Here, the authors follow the story of Rose Natabo, who works tirelessly to keep her children alive even amid deep food insecurity caused by the cuts.

ProPublica traces how abrupt U.S. policy decisions, including aid freezes and program terminations, triggered food shortages across fragile regions, compounding conflict and displacement. Internal documents and interviews show the crisis was widely anticipated but allowed to unfold anyway.

Reductions to humanitarian aid in Rohingya refugee camps have stripped away protection services, leaving children more vulnerable to trafficking, forced labor, and early marriage, reports the AP.

ProPublica reveals how U.S. officials marked major aid cuts even as warnings mounted about disease outbreaks. In the weeks that followed, cholera spread in vulnerable communities, underscoring the deadly consequences of dismantling public health systems mid-crisis.