What shutdown of USAID programs means for vulnerable Arab countries

The Trump administration has slashed funding for aid and development projects, including in Gaza, but experts warn that ending USAID programs could fuel unrest, economic decline, and extremist recruitment. (AFP)
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Updated 09 March 2025
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What shutdown of USAID programs means for vulnerable Arab countries

  • The Trump administration has slashed funding for aid projects it says “do not align with US national interests”
  • Experts warn that ending USAID programs could fuel unrest, economic decline, and extremist recruitment

LONDON: The impact of the Trump administration’s decision to slash $60 billion in aid funding and cancel 90 percent of contracts by the US Agency for International Development is being felt by millions of the most vulnerable people in the Middle East and North Africa.

In countries like Iraq, Syria and Yemen, lifesaving aid programs to feed and provide healthcare for huge populations affected by conflict have halted. In Jordan, hundreds of development projects to boost the economy face an uncertain future and thousands of jobs may disappear.

The widespread halt in aid was confirmed just as countries across the region started to mark the holy month of Ramadan.

In an internal memo and filings in federal lawsuits, the US administration said it is eliminating more than 90 percent of USAID’s foreign aid contracts and $60 billion in overall assistance around the world. The memo said officials were “clearing significant waste stemming from decades of institutional drift.”




Displaced Sudanese people at a camp near the town of Tawila in North Darfur. (AFP)

More changes are planned in how USAID and the State Department deliver foreign assistance, it said, “to use taxpayer dollars wisely to advance American interests.”

Many Republican lawmakers believe USAID has been wasteful and harbors a liberal agenda. President Donald Trump has also promised to dramatically reduce spending and shrink the federal government.

USAID’s supporters say the agency not only provides vital assistance around the world, but for less than one percent of the federal budget, it is also America’s greatest soft power tool.

The crisis first arose on Jan. 20 when Trump signed an executive order halting all foreign assistance for a 90-day review period because the aid industry was “not aligned with American interests.”

Within days, Elon Musk’s Department of Government Efficiency was homing in on USAID programs, and by last week termination letters had been sent to nongovernmental organizations around the world.

Nearly 5,800 of USAID’s 6,200 multi-year contracts worth $54 billion were cut. The State Department also cut $4.4 billion in foreign aid-related grants.

Much of the agency’s vast array of work, from providing food to the starving, healthcare programs and economic development initiatives, has been stopped.

Many promised waivers for lifesaving programs have reportedly failed to materialize.

More than 6,000 of USAID’s 10,000 staff have been placed on administrative leave or fired, and tens of thousands of people working around the world have also lost their jobs.

Control of USAID has been moved to the State Department, which is locked in legal battles over the cuts. The department did not respond to a request for comment.

The MENA region received $3.9 billion from USAID in 2023. The sudden removal of the agency’s support could cause further suffering and instability in the region, Yossi Mekelberg, associate fellow of the MENA Program at Chatham House, told Arab News.

“We’re talking about budgets of billions, which goes to projects between humanitarian and development,” he said. “The minute you take it away, you make people either suffer from humanitarian crises or you stop the development of these countries.

“If you want to maintain stability in the Middle East, which is important to the United States, you need economic development.”

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Below are details of how the shuttering of USAID has affected people and projects across the region.

IRAQ

In a country where more than 1 million people have still not returned to their homes after the war with Daesh extremists ended in 2017, USAID provided vital support to vulnerable populations.

Since the 2003 US-led invasion that toppled Saddam Hussein, the agency has spent billions trying to help Iraq rebuild. USAID funded clean water supplies, food aid, healthcare and support for women victims of violence.

The agency also provided grants to grow businesses and boost local economies and funded development projects to improve water supplies and food production.

The amount spent in Iraq in 2023 was more than $220 million, but many of the long-term projects, which have now stopped, were based on spending commitments over many years.

One USAID officer working on Iraq told Arab News that he could not imagine what would happen to Iraq’s displaced population without the agency’s funding.




USAID has spent billions trying to support Iraqis. (AFP)

“It’s heartbreaking,” he said. “I shudder to think of the human impacts of this, the lives lost, the time … it will take to ever recover from this. The whole sector is destroyed.”

Before the widespread canceling of contracts last week, he said some UN agencies and NGOs continued with essential assistance as they tried to interpret Trump’s executive order and the promised waivers.

Now everything related to USAID funding had stopped, said the officer, whose decade-long career with the agency was also terminated with 15 days’ notice.

This included assistance to the 100,000 displaced people in 21 formal camps in the northern Kurdish region.

The USAID officer said the halt was particularly bitter for Iraqis given the recent history of US foreign policy in the country.

He said the halting of aid risks plunging Iraq back into chaos by opening the way for extremist ideologies to regain traction.

“We are pulling the rug out from under what the US would consider a critical ally in this region.”

SYRIA

The humanitarian community was just getting to grips with a new Syria after the fall of President Bashar Assad in December.

The approach to delivering aid to the country during its 14-year civil war was hampered by the division of territory under the warring parties, along with international sanctions against the Assad regime.

Finally, it seemed, a coordinated surge of humanitarian operations could take place with new rulers in Damascus in control of much of the country.

“It was the opportunity in Syria for the first time in 14 years to really do an ‘all of country’ response,” Imrul Islam from the Syria International NGO Regional Forum told Arab News.




Al-Hol camp in Syria’s northeastern Al-Hasakah Governorate. (AFP/File)

The war had left more than 16 million Syrians needing humanitarian aid, according to the UN.

Islam estimates that USAID paid for at least a quarter of the entire humanitarian funding in Syria, with the northern parts of the country particularly reliant on NGOs to deliver essential aid.

When the “stop work” orders were sent in January from USAID to the NGOs they funded, it was a bitter blow.

Aid organizations in Syria were left in limbo as most projects ground to a halt almost overnight. The waivers granted for lifesaving aid failed to deliver a release of funds, so organizations continued essential deliveries by running up debt.

Last week’s blanket termination of contracts means that almost everything previously funded by USAID has now stopped, including operations considered lifesaving.

NGO coordination forums in Syria are assessing the scale of the fallout, but already Islam warned that “people will die” as a result.




NGOs estimate that at least 300,000 people would be affected by the halting of water and sanitation projects, and around 600,000 are not receiving food assistance. (AFP/File)

Several international NGOs rely on USAID for 95 percent of their funding and are now deciding whether they will have to leave Syria altogether.

As of February, NGOs estimate that at least 300,000 people would be affected by the halting of water and sanitation projects, and around 600,000 are not receiving food assistance.

In just northeast Syria, at least 2,800 per month would lose access to surgical procedures. “Thousands and thousands” of people are losing their jobs, Islam said.

Millions of people, he added, would lose access to assistance in the north of the country.

GAZA

The USAID freeze has jeopardized aid supplies to Gaza, where Israel’s ongoing war with Hamas and other militant groups has left the entire population of more than 2 million reliant on humanitarian assistance.

It also risks undermining the ceasefire agreed in January that halted the devastating 15-month conflict.

USAID has provided $2.1 billion in humanitarian assistance in Gaza since October 2023, when Hamas attacked Israel, triggering the war.

The agency said in November it would provide an additional $230 million for economic recovery and development programs in the West Bank and Gaza.

Staff working for USAID on Palestine have been laid off. The organizations that deliver aid inside Gaza have also stopped working, their contracts have been terminated, and local Palestinian employees have lost their jobs.

“It’s a very bleak picture,” Dave Harden, a former USAID mission director for Gaza and the West Bank, told Arab News.




USAID said in November it would provide an additional $230 million for economic recovery and development programs in the West Bank and Gaza. (AFP/File)

“There’s no people, there’s no officers, there’s no staff, there’s no budget, there’s no (Washington) D.C. back office and there’s no active agreements.”

He agreed that it placed extra pressure on an already fragile ceasefire that relies on a massive aid delivery operation to alleviate the suffering.

“The risks are higher if there is any reduction in food,” he said.

So far, he believed UN reserves of food and other aid have filled the gap left by USAID, but this will start to run out.

Harden said the loss of USAID was not only devastating for Palestinians but also bad for Israel, which often used the agency as a communication channel.

JORDAN

As a long-term, reliable and stable US ally in the region, Jordan was the third largest recipient of USAID funding globally.

In 2023, the kingdom received $1.2 billion from the agency with much of it being used to support economic development.

While not suffering the scale of the humanitarian struggles in other countries in the region, the USAID funding supported businesses and government projects.




In 2023, the kingdom received $1.2 billion from USAID with much of it being used to support economic development. (AFP/File)

The funding was so entwined in Jordan’s economy that it accounted for more than 2 percent of the country’s gross domestic product in 2024, Reuters reported, citing JPMorgan.

The cuts in funding have rippled through the economy, leading to thousands of job losses according to some reports.

Rana Sweis spent a year going through an extensive application process to secure funding for a project for her Amman-based media and marketing company, Wishbox Media.

She then waited more than four months before approval came for an $81,000 grant from USAID’s Makanati project, which encouraged women into work in Jordan.

The year-long project started in May 2024 with money released in monthly increments in line with regular progress reports.

When she was told in January that funding would be frozen, her company was more than 80 percent through the promised work on empowering women in the workforce.

This included a 25-minute documentary, social media campaigns, infographics and other multimedia production.




As a long-term, reliable and stable US ally in the region, Jordan was the third largest recipient of USAID funding globally. (AFP/File)

Sweis said they now expect to lose nearly half of the grant but still hope to receive two pending payments left outstanding.

She had to let one staff member go and cancel the company’s internship program. “It’s a big loss for a small company, but what can I do?” she told Arab News.

“People are losing their jobs in Washington, people are not getting all these humanitarian lifesaving vaccines in Africa, and that’s how I deal with the loss we had.”

While she may be putting the impact on her company in perspective, hundreds of businesses across Jordan would have been taking similar or even greater financial hits in recent weeks.

“It’s a shock for Wishbox, but it’s a shock for me personally because USAID is such an integral part of Jordan and the development of Jordan,” she said. “It’s in every sector, in education, in water and in every level, from the government to civil society.”

YEMEN

Yemen is considered one of the world’s worst humanitarian crises, with half of the country’s population requiring assistance, according to the UN.

With one-third of the money to pay for that aid coming from the US — mostly through USAID — there is deep concern about the impact the agency’s cutbacks will have on the country.

The US announced $220 million in additional aid, including nearly $200 million through USAID, in May 2024.

Yemen’s civil war began in 2014 when the Houthi militia, backed by Iran, took control of the capital and largest city, Sanaa, demanding a new government.




The US announced $220 million in additional aid, including nearly $200 million through USAID, in May 2024. (AFP/File)

Since the eruption of the war, the US has spent nearly $5.9 billion on the humanitarian response, according to a US Embassy statement last year.

One aid worker in Yemen told Arab News that projects across the country helping feed families, providing critical healthcare and improving water sanitation had been halted.

The worker said the cuts had come at a particularly difficult time with the start of Ramadan.

 


Why Gaza aid curbs are deepening children’s health crisis despite ceasefire

Updated 04 December 2025
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Why Gaza aid curbs are deepening children’s health crisis despite ceasefire

  • Humanitarian aid deliveries are still restricted, leaving thousands of children without sufficient food, medicine, and basic shelter
  • International agencies warn that without urgent, unrestricted aid, child mortality and long-term health crises will escalate sharply

DUBAI: Two months into Gaza’s fragile ceasefire, children in the besieged enclave continue to bear the brunt of a deepening humanitarian crisis, with aid agencies warning that Israel’s continued restrictions on relief supplies are exposing the population to malnutrition and disease. 

Despite the Oct. 10 ceasefire, humanitarian groups say convoys carrying much-needed aid remain stuck at border crossings. Meanwhile, thousands of families displaced by two years of war are now enduring heavy rains in overcrowded shelters, heightening the risk of disease. 

For displaced children, limited access to medical care and vaccinations could have long-term, irreversible consequences. Without timely medical intervention and proper nutrition, healthcare workers warn that children are far more vulnerable to illness and death. 

Caption

The UK-based charity Medical Aid for Palestinians has reported a rise in cases of child malnutrition, with medical facilities facing “critical shortages” of supplies needed to treat postwar health complications. 

“While the number of severely malnourished patients has decreased compared with the peak of the famine, cases are still regularly presenting to hospital emergency departments and medical points,” Rohan Talbot, MAP’s director of advocacy and campaigns, told Arab News. 

In November, the organization’s nutrition cluster identified 575 children with acute malnutrition, including 128 with severe malnutrition, out of 7,930 children screened. The highest rates were in Gaza City, where almost 10 percent of children screened were malnourished. 

“We have also seen birth defects attributed to poor nutrition in mothers and lack of access to proper food and medical care,” said Talbot, warning that malnutrition could have long-term effects on children, leaving them at risk of stunting, poor development, and recurrent infections. 

A man carries the body of Palestinian baby Zainab Abu Haleeb, who died due to malnutrition, according to health officials, at Nasser Hospital in Khan Younis, southern Gaza Strip, on July 26, 2025. (REUTERS)

Last week, MAP reported that three of Gaza’s largest hospitals — Al-Shifa, Nasser and the Patient’s Friends Benevolent Society — remain overwhelmed with critically injured and malnourished patients. 

Staff are unable to provide adequate care or carry out surgeries postponed during the war, with some patients dying as a result. 

Medical supplies have not “meaningfully increased” since the ceasefire began, leaving a collapsed healthcare system with little capacity to recover, the organization said. 

According to the UN, only half of Gaza’s 36 hospitals are currently partially operational, and not a single hospital in the enclave is fully functional.  

A nurse examines a malnourished child at Nasser Hospital in Khan Younis, southern Gaza Strip, on July 25, 2025. (REUTERS)

The Patient’s Friends Benevolent Society Hospital, the main pediatric facility in northern Gaza, has reported critical shortages of essential drugs, medical supplies, cleaning materials, and sterilization equipment. 

On Nov. 14, the hospital — already damaged in the fighting — was flooded by heavy rain, trapping children and their families on the ground floor. 

“Medical intervention was not enough to save the lives of children, so we lost a large number of them in the intensive care unit,” Dr. Majd Awadallah, the hospital’s medical director, said in a statement. 

“These problems are unsolvable without opening the crossings and allowing the unconditional entry of essential materials, especially medicines. How can a hospital operate in surgical and maternity cases without cleaning materials?”   

INNUMBERS

600 Aid trucks expected to enter Gaza daily under ceasefire deal.

145 Actual average number of aid trucks entering Gaza per day.

(Source: Gaza’s Government Media Office)

On Monday, the UN Relief and Works Agency accused Israel of blocking around 6,000 aid trucks carrying food, medicine, tents and blankets — enough to sustain the enclave for three months. 

The organization warned that 1.5 million people urgently need shelter after heavy rains in November flooded displacement camps and damaged at least 13,000 tents. 

Israel’s military operation in Gaza, triggered by the Hamas-led Oct. 7, 2023, attack, has displaced about 2.1 million Palestinians — roughly 95 percent of the population — and destroyed nearly 78 percent of the enclave’s 250,000 buildings, according to UN figures. 

Most of the displaced now live in makeshift tents, some erected over the rubble of their former homes, without proper sanitation, clean water, insulation or sewage systems, contributing to the spread of infectious diseases. 

The World Health Organization has reported a rise in cases of Guillain-Barre Syndrome, acute watery diarrhea, and acute jaundice syndrome, the latter of which can be linked to hepatitis A. 

Though more aid has been reaching the devastated enclave since the ceasefire, humanitarian organizations warn this is insufficient to meet the population’s needs. 

Under the US-brokered truce, at least 600 aid trucks were expected to enter Gaza daily. However, Gaza’s Government Media Office said the enclave has received an average of just 145 trucks a day since the agreement began. 

Palestinians collect aid supplies from trucks in Khan Younis, southern Gaza Strip, on October 12, 2025, amid a ceasefire between Israel and Hamas. (REUTERS)

Of the aid that has entered Gaza, only 5 percent of the trucks contained medical supplies, according to the UN. 

“The strain on Palestinians’ lives is only deepening,” said Talbot. “Even the most basic materials needed for shelter continue to be blocked by Israeli authorities.” 

Though food availability has slightly improved due to the entry of humanitarian and commercial trucks, aid organizations still report limited quantities and less diverse food in markets. 

The World Food Programme said food consumption remained below pre-conflict levels by mid-October, as meat, eggs, vegetables, and fruits remain unaffordable for many families. Talbot said the food shortages are affecting patient recovery and overall public health. 

“Local food production has been severely disrupted, and humanitarian access remains extremely constrained by Israeli restrictions, with a severe lack of properly nutritious food entering Gaza,” he said. 

The war has eroded purchasing power, leaving 95 percent of the population entirely dependent on aid, UNRWA said, urging Israel to facilitate rapid at-scale and unimpeded humanitarian access. 

Although the ceasefire was intended to bring relief, near-daily Israeli strikes have killed 347 Palestinians, including at least 67 children, and injured 889 others, pushing Gaza’s death toll to more than 70,000, according to the Ministry of Health. 

Gaza’s Government Media Office has documented 535 Israeli violations since the ceasefire began, while satellite imagery shows more than 1,500 buildings have been destroyed during this period. 

In a statement last week, rights monitor Amnesty International accused Israel of continuing to commit genocide in Gaza by severely restricting the entry of aid and blocking the restoration of services essential for civilian survival. 

Agnes Callamard, the organization’s secretary-general, said the ceasefire creates “a dangerous illusion that life in Gaza is returning to normal,” warning that the lack of proper food, water and shelter could lead to “slow death” of Palestinians in Gaza. 

This includes blocking equipment needed to repair life-sustaining infrastructure and to remove unexploded ordnance, contaminated rubble and sewage — all of which pose serious and potentially irreversible public health and environmental risks, she said. 

Israel denies accusations it is deliberately obstructing aid, and accuses Hamas of stealing humanitarian assistance. 

Israeli soldiers secure humanitarian aid, amid the ongoing conflict in Gaza between Israel and the Palestinian Islamist group Hamas, near the Erez Crossing point in northern Gaza, on May 1, 2024. (REUTERS)

COGAT, the Israeli military arm that oversees humanitarian matters, insists that “hundreds of trucks” enter Gaza daily. 

In a Nov. 30 statement, the unit said it “approved 100,000 pallet requests submitted by organizations, of winter-related items, shelter equipment, and sanitation supplies.” 

“These supplies are ready and waiting for weeks for immediate coordination by the relevant organizations so they can enter Gaza,” the statement read. 

Israel and Hamas have continued to trade accusations of ceasefire violations as the first phase nears completion. 

Under this initial phase, Israel was required to withdraw its troops behind a temporary boundary known as the yellow line, while Hamas was to release all living and deceased hostages. 

The next stage of the Trump 20‑point Gaza peace plan, endorsed by the UN Security Council on Nov. 18, faces major obstacles, including Hamas disarmament, Israel’s full withdrawal from Gaza, governance of the enclave, and international security arrangements. 

Despite these obstacles, aid agencies are continuing live-saving work, stepping up efforts to provide essential health services, distribute clean water, support trauma and emergency responses, and offer mental health support. 

On Nov. 21, the WHO, UNRWA, and the UN children’s fund UNICEF, announced the completion of the first round of vaccinations, which immunized more than 13,700 children against measles, polio, mumps and rubella, hepatitis B, tuberculosis, rotavirus and pneumonia. 

The agencies are now preparing for rounds two and three after 1.6 million syringes procured by UNICEF entered Gaza in mid-November. 

The UN also distributed food parcels to more than 264,000 families in the same month. 

However, aid workers say that these efforts represent only a fraction of what is needed to mitigate the worsening humanitarian crisis and help the population recover. 

“A ceasefire must mean more than this; it must bring an end to Palestinians’ suffering and allow them to regain their dignity and safety,” said Talbot. 

“Without a flood of aid and assistance, we will see more avoidable deaths and deprivation.”