African Countries Still Underfunding Health by as Much as 50 Percent

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Health

Health workers getting ready for duty at an mpox treatment center in Lwiro in DR Congo, a hotspot for the pandemic that CD Africa handled in 2024. Credit: WHO

Health workers getting ready for duty at an mpox treatment center in Lwiro in the Democratic Republic of Congo’, a hotspot for the pandemic that CD Africa handled in 2024. Credit: WHO

NAIROBI, Apr 24 2025 (IPS) – The majority of African countries are yet to commit 15 percent of their GDP to funding the health sector, despite the growing disease burden weighing down the continent and two decades after the coming into force of the Abuja declaration on health sector funding.

Only a few countries, including Rwanda, Botswana, and Cabo Verde, have consistently met the 15 percent target, with some countries allocating less than 10 percent of their budget to the crucial sector.

Under the Abuja Declaration of 2001, African Union (AU) member states made a commitment to end the continent’s health financing crisis, pledging to allocate at least 15 percent of national budgets to the sector. However, more than two decades later, only three countries—Rwanda, Botswana, and Cabo Verde—have consistently met or exceeded this target (WHO, 2023). In contrast, over 30 AU member states remain well below the 10 percent benchmark, with some allocating as little as 5–7 percent of their national budgets to health.

Countries including Nigeria, Chad, and the Central African Republic are allocating as little as 5–7 percent to the sector, thanks to a myriad of political and economic challenges, including a high debt burden and narrow tax base, according to Director General of Africa Centres for Disease Control (Africa CDC), Dr. Jean Kaseya.

Competing demands for security and infrastructure financing and limited coordination between ministries of health and finance, plus the fact that the COVID-19 pandemic “hit national budgets hard,” worsened by global economic instability, haven’t helped matters, he said, while commenting on the latest annual report of the continental health body and the 2025 concept paper on Africa’s Health Financing in a New Era, both released in April.

Wivine M'puranyi, a 30-year-old mother of six,from village of Karanda in D.R Congo's South Kivu reflects on the distressing days when her two daughters were diagnosed with mpox, one of the pandemics that hit Africa in 2024.

Wivine M’puranyi, a 30-year-old mother of six from the village of Karanda in the Democratic Republic of Congo’s South Kivu, reflects on the distressing days when her two daughters were diagnosed with mpox, one of the pandemics that hit Africa in 2024. Credit: WHO

“It also exposes just how costly underinvesting in health can be. The real story here is political will, where leaders prioritize health, and budgets follow,” he noted.

The report finds that only 16-29 percent of African countries currently have updated versions of the National Health Development Plan (NHDP) supported by a National Health Financing Plan (NHFP), the two documents being critical in driving internal resource mobilization.

“Updating National Health Development Plans (NHDPs) and National Health Financing Plans (NHFPs) is not just a matter of paperwork—it’s a heavy lift. Countries need robust data, skilled teams, funding, and strong inter-ministerial coordination,” he said.

Low funding has a consequence: it has led to many health departments being understaffed and overstretched, partly because some governments ‘deprioritize’ updating the two documents because they fear the plans won’t be implemented or be funded. “But without current, credible plans, it’s nearly impossible to make a case for more domestic or external investment. These documents are not bureaucratic checkboxes—they’re investment blueprints,” the DG told IPS.

He noted that countries that have updated and actively used their NHDPs and NHFPs have seen tangible benefits, one such country being Burkina Faso, where an updated NHFP had helped streamline funding and implementation for free healthcare policy.

In Senegal, incorporating macroeconomic forecasting into the NHFP improved budget predictability and donor alignment. “These tools are powerful when they are costly, realistic, and regularly monitored. But let’s be clear; plans must be funded and used—not just filed away—to make a real difference,” Kaseya added.

According to the documents, Africa continues to carry a disproportionate share of the global disease burden—25 percent—but with only 3 percent of the global health workforce, resulting in a “dangerously overstretched workforce,” according to the documents. Should this shortage be prioritized over all other health needs and deficiencies, or what should be addressed first?

The shortage of health workers remains a fundamental challenge, with Africa carrying 25 percent of the global disease burden but a disproportionate 3 percent of the global health workforce—a challenge that cannot be addressed “in isolation.”

Likobiso Posholi, 35, from Ha Sechele village in Mohale's Hoek in Lesotho who is recovering from a recent caesarean section. Many countries in Africa are yet to commit 15% of the national budgets so that women like Posholi can access affordable maternity services.

Likobiso Posholi, 35, from Ha Sechele village in Mohale’s Hoek in Lesotho, recovering from a recent cesarean section. Many countries in Africa are yet to commit 15 percent of the national budgets so that women like Posholi can access affordable maternity services. Credit: WHO

However, recruiting en masse without sustainable financing or strategic deployment can strain the system, and in some countries, trained professionals remain unemployed due to fiscal constraints or wage bill ceilings. “Kenya, for example, is piloting co-financing mechanisms between national and local governments to overcome this. The key is to tackle workforce gaps through integrated, context-specific reforms that link financing, recruitment, and health system needs,” Kaseya said.

The Africa CDC has drafted a three-pronged strategy and placed it at the forefront of a health financing revolution that could potentially represent a paradigm shift from dependency to self-determination. Some aspects of the strategy can be implemented immediately without being subjected to a lot of bureaucracy in view of the emergency brought about by cuts in Overseas Development Assistance (ODA), he added.

Reductions in ODA went down by 70 percent between 2021 and 2025, exposing health systems to deep-rooted structural vulnerabilities and placing immense pressure on Africa’s already fragile health systems, with overseas financing being seen as the backbone of critical health programmes.

These include pandemic preparedness, maternal and child health services, and disease control initiatives, all of which are at risk, threatening Sustainable Development Goal 3 and Universal Health Coverage.

“Some components of our strategy can be rapidly deployed. Health taxes on products like tobacco, sugar, and alcohol are politically sensitive but technically straightforward and yield dual benefits, generating revenue and promoting healthier populations. Strengthening health financing units within ministries is a high-impact, low-cost intervention that can dramatically improve budget execution and efficiency,” Kaseya suggested.

Likewise, deploying digital tools—such as real-time dashboards to track financing flows—can happen quickly and with limited bureaucracy. Countries like Benin, South Africa, and Ethiopia are already implementing such reforms with measurable progress.

He pitched that digitization of the health sector is no longer a luxury, as it is foundational to the much-needed resilient, transparent, and efficient health systems.

On the other hand, the platforms improve decision-making, enable better resource tracking, and enhance service delivery. However, fragmentation of digital solutions remains a challenge, with many platforms developed in ‘silos,’ often “donor-driven and poorly integrated,” he commented.

He singled out Ghana, which offered a strong example of progress, having developed a national platform that integrates health and financing data. “The true value of digitization is realized when countries lead the process, ensure interoperability, and embed digital solutions into broader system reforms,” Kaseya said.

On the positive side, CDC Africa for the first time led an emergency response, putting in place a Joint Continental Incidence Management Support Team (IMST) co-led with the World Health Organization and bringing together over 28 partners to collaborate on the Mpox response. This work was done under the “One team with a One unified plan, One budget, and One monitoring framework.”

“This is a historic first that marked a significant milestone in Africa’s leadership of public health emergencies of continental significance,” the report observed.

It further supported national responses to “multiple major public health emergencies,” including the mpox outbreak in 20 AU member states and the Marburg virus disease outbreak in Rwanda. This was in declaring the former a Public Health Emergency of Continental Security (PHECS) on August 13, 2024, in consultation with the affected countries and relevant stakeholders.

Also on the positive side, the continental health body was advancing a comprehensive three-pillar strategy centered on domestic resource mobilization, innovative financing, and blended finance.

IPS UN Bureau Report

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The Giant Plastic Tap: How art fights plastic pollution

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Arts

The Giant Plastic Tap installation by Canadian artist Benjamin Von Wong.

The Giant Plastic Tap installation by Canadian artist Benjamin Von Wong.

NEW DELHI, Mar 28 2025 (IPS) – “The size of the faucet highlights the magnitude of the problem. It makes the problem impossible to ignore. We’re used to throwing things ‘away’—but when we’re confronted with what happens when ‘away’ is not an option, I think it creates an emotional wake-up call,” says Benjamin Von Wong.

The 39-year-old Canadian artist and activist is referring to his inspiration behind The Giant Plastic Tap installation, which created a buzz in the art world, highlighting the problem of plastic pollution.

Wong, known for his environmental art installations and hyper-realist art style, created the Giant Plastic Tap that features an oversized faucet seemingly floating in mid-air while spewing plastic waste, serving as a striking metaphor for the world’s urgent need to address plastic production at its source.

He explains, “I wanted to bring the phrase ‘Turn off the plastic tap’ to life in a tangible way. I adapted the concept of the ‘floating fountain’ but distorted it with plastic—to emphasize the urgency of tackling the problem at its source by reducing plastic production, rather than relying solely on downstream solutions like recycling and beach cleanups.”

Reportedly, the global effects of plastic pollution are becoming more evident, highlighting the urgent need for collective action. Scientific studies and policy changes are essential but it is also crucial to acknowledge the influence of art in raising awareness and inspiring people to act.

Art has a unique power to evoke emotions, ignite conversations, and build a deep connection between individuals and the environment.

In the fight against plastic pollution, one art installation has become a powerful symbol of change, with Wong playing an important role.

Plastic pollution is one of the biggest crises of this generation.

The latest study, by charity EA Earth Action and released last year, revealed that more than a third of plastic waste will be improperly handled at the end of its lifecycle. This equates to 68.6 million tonnes of plastic, translating to an average of 28kg of plastic waste per person worldwide. In 2024, approximately 220 million tonnes of plastic waste were generated, marking a 7.11 percent increase since 2021.

Canadian artist Benjamin Von Wong.

Canadian artist Benjamin Von Wong.

Art installed so far

Von Wong, who shifted from mining engineering to environmental activism through art, has created four large-scale faucet installations, showcased at venues including Art Basel, the United Nations Environment Assembly 5.2 in Nairobi (2022), and the United Nations Ocean Conference.

“We’ve installed them in over a dozen locations—but even more exciting is that hundreds of cardboard replicas have been made worldwide,” Wong says.

Wong reflects, “I’m not sure how you measure the impact of art, but I think the fact that this installation has become a symbol for the importance of a global plastic treaty is probably the biggest achievement.”

The Giant Plastic Tap has been featured at previous INC (Intergovernmental Negotiating Committee for the plastic treaty) sessions. However, its absence was notably felt during the INC-5 conference in Busan, South Korea.

Wong says, “I did my best to have the tap installation placed in Busan, but it wasn’t allowed. Instead, the ‘beached whale’ was placed on the lawns of BEXCO, the exhibition center that hosted the event last year.” He adds, “Despite reaching out over six months in advance to the operations team, the delegation, and securing local partners with independent funding, we were met with silence.”

Interestingly, INC-5 failed to reach a consensus on the global plastic treaty due to disagreements over national interests, industry influence, financial and technical support, and enforcement mechanisms.

Despite current challenges in global plastic treaty negotiations, including the presence of fossil fuel lobbyists and the constraints of consensus-based decision-making, Artist Wong remains optimistic about the future. “I’m certain we will find a way forward,” he asserts, pointing to the numerous dedicated individuals and organizations working to advance the treaty.

Meanwhile, after the Intergovernmental Negotiating Committee decided to postpone the fifth session, the second part of the fifth session (INC-5.2) is scheduled to take place from 5 to 14 August 2025 at the Palais des Nations in Geneva, Switzerland.

Involving locals

Wong involved the local communities to complete the installation at UNEA 5.2 in Nairobi. The project collaborated with the Human Needs Project to collect three tons of plastic from the Kibera slums. The initiative employed over 80 local women to clean and organize the plastic, ensuring their voices were heard by world leaders. “We also fundraised to support the creation of a more local waste management system,” he adds.

The installation has achieved significant success in its mission to influence public perception. Viewers consistently grasp the fundamental message about the need to stop plastic pollution, and the installation’s visual impact helps transform an intellectual discussion into an emotional experience. Its symbolism has become particularly significant in the context of the global plastic treaty discussions.

Lastly, can art play a pivotal role in driving real-world change? To this Wong draws a compelling parallel: “What is the value of a monument like the Statue of Liberty? How would you measure it?”

The success of The Giant Plastic Tap suggests that art remains a powerful catalyst for environmental awareness and social change, particularly when it transforms complex global issues into visceral, emotional experiences that resonate across cultural and linguistic barriers.

IPS UN Bureau Report

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Funding Crunch Puts Years of Progress at Risk in Fight Against Tuberculosis

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Health

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

BRATISLAVA, Mar 24 2025 (IPS) – Governments and donors must ensure funding is sustained to fight tuberculosis (TB), organizations working to stop the disease have said, as they warn the recent US pullback on foreign aid is already having a devastating effect on their operations.

NGOs and other groups that play a critical role in national efforts to stop what is the world’s deadliest infectious disease say the US administration’s recent decisions to first freeze and then cancel huge swathes of foreign aid funding have put countless lives at risk around the world.

And they warn that if that funding gap is not filled, years of progress in fighting TB could be lost.

“The impact of these cuts has been massive. There’s a gaping hole in financing, and if we don’t keep the pressure up on TB it will come back,” Dr. Cathy Hewison, Head of Médecins sans Frontières (MSF)’s TB working group, told IPS.

Every year, 10 million people develop TB, and in 2023 1.25 million died from the disease. It disproportionately affects low- and middle-income countries, with the largest TB burdens being among the world’s poorest states.

While in many states government funding accounts for at least the bulk of first-line treatment, community groups play a crucial and outsized role in national efforts to combat the disease, providing vital diagnosis, prevention, advocacy, and support services.

Many such groups rely heavily or exclusively on foreign funding with financing through US schemes, primarily USAID, predominant. USAID is the largest bilateral donor in the fight to end TB, having invested more than USD 4.7 billion to combat the disease since 2000.

In late January, an executive order from US President Donald Trump put a 90-day freeze on all US foreign aid while a review of funded projects was carried out, and then earlier this month, it was announced that 83% of all USAID projects were to be cancelled.

The effects on community groups on the frontlines of the fight against TB have been immediate and severe.

“Many community organizations have suspended outreach services, such as active case finding, contact tracing, treatment adherence, and psychosocial support,” Rodrick Rodrick Mugishagwe, a TB advocate with the Tanzania TB Community Network (TTCN), told IPS.

“Furthermore, transportation allowances for community health workers conducting home visits have been reduced, resulting in lower TB case detection rates. There have also been job losses among community health workers and peer educators, undermining service delivery,” he added.

Mugishagwe recounted how a woman from the city of Arusha in northern Tanzania who was diagnosed with TB last year had relied on a USAID-supported community programme for transport to a clinic for monthly treatment. But following the funding cuts, her programme shut down, and she could not afford the transport costs.

“She has disappeared from her residence and can no longer be traced, putting her at risk of treatment failure and developing drug-resistant TB, while there is a risk of further transmission to the community,” he said.

Bruce Tushabe, regional training and capacity strengthening lead at the AIDS and Rights Alliance for Southern Africa (ARASA), which works with partners in South Africa on TB interventions, most of whom were supported through USAID, said treatment and access to TB medication had been stopped. There had also been a breakdown in community-led monitoring tracking progress in treatment access and availability, he said.

“There is a high burden of TB – an incidence rate of 468 per 100,000 of the population—and we now expect to see an increase in deaths, and in the long term, [rising] multi-drug resistant TB (MDR-TB) among the populace, as well as increased TB cases since contact tracing is now paused in many areas and facilities,” he told IPS.

The spread of drug-resistant (DR-TB) and MDR-TB in the wake of the funding cuts is a particular concern, especially in poorer countries where DR TB is often widespread, as it is much harder and costlier to treat, putting an even greater burden on limited resources.

“There is a lot of DR-TB here and when people don’t have the right information and don’t take the right medicine or don’t have support during lengthy, sometimes very hard treatment, they might not be able to finish their course or treat their TB properly, and then the disease spreads. People with TB who had been going to TB centers may now turn up and find there is no one to answer their questions or give them the right advice on treatment, and so they might just turn away,” Atul Shengde, National Youth Coordinator—Global Coalition of TB Advocates, India, told IPS.

While TB often affects the poorest and most vulnerable communities, even within those communities there are some groups which are especially at risk, such as children.

“Children’s immune systems are less developed, which makes them more vulnerable to TB. Figures show 25% of the world is infected with TB, but just because someone is infected it does not mean they will get sick from it. But if your immune system is less developed or compromised in any way you are more likely to get TB, more likely to get ill with TB, and more likely to have more severe TB,” Hewison said.

“Children at risk of having TB are often overlooked, either going undiagnosed or facing delays in diagnosis. Now, with the recent US funding cuts, these gaps in identifying and treating children with TB will only widen further which threatens to roll back years of progress in TB care,” she added.

The World Health Organization has issued stark warnings of the devastating effects of the abrupt cessation of US global health funding, and affected organizations have pleaded with the US to reverse its decision.

But community groups who spoke to IPS admitted it appeared unlikely funding would resume any time soon.

And because US funding played such a large role in global TB efforts, they worry it will be very difficult to plug the current financing gap, certainly in the short to medium term, and possibly even long term, especially at a time when governments in high-income countries, such as the UK, Germany, and France, among others, are reducing foreign aid.

“I see no high-income donor countries stepping in to fill the gap left by the US funding cuts. Countries are faced with a lot of resource pressures at the moment; for instance, defense is a big issue now, and to pay for that, cuts are going to have to be made elsewhere, and that usually starts with healthcare,” Dr Lucica Ditiu, Executive Director of the Stop TB Partnership, told IPS.

“In future, low and middle income countries, especially, will have to relearn the hard lesson, as they did with Covid, that they are on their own. They will have to think about reducing their reliance on external donors for their health programmes and put the resources in themselves,” she added.

Buy while some governments may be able to up their financing of national TB programmes, poorer countries are likely to struggle to do so, and new forms of financing need to be considered, experts say.

“Of course, raising funding is impossible for some low-income countries. Innovative forms of funding need to be looked at—for example, financing from the different international development banks, debt swaps between countries, and others,” said Ditiu.

However, even if the funding gap is plugged somehow, or there is an unlikely dramatic reversal of US policy in the near future, there are fears the damage has already been done.

“We are going to see a massive spread of TB, and especially DR-TB, whatever happens now because cases have been missed, people have gone undiagnosed, and treatment has been interrupted,” said Ditiu.

IPS UN Bureau Report

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Human Rights, Healthcare Disrupted in Eastern Europe With USAID Funding Freeze

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Aid

Crowley Logistics in Miami, Florida, was one of three USAID shipping and logistics facilities in the nation. It could, in times of emergency humanitarian relief aid, respond with supplies delivered to aircraft at Miami International Airport within two hours. Credit: USDAID/Lance Cheung

Feb 17 2025 (IPS) – As the full effects of the US decision to freeze foreign aid funding begin to be felt across the world, organizations in Eastern Europe and Central Asia (EECA) are warning years of work in everything from delivering life-saving healthcare to defending human rights and strengthening democracy could be undone.

In many countries in the region, foreign aid is vital for the continued functioning of large parts of civil society and the activities NGOs and other groups carry out.

But since US President Donald Trump’s executive order on January 20 freezing foreign aid for 90 days and a ‘stop work order’ announced four days later, some groups have had to entirely, or partly, shut down their operations—with potentially devastating consequences.

One area that has been heavily affected is the fight against HIV/AIDS.

According to a UN report published in 2024, only half of the 2.1 million people living with HIV in the EECA region have access to treatment, and just 42% of people living with HIV have suppressed viral loads—the lowest rate in the world. In 2023, 140,000 new cases of HIV infection were registered in the region.

US funding has been central to the HIV response in EECA, including through the US President’s Emergency Plan for AIDS Relief (PEPFAR), as well as USAID.

According to UNAIDS, this support has helped fund community-based HIV prevention programmes, provision of antiretroviral therapy (ART), development of laboratory and diagnostic infrastructure, and training of health workers. It has also played a key role in prevention and harm reduction programmes among key populations.

This is critical in a region where 94 percent of new HIV cases occur among key populations and their partners.

While US aid is not the primary source of funds for HIV programmes in some countries in the region, in others it is vital.

In Ukraine, which has Europe’s second worst HIV epidemic, local groups working with key populations and people living with HIV say the aid freeze has had a dramatic impact.

The charity 100% Life provides treatment and prevention services to marginalized communities, including drug users and people with HIV, TB, and other diseases, often operating in frontline areas.

Dmytro Sherembei, head of the Coordination Council of 100% Life, told IPS that up to 25 percent of specialist staff carrying out testing, monitoring and other tasks would have to be laid off, while testing programmes and other assistance for state healthcare projects would be stopped.

“The funding suspensions stopped our whole programme, and it will cause a lot of damage,” he said.

Meanwhile, the Alliance for Public Health (APH), one of the country’s largest healthcare NGOs, said its HIV case-finding operations had been suspended after the aid freeze.

“About 35-40 percent of all HIV-positive cases in Ukraine are found, tested, and referred for treatment by APH and its partners. It will be difficult to find alternative funding,” Andriy Klepikov, Executive Director of APH, told IPS.

APH estimates the halt to testing could mean thousands of cases going undetected during the 90-day suspension of aid.

There are also concerns that treatment for more than 100,000 patients with HIV may be interrupted. Since the beginning of Russia’s full-scale invasion, the Ukrainian government has not had funds to procure antiretroviral drugs (ARVs), and PEPFAR has been procuring ARVs for all patients.

The country has ARV stocks for the next six months, “but a suspension of funding could impact the next delivery of medications planned for March,” Klepikov said.

“This funding stop threatens to turn a manageable epidemic into a deadly crisis,” warned Sherembei.

In Tajikistan, US funding has supported services including treatment and prevention among key populations, training of professionals, strengthening of local organizations, and support for community-led initiatives.

But the funding freeze is threatening to undo years of progress, local HIV activists told IPS.

Pulod Dzhamalov, Director of the Tajik NGO SPIN PLUS, said services for people living with HIV and other key populations in many places had “simply ceased to exist.”

“For many people who sought these services, it was the only place where they felt safe. And staff who worked on these projects have suddenly found themselves unemployed, without any means of livelihood or hope for the future. Significant resources were invested in building a positive image of these services, and now all of that has gone to waste. A considerable portion of the national HIV prevention programme’s budget was covered by PEPFAR funding, and this will inevitably impact the healthcare system as a whole,” he said.

Takhmina Haiderova, head of the Tajik Network of Women Living with HIV, said her organization was “facing serious challenges” and that the freeze on US funds had had a significant impact on all HIV-service NGOs in the country.

“Reduced funding results in fewer HIV prevention and treatment projects, staff reductions, and limited access to life-saving services such as testing, counseling, and treatment. In addition, it negatively affects the achievement of the Sustainable Development Goals, such as reducing the spread of HIV, improving the quality of life of people living with HIV, ensuring gender equality, and upholding human rights,” she said.

The decision to freeze funding, especially in places where the epidemic is not improving, such as EECA, risks doing irreparable harm to global efforts to fight HIV, activists say.

“[The Trump administration’s] efforts are doing irreparable harm to the global HIV response and global health more broadly. These are inefficient, wasteful  and deadly policy moves,” Asia Russell, Executive Director of the Health Gap advocacy organization, told IPS.

But it is far from just efforts to fight HIV/AIDS in the region that have been affected by the pause on US aid.

In many countries, foreign funding is essential to the survival of independent media, keeping a check on autocracies and serving audiences living under repressive regimes.

Press freedom watchdogs say the aid freeze has created confusion, chaos, and uncertainty among media organizations and outlets that rely heavily, or completely, on American funds.

Exiled media reporting for audiences in countries such as Russia, Belarus, and others from outside those states are particularly vulnerable.

“This is very bad news for exiled media that relocated to democratic countries after crackdowns. Some newsrooms from Belarus have reported a complete lack of funding due to the current [US aid] freeze, which may lead to a complete cessation of these projects due to the inability to pay employees. Others have been forced to cut their staff, which is very worrying since they have so far managed to keep their audience in their country, despite being forced into exile. Their efforts made it possible to effectively counter official Belarusian and Kremlin propaganda,” Jeanne Cavelier, Head of Eastern Europe & Central Asia Desk at Reporters Without Borders (RSF), told IPS.

Meanwhile, in Ukraine, where nine out of ten outlets rely on subsidies and USAID is the primary donor, a survey after the aid freeze showed that almost 60% of media professionals surveyed believe that the suspension of US media support programmes could have ‘catastrophic consequences and lead to the closure or significant reduction in the work of many independent media outlets,’ according to RSF.

“Projects funded by American aid, such as USAID, were mostly intended to enable the media to investigate corruption and public spending. This is critical for reliable information, as well as for small media outlets reporting from the frontline,” said Cavelier.

“The freeze has already led a number of newsrooms to cut back on content, lower salaries, increase part-time working and reduce staff numbers,” she added.

Editors at local independent media outlets fear the suspension could lead to publications turning to other sources of funding, which could then look to change editorial stances, influence the independence of these media and, potentially, become tools for Russian propaganda.

There are similar fears in other parts of the region.

“The independent media here relies very much on foreign funding because otherwise they would not be economically viable in a country that is poor and in a market where some media are financed by shady Russian money,” Valeriu Pasha, Programme Manager at Moldovan think tank WatchDog.Md, told IPS.

“I think we could definitely see some deals where some media that are now struggling with funding could be bought by, or would start to be funded through, Russian sources in some way,” he added.

However, he pointed out that it was not just independent media that had been affected by the US aid freeze.

“This will have quite an effect on civil society here; plenty of organizations will feel its impact,” he said, pointing out that groups involved in everything from local election observation to healthcare, rights defense, and even working with the government on judicial reform were reliant to some extent on US aid.

“Even our organization, which has not really been affected by this so far, could well be affected in the future. We don’t know,” he added.

The freezing of US funding may also have had an unexpected, although equally pernicious, effect on civil society in the region.

The US administration’s apparent efforts to effectively shutter USAID have been welcomed by authoritarian leaders who have already been cracking down on NGOs and others they see as critical of their regimes.

In Georgia, USAID is currently investing in scores of programmes across the country with a total value of USD 373 million, according to local media. These initiatives focus on, among others, strengthening democratic institutions and increasing public resilience to disinformation.

Much US funding to the country was stopped last year in response to increasingly authoritarian behavior by the ruling regime—including legislative crackdowns on civil society.

But Prime Minister Irakli Kobakhidze earlier this month told local journalists the stop on USAID activities proved his government’s previous claims that the organization’s funds were used not for humanitarian goals but to “stage revolutions, sow disorder, and destabilize countries, including Georgia.”

Lawmakers appear to have also taken it as confirmation of the hardline approach they have already taken to civil society and the media—including a controversial law on foreign funding of NGOs introduced last year, which forced many to close—and emboldened them to tighten restrictions even further. On February 5, a media regulation law was announced that would ban foreign funding of media, as well as an even more restrictive version of the law on foreign funding for NGOs.

Reports have suggested authorities in Russia, where a swathe of laws and repressive measures have already forced the closure of many key services provided by civil society groups in areas from HIV prevention and help for marginalized groups to rights organizations, may be planning to ask US Congress to share a list of Russian citizens who received US funding with Russia’s Federal Security Service (FSB).

Groups affected by the funding freeze are looking to find alternative sources of finance. Some have called for governments, particularly in Europe, to step in and fill the gap left by the withdrawal of American money.

In a statement, a group of European disability organizations and services called on the European Union and non-governmental donors to provide emergency and long-term funding to disability organizations affected by the cuts in US funding.

They highlighted that organizations were implementing lifesaving programs in countries such as Ukraine, Moldova, Georgia and Albania and that the loss of funding will put at risk organizations and persons with disabilities in the Balkans, Eastern Europe and South Caucasus, leaving hundreds of thousands without support.

While there are hopes that US funding will, sooner or later, resume once the Trump administration finishes its review, whatever US foreign aid is resumed, it is unlikely to be disbursed in the same way as it was previously, said Pasha.

“I expect that some aid will resume in some form after the 90-day freeze, but it will reflect the priorities of the new US administration—in the future it will likely be less connected to values and more to economics,” he said.

IPS UN Bureau Report

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Afghan Refugees, Among Others, Feel the Impact of USAID Funding Freeze

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Aid

Flashback to the opening of a USAID project. Credit: Ashfaq Yusufzai/IPS

PESHAWAR, Pakistan, Feb 16 2025 (IPS) – “I was shocked when told by a security guard that the clinic has been closed down. I, along with my relatives, used to visit the clinic for free checkups,” Jamila Begum, 22, an Afghan woman, told IPS.

The clinic has been established by an NGO with the financial assistance of the USAID to reduce maternal complications on the outskirts of Peshawar, the capital of Khyber Pakhtunkhwa, one of Pakistan’s four provinces. Begum, who is near to delivering a baby, says she couldn’t afford the high fee of blood tests and ultrasound examinations in private hospitals and is concerned about her delivery. Fareeda Bibi, an Afghan refugee, is concerned too.

“We have been receiving more than a dozen Afghan women for pre- and post-natal checkups through a clinic funded by the U.S., which has now been shut down,” Bibi, a female health worker, said at a clinic on the outskirts of Peshawar.

Pakistan is home to 1.9 million Afghan refugees and most of the women seek health services in NGO-run health facilities funded by the United States.

“The Afghan women cannot visit remote hospitals and came here conveniently because we have all female staff but all of a sudden, the small clinics have been closed, leaving the population high and dry,” Bibi says. “In the past year, we have received 700 women for free check-ups and medicines, due to which they were able to stay safe from delivery-related complications.”

Jamila Khan, who runs an NGO helping women in rural settings of the Khyber Pakhtunkhwa, one of Pakistan’s four provinces, is also upset by the funding freeze.

“Most of the USAID’s funds were used by NGOs, who will now either be completely closed down or will look for new sources of funds. For the time being, they are struggling to continue operations after the withdrawal of promised funds,” she says.

The suspension of funds by the USAID has hit all sectors in Pakistan, a former employee of USAID, Akram Shah, told IPS.

“The 39 projects funded by the United States included energy, economic development, agriculture, democracy, human rights and governance, education, health, and humanitarian assistance. The suspension order has impacted all,” he says.

President Donald Trump’s directives of suspending USAID funding worldwide after assuming his office also brought to a standstill several projects worth over USD 845 million in Pakistan.

Shah says the abrupt funding cut will badly harm the small landowners who looked towards the USAID but now we are immensely concerned about how to go ahead with our annual plan of going crops without financial assistance.

Our farming has been worst hit as farmers banked on the financial and technical assistance provided by the U.S. to enhance agricultural productivity.

“Most farmers in rural areas have been benefitting from the USAID for a long time, as we got high-quality seeds, tools, fertilizers, etc., which helped us to grow more crops and earn for our sustenance,” Muhammad Shah, a farmer, says.

The health sector is also badly hit, as USAID’s money kept running the Integrated Health Systems Strengthening and Service Delivery Integrated Health System Program, says Dr. Raees Ahmed at the Ministry of National Health Services Regulations and Coordination.

The promised funds of USD 86 million aimed at strengthening Pakistan’s healthcare infrastructure would leave the program half finished, he says. Additionally, Pakistan was supposed to receive USD 52 million under the Global Health Supply Chain Program to ensure the availability of essential medical supplies, but it will be closed down for want of funds.

Education officer Akbar Ali says they had pinned hopes on USAID’s assistance of USD 30.7 million for the Merit and Needs-Based Scholarship Program for the poor students to continue their studies but it has become a dream now.

Ali says the inclusive democratic processes and governance projects, of which USD 15 million was promised, have been halted. The program, in which teachers were also included, was intended to enhance democratic governance and transparency.

Funds for improving governance and the administrative system in the violence-stricken tribal areas along Afghanistan’s border will also stop. The USAID had pledged USD 40.7 million.

Muhammad Wakil, a social activist, says his organization, which is working for a U.S.-funded Building Peace in Pakistan, is also suffering. The program, worth USD 9 million, aimed at fostering religious, ethnic, and political harmony, has had to close.

“We have asked our workers to stay home and have suspended at least 20 workshops scheduled this year,” Wakil says.

He wondered why the United States, a staunch supporter of peace and religious harmony, has stopped funds.

The Mangla Dam Rehabilitation Project, a USD 150 million initiative essential for Pakistan’s energy and water security, has also suffered.

The decision to suspend these aid programs comes as part of a broader restructuring of US foreign assistance under Trump’s “America First” policy.

USAID, established in 1961 under President John F. Kennedy, has long been a cornerstone of US foreign policy, administering approximately 60 percent of the country’s aid budget. In the 2023 fiscal year alone, USAID disbursed USD 43.79 billion in global assistance, supporting development efforts in over 130 countries, media reported.

IPS UN Bureau Report

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U.S. White House Executive Order Raises Concerns for Its Support to the UN

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Aid, Armed Conflicts, Civil Society, Development & Aid, Editors’ Choice, Featured, Headlines, Human Rights, Humanitarian Emergencies, IPS UN: Inside the Glasshouse, Sustainable Development Goals, TerraViva United Nations

Humanitarian Emergencies

Coly Seck (at microphone), Chair of the Committee on the Exercise of the Inalienable Rights of the Palestinian People and Permanent Representative of the Republic of Senegal to the United Nations, briefs reporters with Members of the newly-elected Committee on the Exercise of the Inalienable Rights of the Palestinian People (CEIRPP Bureau). At fourth from right is Riyad Mansour, Permanent Observer of the State of Palestine to the United Nations. Credit: UN Photo: Manuel Elías

Coly Seck (at microphone), Chair of the Committee on the Exercise of the Inalienable Rights of the Palestinian People and Permanent Representative of the Republic of Senegal to the United Nations, briefs reporters with Members of the newly-elected Committee on the Exercise of the Inalienable Rights of the Palestinian People (CEIRPP Bureau). At fourth from right is Riyad Mansour, Permanent Observer of the State of Palestine to the United Nations. Credit: UN Photo: Manuel Elías

UNITED NATIONS, Feb 6 2025 (IPS) – A new executive order from the United States White House calls for withdrawing support from major UN entities and a review of all international intergovernmental organizations which the United States is a member of. The U.S.’s orders against the UN Palestine Refugee Agency also do not bode well for ongoing ceasefire negotiations in Gaza.

President Donald Trumps comments that the “US will take over the Gaza Strip and we will do a job with it, too. We’ll own it,” have also been widely criticized.

On Tuesday, the White House issued an executive order, where they announced that they will pull out from the UN Human Rights Council (UNHRC) effective immediately and called for a review of its membership in UN and other intergovernmental organizations. The executive order singles out other UN entities that needed “further scrutiny”—the UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA); and the UN Educational, Scientific, and Cultural Organization (UNESCO). The executive order suspended all funding to these organizations.

The executive order also cites that UNESCO has failed to address “mounting arrears” and reform, also noting that it has demonstrated anti-Israeli sentiments over the last decade. A review of the U.S.’s membership in UNESCO would assess whether it supports the country’s interests, and would include an analysis of anti-Semitic and anti-Israeli sentiment within the organization.

The United States announced that no funds or grants would go towards the UN Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), citing corruption within the organization and the infiltration of terrorist groups such as Hamas.

UN Secretary-General Spokesperson Stéphane Dujarric told reporters on Tuesday that in light of the United States’ decision, this would not change the UN’s “commitment to supporting UNRWA in its work”, or the HRC’s importance as a part of the “overall human rights architecture within the United Nations”.

“It has been clear for us that U.S. support for the United Nations has saved countless lives and global security,” said Dujarric. “The Secretary-General is looking forward to speaking with President (Donald) Trump, he looks forward to continuing what was a very, I think, frank and productive relationship during the first term. He looks to strengthening the relationship in the turbulent times that we live in.”

On Wednesday the newly-elected chair of the Committee on the Exercise of the Inalienable Rights of the Palestinian People, Ambassador Coly Seck, Permanent Representative of Senegal, told a told a press conference that it condemned the ban by Israel on UNWRA .

“We strongly condemn Israel’s ban UNWRA which obstructs vital humanitarian cooperation in direct violation of the UN mandate and General Assembly resolutions in stabilizing the ceasefire and supporting Gaza’s recovery. This ban imposed immediately after the ceasefire, deal will deepen Gaza suffering.”

The suspension of aid funding from the United States is already impacting humanitarian operations across different agencies. Dujarric said that the U.S. had committed 15 million USD to the trust fund, of which 1.7 million has already been spent. This leaves 13.3 million frozen and unusable at this time.

Pio Smith, Regional Director for Asia and the Pacific, United Nations Population Fund (UNFPA) told reporters in Geneva that they had to suspend the programs funded by US grants, which included funds that were already committed to the agency. Smith warned that the lack of funding would impact programs in places such as Afghanistan, Pakistan and Bangladesh. Worldwide, more than half of UNFPA’s facilities, 596 out of 982, would be impacted by this funding pause.

Vivian van de Perre, the Deputy Head of its UN Mission to the Democratic Republic of the Congo, told reporters in New York on Wednesday that the recent pause in funding from the U.S. Agency for International Development (USAID) has forced humanitarian partners on the ground to suspend their work. “…Many of the partners, including IOM (the International Organization for Migration), which is a key partner for us, need to stop their work due to the USAID stop-work order,” she said.

The executive order, along with Trump’s announcement that the U.S. would move into and claim Gaza cast a shadow of doubt over ongoing ceasefire negotiations.

UN Human Rights Commissioner Volker Türk said that the priority now must be to move to the next phase of the ceasefire, which calls for the release of all hostages and arbitrarily detained prisoners, an end to the war, and the reconstruction of Gaza.

“The suffering of people in the [occupied Palestinian territories] and Israel has been unbearable. Palestinians and Israelis need peace and security, on the basis of full dignity and equality,” Türk said in a statement. “International law is very clear. The right to self-determination is a fundamental principle of international law and must be protected by all States, as the International Court of Justice recently underlined afresh. Any forcible transfer in or deportation of people from occupied territory is strictly prohibited.”

The forcible removal of 2.2 million Palestinians from Gaza that Trump is calling for has been decried and been called a violation of international humanitarian law.

“Any forced displacement of people is tantamount to ethnic cleansing,” said Dujarric when asked about Trump’s remarks. “…In our search for solutions, we must not make the problem worse. Whatever solutions we find need to be rooted in the bedrock of international law.”

Riyad Mansour, Permanent Observer of the State of Palestine to the United Nations, briefing reporters after the opening session of the Committee on the Exercise of the Inalienable Rights of the Palestinian People, added his condemnation of Trump’s plan.

Mansour said with regard to the idea of “kicking the Palestinian people out from the Gaza Strip, I just want to tell you that during the last 24 hours, statements from heads of states, of Egypt, of Jordan, of the State of Palestine, of Saudi Arabia and many countries, including countries who spoke in the debate in the room behind us during the meeting of the committee, condemn these efforts.”

He said Trump’s plan has been met with a “global consensus on not allowing forced transfer to take place, ethnic cleansing to take place. We Palestinians love every part of the State of Palestine. We love the Gaza Strip. It is part of our DNA.”

The march of Palestinians from the south to the north of the Gaza Strip following the ceasefire was proof of the people’s committment to rebuild their own homes, Mansour said.

“More than 400,000 of them to go to the rubbles in the northern Gaza in order to start cleaning around their destroyed homes.”

At the White House, Trump’s aids attempted a row back on his comments. Secretary of State Marco Rubio reportedly told journalists that it Trump was proposing to rebuil Gaza, and his press secretary Karoline Leavitt, said “the president has not committed to putting boots on the ground in Gaza.”

IPS UN Bureau Report

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