Top beneficiaries most hit by the discontinuation of USAID

The recent decision by the Trump administration to dismantle the U.S. Agency for International Development (USAID) has affected countries that have been primary beneficiaries of U.S. foreign assistance.

This move, spearheaded by the Department of Government Efficiency (DOGE) under Elon Musk, aims to reduce federal spending but has raised concerns about the potential humanitarian and geopolitical repercussions.

Africa stands out as a region heavily reliant on USAID funding, especially in the health sector. In 2024, Ethiopia and the Democratic Republic of Congo each received approximately $1.20 billion in aid, primarily directed towards health programmes, including HIV/AIDS prevention and treatment.

South Sudan, Somalia, and Nigeria also ranked among the top recipients, with significant portions of their aid allocated to healthcare initiatives. The abrupt cessation of funds threatens to disrupt essential services, such as HIV treatment programs, potentially leading to a resurgence of the epidemic in these regions.

The suspension has already led to the closure of numerous health clinics and the halting of critical services. For instance, in South Africa, USAID-funded organizations were ordered to halt work for 90 days, forcing clinics to close and leaving patients without access to necessary treatments. This sudden withdrawal not only endangers public health but also undermines years of progress made in combating diseases across the continent.

Beyond Africa, the discontinuation of USAID affects numerous countries worldwide. In 2024, USAID distributed nearly $32.5 billion in aid, with significant allocations to nations like Ukraine, Jordan, and Ethiopia. The suspension of this support destroys various development projects, from infrastructure enhancements to educational programs, potentially destabilising regions that have been bolstered by U.S. assistance.