USAID Shutdown: Impacts on Global Health and Humanitarian Aid

 

 

Image: A health worker in Myanmar uses a stethoscope to check on a patient’s breathing. (CPI)

5606USAID Shutdown: Impacts on Global Health and Humanitarian Aid

A Force for Progress

The abrupt shutdown of the United States Agency for International Development (USAID) has sent shockwaves through the global aid community. As a cornerstone of international aid since 1961, USAID has played a critical role in advancing public health, supporting democratic governance, and delivering humanitarian assistance worldwide. Its cessation now threatens both immediate and long-term stability across some of the world’s most vulnerable regions.

Why USAID Mattered

Founded by President John F. Kennedy, USAID has long served as the United States’ lead agency for foreign aid, channeling billions into programs to reduce poverty, improve health systems, and support sustainable development. With specialized bureaus and deep geographic expertise, the agency was instrumental in global successes – eradicating smallpox, expanding access to clean water, and combating diseases like HIV/AIDS, tuberculosis (TB), and malaria.

In FY2024, USAID operated on a $44.2 billion budget – just 0.4% of total U.S. federal spending – yet it accounted for over 40% of global humanitarian aid tracked by the UN. This investment yielded enormous returns in lives saved and systems strengthened.

The Scope of the Shutdown

In March 2025, the U.S. State Department announced the termination of 83% of USAID’s 6,300 global initiatives. While the available data is often inconsistent and incomplete, the Center for Global Development tentatively estimates a 38% reduction in USAID contract values for the 2025 fiscal year, with profound impacts across all sectors, including maternal and child health, pandemic preparedness, reproductive health, basic education, governance, human rights, water and sanitation, and nutrition. Programs targeting HIV, TB, and malaria have also been heavily impacted. These cuts are expected to deepen significantly moving forward.

Human Impact: Immediate and Severe

The consequences are stark:

  • Health Crises: Key disease control programs are grinding to a halt. Al Jazeera warns of disease resurgence where USAID funding once ensured containment.
  • Humanitarian Breakdown: Refugees and disaster-affected populations are losing access to shelter, protection, food, clean water, and medical care.
  • Strained Systems: Medical supply chains and fragile health systems in low-income nations face collapse.

While data is incomplete, Foreignassistance.gov reports that USAID obligations have been cut by 98% in Myanmar and 84% in Bangladesh between fiscal years 2024 and 2025. In Myanmar, the cuts threaten HIV, TB, and malaria efforts and vital humanitarian aid for more than 20 million people in need. In Bangladesh, one million Rohingya refugees from Myanmar risk malnutrition and disease without continued support.

Long-Term Risks

Beyond the immediate disruptions, the shutdown may trigger cascading global effects:

  • Disease Outbreaks: Weakened surveillance increases the risk of new epidemics and drug resistance.
  • Famine and Food Insecurity: Halted food aid raises the specter of widespread hunger in conflict zones.
  • Instability: Fragile states may see worsening conflict as unmet basic needs fuel unrest.
  • Climate-Driven Displacement: Reduced support for climate resilience could increase forced migration and regional tensions.

In Myanmar, the aid vacuum may further destabilize an already fragile political landscape. For Rohingya refugees in Bangladesh, shrinking aid could deepen crises across generations.

What Can Be Done

While the challenges are significant, they are not insurmountable. Strategic shifts can help mitigate the damage:

  • Diversify Funding: Relying on one donor is untenable. Governments, private sector actors, and philanthropies must step up.
  • Strengthen Local Capacity: Investing in local organizations and community-led responses fosters sustainability and reduces dependency.
  • Support Resilience Ecosystems: Building long-term systems for health, agriculture, and governance creates more robust and adaptable communities.

At Community Partners International (CPI), our focus has long been on empowering local actors in crisis-affected regions. By investing in community-led health, humanitarian, and sustainable development systems, we help lay the foundation for enduring stability.

A Defining Moment

The USAID shutdown underscores the vulnerability of global aid systems that are overly reliant on single sources. It also presents a call to action. By broadening funding bases, championing local leadership, and prioritizing resilience, the international community can shape a more sustainable and inclusive aid framework.

USAID’s legacy is profound. Its absence will be felt for years. But in response, we must forge a path that ensures continuity, empowers communities, and safeguards progress made over decades.

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Community Partners International (CPI) empowers vulnerable communities in Asia affected by conflict, disasters, and poverty to meet their essential health, humanitarian, and sustainable development needs.

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