It was recently reported that a list was sent to the prices congress to be dismissed at the USAID, an agency already effectively closed As part of the administration Examination of foreign aid and financing freezing. THE list Generally confirms what has been in administration court documents and other announcements – that most prices of the agency should be terminated. More specifically, it indicates that out of more than 6,200 awards, 5,341 or 86% will be terminated, representing $ 27.7 billion in non -obliging funds. Of this, $ 7.4 billion in unparalleled funds fall directly from the World Health Office of the USAID and billions of others are intended for global health activities financed by other offices or at the mission of the individual country. While the situation seems to be fluid, the Congress not yet weighed and with Current disputeThe list raises several questions:
- Despite a give up Continuing “vital humanitarian assistance”, including the main vital medicine and medicine services, several of these projects are on the USAID end list. Shortly after the launch of the examination of foreign aid and the freezing of funding, ending most bilateral foreign assistance activities, Secretary of State Rubio issued an emergency derogation declaring that “directors of existing humanitarian assistance programs should continue or resume work if they stopped”. This was followed by specific exemptions for some PEPFAR services and a Subset of other health services. Despite these derogations, however, several projects that seem to respond to the definition of rescue as indicated in the waiver language and are interventions that have proven to reduce morbidity and mortality, appear on the finished list. These include, for example, efforts to strengthen and provide malaria diagnostic and processing services within the framework of the president of malaria of the president (PMI) Cambodia,, Ethiopiaand the Gambia and tuberculosis projects focused on diagnosis and treatment in Nigeria And South Africa. Also on the terminated list is a contract for Gavi, The Vaccine Alliance, a public-private partnership that provides routine vaccines more than half of the children in the world helping To avoid nearly 19 million childhood deaths.
- Several awards on the completed list are already spent in full. According to the list, there are several prices for which all the financing has already been forced and, by USASPREENDthe government’s financing database, fully spent. In global health, for example, these are in particular funding for CovaxThe COVVI-19 vaccine mechanism which was hosted in Gavi (all funds have already been disbursed in 2021), a price for Cepithe coalition for innovations to prepare for the epidemic and a price for the Pandemic fund (Hosted at the World Bank). These can be on the list because their rewards are technically still open.
- Other awards on the terminated list seem to be for broader contract agreements, listing the obligations under financing which have not yet been allocated by the congress. This seems to be the case for Gavi, for example, which is listed as having $ 1.7 billion in obligations not spent until 2030. However, of this, only $ 300 million was assigned by the Congress (for the financial year 2025) and the remaining amount seems to be a projection of future financing. This also seems to be the case for financing polio and immunization to the World Health Organization (WHO), for which $ 781 million is listed as non -elected but is probably an estimate of future credits.
- The list confirms other reports and declarations of administration on what is not supported, including several projects related to HIV prevention and interventions for key populations, family planning projects and support for WHO. This includes, for example, a project in Zambia focused on the circumcision of voluntary medical men to reduce the risk of HIV, one in Malawi focused on the prevention of new HIV infections among men and women, including adolescents and young men, and one in Namibia has concentrated HIV prevention and treatment among key populations; Family planning projects in Ghana, Kenya and Zimbabwe; And projects that have sought to integrate family planning with maternal health and other services in several countries. Support to which is also on the finished list.
- There are many prices on the completed list that has worked to strengthen the government of the host country, civil society and the capacity of the private sector to provide services. Although these prices are not directly vital, they are designed to support the property and sustainability of countries, in order to reduce the use of the United States government, such as a HIV project in Uganda and a malaria project in Uganda. As such, the cancellation of these projects could support such efforts.
- Finally, it is not clear if this list is final, or simply the most recent traffic. There was to at least three other circulating lists Until now, with different sets of awards completed. Since this list would have come from the congress, it is possible that a negotiation is still in progress. In particular, while the administration generally has the power to choose the specific implementation organizations with which he will work, in global health, at Congress Provides specific financing instructions to agencies Including the amounts for different areas of program (for example, HIV, tuberculosis, malaria, maternal health and others) and for certain international institutions (for example, the Global Fund to fight AIDS, Tuberculosis and Malaria, GAVI). As such, Congress can assess the list of layoffs against these directives. Indeed, the financing bill for the 2025 financial year which has just been signed obliges the administration to present itself at the Congress within 45 days Regarding his expenditure plans for foreign aid.