Many across Africa shocked by 90-day freeze on US aid

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NAIROBI, KENYA — 

Many radical crossed Africa are shocked and disquieted astir the 90-day intermission connected U.S.-funded overseas assistance and a stop-work bid connected existing grants and contracts worldwide.

While the orders person been modified to let waivers for “life-saving humanitarian assistance,” galore are struggling to measure the implications of U.S. President Donald Trump’s decision.

The Trump medication says that the United States spends astir $40 cardinal each twelvemonth successful aid, and that it’s clip to reappraisal and prioritize America’s halfway nationalist involvement 1 dollar astatine a time.

Most improvement and humanitarian assistance is channeled done the U.S. Agency for International Development done assorted programs, moving with individuals, communities, organizations and countries crossed the globe.

In Kenya, portion galore organizations straight affected are keeping quiet, 1 worker who spoke connected the information of anonymity said he’s grateful for what American assistance has accomplished implicit the years.

“We've been having occurrence stories,” helium said.

The worker is among the hundreds who received a stop-work order. He said helium is astir acrophobic for the beneficiaries of programs he’s been associated with implicit the years.

“These are families who were anticipating they could get support. … This volition stop. … There are children who are HIV-positive, and we ever collaborate with their facilities to guarantee that they are viral-suppressed. Now they’ll beryllium of precocious viral load,” the antheral said.

On Tuesday, the medication issued waivers connected “existing life-saving humanitarian” assistance programs, including “core life-saving medicine,” which whitethorn use to wellness programs specified arsenic PEPFAR, the U.S. President’s Emergency Plan for AIDS Relief, which works with partners successful 55 countries worldwide. One of them is South Africa, wherever 7.8 cardinal radical person HIV/AIDS.

Asanda Ngoasheng, an autarkic governmental expert from South Africa, said the federation “is the biggest beneficiary of the PEPFAR program, and has been for galore years. … It volition person dire consequences for radical successful the portion due to the fact that determination are immoderate radical who travel to South Africa to person immoderate medication. … So, it’s a aesculapian catastrophe successful waiting, effectively, and a humanitarian catastrophe successful waiting.”

Addressing a property league broadcast unrecorded connected SABC connected Wednesday, South African Health Minister Dr. Pakishe Motsoaledi said helium hopes withdrawn assistance volition not impact antiretroviral treatments.

“One happening we privation to ascertain is that cipher indispensable halt taking ARVs,” Motsoaledi said. “That volition beryllium devastating. ... When you are connected ARVs and you stop, determination volition beryllium superior trouble.”

Through PEPFAR, the U.S. has invested implicit $110 cardinal successful the planetary HIV/AIDS response, redeeming implicit 25 cardinal lives and preventing millions of HIV infections since it was established much than 2 decades agone by President George W. Bush, according to U.S. State Department data.

FILE - Idah Musimbi, 16, who contracted HIV astatine  birth, takes PEPFAR-supplied antiretroviral pills successful  Nairobi, Kenya, connected  Aug. 16, 2023. Funds for PEPFAR, an acclaimed anti-HIV program, were seemingly  among those included successful  a U.S. assistance  freeze, Jan. 24, 2025.

FILE - Idah Musimbi, 16, who contracted HIV astatine birth, takes PEPFAR-supplied antiretroviral pills successful Nairobi, Kenya, connected Aug. 16, 2023. Funds for PEPFAR, an acclaimed anti-HIV program, were seemingly among those included successful a U.S. assistance freeze, Jan. 24, 2025.

There are different programs that can’t spend a backing break, said Dr. Akila Udoji, manager of Karu Primary Healthcare Center, a Nigerian installation sponsored by USAID.

“Tuberculosis diagnosis treatment, if that backing is chopped off, it volition greatly impact the programme due to the fact that determination won’t beryllium immoderate diagnosis of specified cases and past the medicines, radical can’t spend them,” Udoji said. “And if they can’t spend it, it volition pb to superior outbreaks of these diseases.”

The U.S. Global Leadership Coalition, an advocacy group, welcomed the administration’s reappraisal of overseas assistance programs successful a connection but expressed immoderate concerns.

Former commandant of U.S. Central Command Anthony Zinni, who is co-chair of the assembly of astir 270 retired admirals and generals, warned that the frost “takes the U.S. disconnected the playing field” and could straight impact U.S. subject operations overseas.

VOA requested interviews with the USAID offices successful Kenya, Nigeria and the U.S. but did not person replies.

Meanwhile, the 90-day frost is already paying dividends, a connection released by the U.S. State Department said this week.

It said the reappraisal has already prevented implicit $1 cardinal successful spending not aligned with the administration’s “America First” agenda, including programs providing definite contraceptive, clime justice, cleanable vigor and termination programs and services.

VOA’s Kate Bartlett successful South Africa and Timothy Obiezu successful Nigeria contributed to this report.

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