NEW YORK: When the Trump administration froze foreign assistance overnight, urgent efforts began to figure out how to continue critical aid programs that could be funded by private donors.
Multiple groups launched fundraisers in February and eventually, these emergency funds mobilized more than $125 million within eight months, a sum that while not nearly enough, was more than the organizers had ever imagined possible.
In those early days, even with needs piling up, wealthy donors and private foundations grappled with how to respond. Of the thousands of programs the US funded abroad, which ones could be saved and which would have the biggest impact if they continued?
“We were fortunate enough to be in connection with and communication with some very strategic donors who understood quickly that the right answer for them was actually an answer for the field,” said Sasha Gallant, who led a team at the US Agency for International Development that specialized in identifying programs that were both cost effective and impactful.
Members of Gallant’s team, some of whom had been fired and others working outside of business hours, pulled together a list that eventually included 80 programs they recommended to private donors. In September, Project Resource Optimization, as their effort came to be called, announced all of the programs had been funded, with more than $110 million mobilized in charitable grants. Other emergency funds raised at least an additional $15 million.
Those funds are just the most visible that private donors mobilized in response to the unprecedented withdrawal of US foreign aid. It’s possible private foundations and individual donors gave much more, but those gifts won’t be reported for many months.
For the Trump administration, the closure of USAID was a cause for celebration. In July, Secretary of State Marco Rubio said the agency had little to show for itself since the end of the Cold War.
“Development objectives have rarely been met, instability has often worsened, and anti-American sentiment has only grown,” Rubio said in a statement.
Going forward, Rubio said the State Department will focus on providing trade and investment, not aid, and will negotiate agreements directly with countries, minimizing the involvement of nonprofits and contractors.
Some new donors were motivated by the emergency
Some private donations came from foundations, who decided to grant out more this year than they had planned and were willing to do so because they trusted PRO’s analysis, Gallant said. For example, the grantmaker GiveWell said it gave out $34 million it otherwise would not have to directly respond to the aid cuts, including $1.9 million to a program recommended by PRO.
Others were new donors, like Jacob and Annie Ma-Weaver, a San Francisco-based couple in their late-thirties who, through their work at a hedge fund and a major tech company respectively, had earned enough that they planned to eventually give away significant sums. Jacob Ma-Weaver said the US aid cuts caused needless deaths and were shocking, but he also saw in the moment a chance to make a big difference.
“It was an opportunity for us and one that I think motivated us to accelerate our lifetime giving plans, which were very vague and amorphous, into something tangible that we could do right now,” he said.
The Ma-Weavers gave more than $1 million to projects selected by PRO and decided to speak publicly about their giving to encourage others to join them.
“It’s actually very uncomfortable in our society — maybe it shouldn’t be — to tell the world that you’re giving away money,” Jacob Ma-Weaver said. “There’s almost this embarrassment of riches about it, quite literally.”
Private donors could not support whole USAID programs
The funds that PRO mobilized did not backfill USAID’s grants dollar for dollar. Instead, PRO’s team worked with the implementing organizations to pare down their budgets to only the most essential parts of the most impactful projects.
For example, Helen Keller Intl ran multiple USAID-funded programs providing nutrition and treatment for neglected tropical diseases. All of those programs were eventually terminated, taking away almost a third of Helen Keller’s overall revenue.
Shawn Baker, an executive vice president at Helen Keller, said as soon as it became clear that the US funding was not coming back, they started to triage their programming. When PRO contacted them, he said they were able to provide a much smaller budget for private funders. Instead of the $7 million annual budget for a nutrition program in Nigeria, they proposed $1.5 million to keep it running.
Another nonprofit, Village Enterprise, received $1.3 million through PRO. But they were also able to raise $2 million from their own donors through a special fundraising appeal and drew on an unrestricted $7 million gift from billionaire and author MacKenzie Scott that they’d received in 2023. The flexible funding allowed them to sustain their most essential programming during what CEO Dianne Calvi called seven months of uncertainty.
That many organizations managed to hold on and keep programs running, even after significant funding cuts, was a surprise to the researchers at PRO. Since February, the small staff supporting PRO have extended their commitment to the project one month at a time, expecting that either donations would dry up or projects would no longer be viable.
“That time that we were able to buy has been absolutely invaluable in our ability to reach more people who are interested in stepping in,” said Rob Rosenbaum, the team lead at PRO and a former USAID employee. He said they have taken a lot of pride in mobilizing donors who have not previously given to these causes.
“To be able to convince somebody who might otherwise not spend this money at all or sit on it to move it into this field right now, that is the most important dollar that we can move,” he said.
Other donors may wait to see what is next
Not all private donors were eager to jump into the chasm created by the US foreign aid cuts, which happened without any “rhyme or reason,” said Dean Karlan, the chief economist at USAID when the Trump administration took over in January.
Despite the extraordinary mobilization of resources by some private funders, Karlan said, “You have to realize there’s also a fair amount of reluctance, rightly so, to clean up a mess that creates a moral hazard problem.”
The uncertainty about what the US will fund going forward is likely to continue for some time. The emergency funds offered a short term response from interested private funders, many of whom are now trying to support the development of whatever comes next.
For Karlan, who is now a professor of economics at Northwestern University, it is painful to see the consequences of the aid cuts on recipient populations. He also resents the attacks on the motivations of aid workers in general.
Nonetheless, he said many in the field want to see the administration rebuild a system that is efficient and targeted. But Karlan said, he hasn’t yet seen any steps, “that give us a glimpse of how serious they’re going to be in terms of actually spending money effectively.”
Private donors gave more than $125M to keep foreign aid programs going after US cuts
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Private donors gave more than $125M to keep foreign aid programs going after US cuts
- Multiple groups launched fundraisers in February and eventually, these emergency funds mobilized more than $125 million within eight months, a sum that while not nearly enough, was more than the organizers had ever imagined possible
94 million need cataract surgery, but access lacking: WHO
- Of the 94 million affected, fewer than 20 percent are blind, while the rest suffer from impaired vision
GENEVA: More than 94 million people suffer from cataracts, but half of them do not have access to the surgery needed to fix it, the World Health Organization said Wednesday.
Cataracts — the clouding of the eye’s lens that causes blurred vision and can lead to blindness — are on the rise as populations get older, with age being the main risk factor.
“Cataract surgery — a simple, 15-minute procedure — is one of the most cost-effective medical procedures, providing immediate and lasting restoration of sight,” the WHO said.
It is one of the most frequently performed surgeries undertaken in high-income countries.
However, “half of the world’s population in need of cataract surgery don’t have access to it,” said Stuart Keel, the UN health agency’s technical lead for eye care.
The situation is worst in the WHO’s Africa region, where three in four people needing cataract surgery remain untreated.
In Kenya, at the current rate, 77 percent of people needing cataract surgery are likely to die with their cataract blindness or vision impairment, said Keel.
Across all regions, women consistently experience lower access to care than men.
Of the 94 million affected, fewer than 20 percent are blind, while the rest suffer from impaired vision.
- 2030 vision -
The WHO said that over the past two decades, global cataract surgery coverage had increased by 15 percent.
In 2021, WHO member states set a target of a 30-percent increase by 2030.
However, current modelling predicts that cataract surgery coverage will rise by only about 8.4 percent this decade.
To close the gap, the WHO urged countries to integrate eye examinations into primary health care and invest in the required surgical equipment.
States should also expand the eye-care workforce, training surgeons in a standardised manner and then distributing them throughout the country, notably outside major cities.
The WHO was on Wednesday launching new guidance for countries on how to provide quality cataract surgery services.
It will also issue guidance to help support workforce development.
Keel said the main issue was capacity and financing.
“We do need money invested to get rid of this backlog, which is nearly 100 million people,” he told a press conference.
While age is the primary risk factor for cataracts, others include prolonged UV-B light exposure, tobacco use, prolonged corticosteroid use and diabetes.
Keel urged people to keep up regular eye checks as they get older, with most problems able to be either prevented or diagnosed and treated.
The cost of the new lens that goes inside the eye can be under $100.
However, out-of-pocket costs can be higher when not covered by health insurance.
“Cataract surgery is one of the most powerful tools we have to restore vision and transform lives,” said Devora Kestel, head of the WHO’s noncommunicable diseases and mental health department.
“When people regain their sight, they regain independence, dignity, and opportunity.”










