On January 20, President Trump published a Executive decree Call on a Revaluation and realignment of American foreign aid This has put a 90 -day break on new obligations and disbursements and launched a complete examination of all foreign aid programs. This was followed by an order to stop for existing efforts (with a limited exception) already funded and underway, freezing most of the services in the countries of the world. With reports From the effective dissolution of the USAID, the International Development Agency created more than six decades ago, there is an uncertainty about the future of the aid it provides if it is incorporated into the department of ‘State as President Trump calls for “closing it!”.
To shed light on the role of USAID in global health, this thesis provides an analysis on the part of global health assistance obliged or implemented by USAID and other agencies on behalf of countries (or “bilateral”) during financial year 2023, using data from data from foreign.gov. This includes funding that agencies: 1) Obliged for global health activities (for example, USAID manages and finances funding for an implementation partner, as a non -governmental organization, to take health programs directly ); or 2) received from other agencies to directly implement specific programs (for example, the State Department directs the financing of the USAID to implement HIV / AIDS programs in countries). As this analysis shows, the majority of us world bilateral world aid are obliged or implemented by USAID, including for Pepfar. (For more information on federal funding for global health, see 10 things to know about American funding for global health).
During the year 2023, USAID forced / implemented 73% of all the United States Bilateral Health of World Health Assistance. Of the $ 8.5 billion for bilateral global health efforts, in all areas of the program, USAID forced / implemented $ 6.2 billion (73%) (see Figure 1). The next part was at the Ministry of Health and Social Services (HHS) ($ 1.9 billion or 22%), mainly Centers for Disease Control and Prevention (CDC). Two percent ($ 141 million) were in the state and 3% ($ 280 million) in all other combined agencies.
For Pepfar, the US / AIDS global program, USAID has forced / implemented 60% of bilateral aid. Of the $ 4.2 billion for bilateral HIV programs during the year 2023, $ 2.5 billion (60%) were obliged / implemented by USAID, followed by 1.6 billion Dollars (37%) at HHS and 2% ($ 79 million) in the state (see Figure 2). Only 1% (25 million dollars) were in other agencies.
The role of USAID is even greater in certain sectors, including 100% in certain cases. For maternal and infantile health, the efforts of tuberculosis and world health safety, USAID forced 100% of all bilateral support during the 2023 financial year (see Figure 3). He forced 99% of family planning and reproductive health and 96% for malaria efforts. PEPFAR, as indicated above, is 60% and nutrition programs are 59%.
There remains a significant uncertainty surrounding the examination by the administration of the USAID and the American foreign aid more generally, including the programs which will be maintained and how they will be carried out in the future. Given the current role of USAID in the management of American world health programs, through its thousands of world members around the world and its work with the field executors, the change of the USAID, Including by reducing or eliminating its capacity, would leave a gap which could affect the provision of services and the results for health, if it is not fulfilled.