
What Has Happened to USAID?
By ANNE PITCHER
What do the following activities, organizations, and companies have in common:
- The Soybean Innovation Lab in Illinois
- The delivery of food aid in Ukraine
- The provision of antiretroviral drugs to treat HIV in South Africa
- Neonatal care in Ghana
- John Deere tractors, and
- Land grant universities like Michigan State University?
All of them have benefitted from partnerships with, and/or funding from, the US Agency for International Development (USAID). Most of them have been significantly affected by stop-work orders affecting USAID that were issued after President Donald Trump took office.
The gutting of USAID within the first 100 days of the Trump administration has upended the aid sector around the world.
This post provides a brief overview of USAID: What does the agency do? What has happened, and what are the consequences?
So What Is USAID?
USAID was created by Congress in 1961 under President John F. Kennedy to administer humanitarian aid and programs on behalf of the US government. In recent years it has distributed some $40 billion annually in aid to 120 countries, providing support to address illness and hunger, neonatal care, clean water, electricity, and disaster relief. Among its many tasks, it promotes democracy all over Africa, conservation efforts in the Amazon, and awareness campaigns about clean air across Southeast Asia. Its spending, procurement, and project implementation procedures are subject to rigorous oversight and compliance regulations administered by the USAID Office of the Inspector General.
USAID does not give aid directly to governments. Instead, it often provides “tied aid,” meaning that the aid is conditional on recipients spending aid funding on American goods and services. For example, USAID might partner with a for-profit company like John Deere, which makes agricultural equipment, or agricultural seed companies like Corteva Agriscience, to deliver agricultural aid. USAID also provides funding to international nongovernmental organizations (NGOs) such as CARE, World Vision, Doctors Without Borders, or Catholic Relief Services, or domestic NGOs in Benin, Thailand, or Nicaragua that offer assistance in sectors from health care to education in developing countries. Some of these NGOs depend on USAID for a large percentage of their budgets. Finally USAID has partnered with US land grant universities like MSU to engage in research on water, electricity provision, or food security.
And although the much loved Peace Corps is a separate government agency it has worked closely with USAID. The Peace Corps was created in 1961 under the administration of President John F. Kennedy after he proposed it on a campaign stop at the University of Michigan when he was running for President. The Peace Corps has partnered with USAID on projects such as the Small Project Assistance Program to support community-driven projects such as the prevention of malaria or human trafficking, or disaster preparedness. Many Peace Corps volunteers often go on to serve rewarding and productive careers at USAID.

Washington, DC, USA- March 1, 2020: One of the entrance of United States Agency for International Development in Washington, DC, USA, an independent agency of the United States federal government.
What Has Happened?
On returning to office for his second and last term as President, Donald Trump signed an executive order that froze almost all international spending for a 90-day review. Cuts to foreign assistance were spelled out in detail on January 24, 2025, followed by the filing of termination and leave notices to USAID employees. In a lightning speed process, thousands of employees had been terminated by late February. As of last month, an estimated 50,000 US citizens and twice as many foreign service nationals had lost their jobs due to cuts. It has now been reported that many termination letters contained a number of serious errors which has affected severance pay and pension payouts for some USAID employees.
Besides domestic workers, thousands of people were contracted from all over the world to work for USAID. Many had loyally served USAID for decades. Those employees who work for USAID on annual contracts (as many who work abroad do) cannot file for unemployment. Some have been stranded in Egypt, Mozambique, Togo, and Cambodia, without a clear path for planning or paying for a return to the U.S. of themselves, their families, and their belongings.
With regard to USAID funds, approximately 5800 out of 6200 multi-year contracts, to the tune of $54 billion, have been cancelled. Waivers have been provided for life-saving humanitarian aid, but other requests have faced the problem that, with the dismantling of USAID, there are no staff in place to review them. Further directives issued in recent months have put exemptions on hold and another 42 of the remaining 900 contracts have been canceled. A USAID internal report notes that the stop work order was implemented so quickly that food aid was left rotting in ports and warehouses en route to its destination. Vehicles were impounded. Buildings shuttered.
After Elon Musk made a show of remedying an apparent error in DOGE’s massive cuts to foreign aid, the Trump administration quietly doubled down on its decision to stop sending emergency food to millions of children who are starving in Bangladesh, Somalia, and other countries, The Atlantic reported in April.
The Trump administration announced plans in March that USAID would come fully under that State Department and reduce its staff to about 15 positions. An email to USAID employees titled “U.S.A.I.D.’s Final Mission” detailed the plan despite lawmakers’ objections that the efforts to downsize the agency were unconstitutional. USAID employees were also ordered in March to shred and burn personnel documents.
What Are the Consequences?
Most affected by cuts to USAID include patients receiving drugs for HIV/AIDS prevention and treatment, and children in developing countries who get vaccines. In addition, they include women in Ghana receiving neonatal care, and approximately one million Rohingya from Myanmar whose rations in a refugee camp in Bangladesh will likely be cut in half if more funds are not raised soon. They include almost half of the population of Sudan who face acute hunger. Within weeks of the cuts to USAID, 80% of community kitchens across Sudan closed, leaving millions at risk of dying from starvation or preventable illness. Finally, they include Ukrainians receiving corn from American farmers.
Children around the world are already dying as a result of the cuts, and experts are projecting hundreds of thousands, perhaps millions of anticipated deaths in coming months and years from hunger, AIDS, and tuberculosis. Until recently, around 27 million children benefitted from nutrition programs that USAID funded; 4 million received antiretrovirals and 13 million others received treatment from the President’s Emergency Plan for AIDS Relief (PEPFAR), a health program started under President George Bush, which has now been halted.
Now, around 1,400 infants are being infected by HIV every day, an infection rate that might have been prevented had the new US administration not cut funding to USAID and HIV/AIDS organizations. About 3 million more children and adults will die from HIV-related causes before 2030 because of global aid cuts, according to projections published in HIV Lancet.
With respect to conflict prevention, Andrew Natsios, the former head of USAID under President George Bush, who identifies as a “conservative internationalist” has argued that there is a connection between rising food prices and conflict. He worries that without the food aid provided by USAID, we could witness an alarming rise in conflicts in developing countries that are vulnerable to spikes in food prices due to shortages or climate change. This could have demonstrable effects on our own national security and stability.
Several scholars have observed that these cuts also affect US national security by undercutting our reliance on soft power. Soft power relies on humanitarian relief, food aid, and democracy promotion that strengthens our alliances with other countries. An unintended aspect of soft power is that many of the foreign service nationals who work for USAID abroad often end up as members of parliament, heads of NGOs, or ministers in their own countries. This means the United States already has linkages and allies that serve national governments in other countries which has potential benefits for the US. Such connections will be weakened with the demise of USAID.
Finally, as we saw last month with the earthquake in Myanmar, the US retreat means our replacement by China and Russia, which ultimately undercuts our national interest and our moral standing in the world.
This post is based on a presentation by Anne Pitcher given at the second 2025 teach-in organized by University of Michigan faculty examining “US Democracy in Peril: National and Global Implications.” The event was held March 19, 2025, in the U-M Chemistry Building. Anne Pitcher is Associate Chair of Department of Afroamerican and African Studies and Director of Graduate Studies, and is the Joel Samoff Collegiate Professor of Political Science and Afroamerican and African Studies. CPS faculty have offered ongoing expert analysis on political events of 2025. Tevah Platt of the Center for Political Studies contributed updates to this report.