Additional Context: This information was reported by MSI Reproductive Choices, an international NGO working on reproductive healthcare. The MSI country office was not implementing USAID funds directly, but was implementing funds to provide sexual and reproductive healthcare through UNFPA. The U.S. aid cuts disrupted its work with UNFPA.

Devex Researcher Note: According to statements made by Volonirina Ranorohery, Senior Program Manager at MSI Madagascar, the organization only received $165,000 out of an expected $500,000 from UNFPA in 2025. According to MSI, the cancellation of these grants suspended six community sites and three mobile outreach teams permanently. The organization was able to mitigate other losses through their Choice Emergency Fund, set up to counteract the USAID cuts. However, Ranorohery observes that the loss of support forced providers to charge a fee on medicines and checkups, making treatment unaffordable for many in Madagascar. Alongside this, labor conditions for healthcare workers became more precarious and trust between communities and providers suffered a significant erosion.

Source: MSI