international aid – UAB Institute for Human Rights Blog

Impacts of Terminating USAID (United States Agency for International Developement)

Since early February, the United States Agency for International Development (USAID) has been essentially disbanded, experiencing mass layoffs and the forced closure of its headquarters in Washington, D.C.. This follows President Donald Trump’s executive order, which halted all foreign assistance payments for 90 days, along with his administration’s narrative that the agency is plagued with fraud and programs that undermine national interests. Although this idea has continued to spread, the reality is that USAID is an important agency, both domestically and internationally. As United States foreign assistance funding constitutes a significant percentage of worldwide foreign aid, shutting down these programs jeopardizes the health and safety of various countries and communities but also poses issues for American citizens who work alongside these assistance efforts.

Image 1: USAID’s official logo. Source: Yahoo Images.

What is USAID?

USAID, the United States Agency for International Development, is a governmental agency that aims to assist countries undergoing humanitarian crises, support marginalized groups, and monitor democratic consolidation in recently formed democracies. These goals are achieved through agency-created programs and funding non-governmental organizations (NGOs) worldwide. Created in 1961, USAID was designed to fulfill the country’s moral obligation to use its wealth to assist other, less affluent nations while also countering the perceived influence of the Soviet Union during the height of the Cold War. While it may work alongside these organizations, the agency functions independently from the Department of Defense and the Department of State. Having this separation grants USAID the flexibility to work more closely with civil society groups and local communities as opposed to communicating through upper-level government officials. Similarly, projects run by and funded through USAID are generally focused on achieving a long-term goal. This focus on connecting at the local level and supporting sustained health, growth, and democracy fosters long-lasting relations with partner countries– and this type of relationship varies significantly from more transactional, political relations seen in other diplomatic channels.

Impacts of USAID

With a budget of $71.9 billion in 2023 or 1.2 percent of that year’s federal budget, USAID is the largest donor of foreign assistance, contributing to over 40% of all foreign aid. This money is used to fund international organizations such as the World Food Program, the United Nations Children Fund, and countless other partners with similar missions, along with sponsoring numerous projects in over 120 countries. These projects include the President’s Emergency Plan for AIDS Relief (PEPFAR), a program designed to control the circulation of HIV/AIDS throughout heavily impacted countries. It is credited with “saving over 25 million lives, preventing millions of HIV infections, and supporting several countries to achieve HIV epidemic control,” working closely with more than 50 countries– many of those in South Africa. PEPFAR is managed, led, and largely funded by USAID, with the agency contributing to 20% of the program’s total budget. Overall, PEPFAR is viewed as a successful program, with a general increase in health outcomes in funded countries. USAID also seeks to eradicate the spread of other infectious diseases, such as tuberculosis (TB), where the agency is estimated to have saved the lives of more than 58 million patients.

USAID also directs funding to smaller, more localized NGOs. In several Eastern European countries, for instance, money is sent to support independent media outlets and democratic organizations that consolidate democracy in post-communist states. These NGOs ensure that private media companies can compete against historically inaccurate state media sources. The agency also partnered with women’s rights groups to fight for better treatment in societies where women often face discrimination.

A USAID worker helps two young boys. — Image 2: A USAID worker assists two young boys at a camp for internally displaced people. Source: Yahoo Images

Ramifications of USAID Termination

Global Impacts

The termination of USAID and the halt on foreign assistance have already begun to have negative global outcomes. In regards to medical care, the lack of funding for the PEPFAR program has triggered a suspension of medicine distribution and the closure of clinics throughout Africa, with the United Nations Program on HIV and AIDS estimating that almost 3,000 preventable HIV infections have since occurred. Similarly, the lack of adequate funding has left many clinics defunct, with officials in the Democratic Republic of Congo unable to afford air conditioning to keep necessary medicines cold. Furthermore, Syria has seen the firing of over 150 medical officials along with the cessation of 10 crucial clinics in one of the country’s most dire regions. Similar risks are faced with numerous diseases, such as tuberculosis. Without adequate funding, clinics and NGOs can no longer afford to test for or treat TB patients, nor can they maintain the staff necessary to carry out these actions. Since TB is an airborne illness, its spread is not confined to one particular area, meaning it can quickly become a much larger issue, thus making its impact even greater.

This halt in assistance will also likely contribute to greater global inequality, where organizations that promote education, women’s and LGBTQ+ rights, and refugee assistance will likely face large funding gaps and be unable to achieve their goals.

Geopolitical Impacts

Though many argue that USAID projects are often antithetical to the country’s national interests, the reality is that the agency allows the United States to create long-lasting, positive relations with partnering countries while preventing the extension of influence from its adversaries. Ceasing funds abruptly means that affected communities and US relations are both at risk. By turning away from foreign aid, other countries will step in to fill these funding gaps. However, by doing so, these countries can exert soft power, challenging the US hegemony. Efforts are already being made by China, which has begun to fund projects in former USAID recipient regions. Funding issues aside, this rapid change to foreign aid distribution may also reduce global trust in the US as countries question the nation’s ability to follow through on projects. This distrust could further weaken America’s diplomatic relations with both former USAID recipient countries and with new countries in the future. In short, by cutting funding, diplomatic relations are strained, and a space for competing hegemonic powers is opened.

Domestic Impact

While cutting USAID primarily impacts countries abroad, this termination of funding also carries domestic ramifications. As the agency is the leading provider of global humanitarian food aid, cutting USAID has also meant ending government contracts with farmers. In 2020, the federal government bought $2 billion worth of food aid from American farmers, and while this number is a small portion of the entire agriculture market, it does provide stability for those contract employees and fills a demand gap for specific grains. Even food aid received prior to the funding freeze has yet to be delivered and it is not being sent to its planned destination.

The abrupt termination of USAID also raises questions regarding democracy and legality in the United States, as the actions taken by the current administration undermine Congress’s authority over agency creation and budgetary power. Agency creation and elimination requires Congressional approval; however, nothing has been brought to the legislative branch that requests to dissolve USAID. Similarly, these decisions are guided by the Department of Government Efficiency, a temporary contract organization. The dismantling of the agency has triggered a flurry of lawsuits, with one of them expecting a final hearing on February 21st. Since terminating USAID in this fashion is illegal, the result of the lawsuit and subsequent actions demand close attention.

Conclusion

Cutting USAID leaves the US and the world worse off. As the nation contributes a significant portion of aid funding, countries will struggle to fill the gap, leaving poorer nations to struggle. This termination also creates issues for the US. In a time when nations continue to compete for power, the US’s seclusion from foreign aid could allow other countries to expand their influence. Similarly, diplomatic relations could be weakened as aid relations are severed with little warning. American citizens also reap the consequences, seeing large layoffs and the cancelation of government-farmer contracts. This global situation is in desperate need of monitoring as it is still unclear to what extent aid-receiving countries will struggle.

Pakistan’s Floods : A Humanitarian and Climate Crisis

One third of Pakistan is underwater following disaster-level floods that have ravaged the country since mid June of 2022. The flooding is a humanitarian crisis of epic proportions, bringing climate change and environmental justice into the focus of conversations about why the floods are so devastating. The record-breaking monsoon rains have affected 33 million citizens, leaving millions displaced and threatening the economy by washing away the fall harvest and essential farmland. Pakistan’s most vulnerable are struggling to access the scarce aid that is available, including the 19 million children affected by the floods. It is an unprecedented, once in a century crisis event exacerbated by climate change, poor infrastructure, and the damages of the recent economic crisis prior to the flooding.

Direct Impact of the Floods: Hunger, Disease and Displacement.

The monsoon rains have killed over a thousand people, roughly 400 of which are children. However, hunger, thirst, disease, and shortages of essential supplies threaten the lives of even more; millions of Pakistani people have been displaced over the course of the floods since June. The United Nations Refugee Agency has estimated that 6.4 million people are in need of immediate support.

Any discussion of rebuilding has been shelved in submerged regions as the flood waters may not recede for months, leaving the thousands of kilometers of roads, tens of thousands of schools, hundreds of thousands of homes, thousands of essential healthcare facilities destroyed by floodwater, and prior residents stranded or displaced. In addition to the initial death toll from the floods, the Pakistani people are facing immediate dangers of water borne disease, lack of access to food, water and shelter, and risks of violence; especially for women, children, and minority groups.

The country’s health system has faced substantial blows, both from loss of structures and supplies caused by the flood and the overwhelming need of those affected. Dehydration, dysentery, cholera, malaria, and dengue fever are ravaging make-shift camps as the flood waters become stagnant and clean water and sanitary supplies become harder to come by. Sindh Province, the second-most populated province in Pakistan, and one of the hardest-hit by the floods, has seen over 300 deaths from water borne-diseases since July. Early disease surveillance by the WHO has revealed that tens of thousands of cases of flood water-caused diseases are already present amongst those within reach of relief efforts. Countless villages remain stranded as roads and highways are underwater, so the true number of deaths, displaced persons, diseased, and persons otherwise impacted by these crises are expected to climb as more recovery efforts continue to search the flooded regions.

Without international aid and intervention, an epidemic of disease caused by the floods will cause a second wave of deaths in Pakistan, of which the elderly, children, and pregnant women will be the largest groups facing losses. International aid, medical and humanitarian organizations have joined the Pakistani government and are regularly dropping medical supplies, malaria nets, food and provisional shelters, but the need continues to grow as more people find their way to temporary camps and the rate of disease climbs.

Human Rights & The Most Vulnerable

A nation’s most vulnerable populations are often the ones who suffer the worst effects for the longest time after a natural disaster like these floods. For Pakistan, those vulnerable groups are women, children, the Khwaja Sira (transgender) community, those living in extreme poverty, religious minorities, and other marginalized groups. Typically, socially disadvantaged groups are living in regions with lesser infrastructure, facing the initial worst impacts of natural disasters, but marginalized status often leads to upwards battles to access humanitarian aid after the disaster as well. There are estimated to be 650,000 pregnant women displaced in Pakistan right now, in urgent need of maternal health care and safe, sterile facilities to give birth in, with many taking perilous journeys in hopes of reaching a hospital or safe places to give birth.

CARE, an international human rights and social justice organization, spoke on this concern. Pakistan Country Director for CARE, Adil Sheraz said, “With entire villages washed away, families broken up and many people sleeping under the sky, the usual social structures that keep people safe have fallen away, and this can be very dangerous for women and girls.” 

Following the 2010 floods in Pakistan, denial of aid and violence against minorities became a prevalent issue and large protests against law enforcement arose due to their failure to protect vulnerable groups. Preventative measures against recurrence of these issues have been few and far between since 2010, and international human rights communities are on high alert for rising reports of discrimination in relief distribution and crimes against minorities. Reports of sexual violence have already increased following the floods.

In addition to some of the most vulnerable Pakistanis are roughly 800,000 Afghani refugees who have been hosted by Pakistan in Sindh and Balochistan; two provinces faced with the worst of the flooding and submersion. Pakistan has a deep history of offering asylum and refuge for those fleeing across the border from conflict in Afghanistan, and is home to 1.4 million Afghani refugees currently in 2022. Following the August 2021 withdrawal of US troops from Afghanistan, the Islamic Emirate government (also known as the Taliban), Pakistan became an even more essential haven for the influx of refugees fleeing a violent authoritarian regime. In the wake of this natural disaster, the loss of $30 billion dollars worth of infrastructure, homes and supplies, and facing an economic crisis, Afghani people with hopes of finding refuge in Pakistan must now find new routes to safety.

Environmental Justice & Climate Change

Though Pakistan faces annual flooding of the Indus river from heavy rains in monsoon season, record breaking rains preceded by an extended heatwave contributed to an unrivaled degree of flooding this summer. Heatwaves brought temperatures around 50° Celsius (122° Fahrenheit) to India and Pakistan between March and May of this year. Monsoon rains followed the spring heatwaves, and in the regions of Sindh and Balochistan rainfall reached 500% above average. The 2022 floods will leave a significant economic, infrastructural, and humanitarian impact on the country of roughly 220 million people. The reason for the dramatic influx in severity is complex, but simple at its core: climate change.

Pakistan is facing an unfair share of the consequences of climate change; while it was responsible for only .3% of global CO2 emissions in 2020, it is likely that this year’s heatwaves and floods will be on the less severe end of what is to come. The United Nations has deemed Pakistan a “climate change hotspot”, stating that people in South Asia are 15 times more likely to die from climate impacts. As the global temperature rises and geohazards become more extreme, disaster-prone regions like Pakistan will face more and more devastation. The best prognosis for the region comes with prevention efforts like strengthening anti-disaster infrastructures. As the global north is responsible for 92% of excess emissions contributing to global warming and climate change, Pakistan, the United Nations, and other international agencies are calling for countries like the United States to make increased contributions to relief funds and infrastructure development overseas.

United Nations Secretary-General Antonio Guterres, while visiting Pakistan in September 2022, said, “…the fact is that we are already living in a world where climate change is acting in such a devastating way. So, there must be massive support to what usually is called adaptation, which means to build resilient infrastructure and to support resilient communities and to create conditions for those that are in the hotspots of climate change. Pakistan is one of the hotspots of climate change. For those countries to be able to prepare for the next disaster and to be able to resist the next disaster, this needs a huge investment and this investment needs to be provided.”

Relief & Aid

Pakistan has faced an overwhelming series of calamities since the start of this year, and the impacts from these disasters are greatly exacerbated by food shortages and an economic crisis prior to the start of the disasters in March. There are millions of people in need of aid, and every bit of support helps. If you are unable to financially contribute, please consider sharing this or other articles about this crisis to increase international attention on those who need our help.

For donations of money, time, or other resources, we have compiled some reputable aid agencies below:

Pakistan’s Red Crescent Society is providing clean drinking water, medical treatments, temporary housing, and other essential aid across flood-hit regions. Donate or get involved with their flood response efforts here.
The United Nations Refugee Agency has provided millions of dollars in aid to Pakistan, and you can contribute here to support their continued relief efforts.
The International Medical Corps are on the ground in Pakistan, providing medical care and responses to both the floods and gender-based violence across the country. Find out more & how you can donate here.
Muslim Aid has reached over 29,000 people in three affected districts of Pakistan, providing hygiene kits, shelter, and essentials to those in need. Contribute to their fund here.

What Does a Cave Rescue Have to Do with Statelessness?

In July of this year, I was a student in a graduate level study abroad program, Conflict Transformation across Borders, in Quito, Ecuador, through the University of Massachusetts in Boston. It was an intensive three weeks of learning about transnational conflict transformation, with an emphasis on the unique challenges of border zones. My intention was to mostly ignore the outside world while in Ecuador, to focus on my studies, but I continued to closely follow developments in a situation that had begun before I traveled to Ecuador. On June 23, 2018, twelve boys, members of the Moo Pa (Wild Boars) soccer squad, along with their coach, were trapped by flood waters in the Tham Luang Nang Non cave system, near Chiang Rai in northern Thailand.

I was keenly interested in this cave rescue situation from day one, because I am a long-time cave explorer, trained in cave rescue, and I lived in Chiang Mai (in northern Thailand) from 2012 – 2013. Also, some of my caving friends and acquaintances were involved in the rescue operation. Ultimately the entire world became captivated by the rescue effort which reached a successful conclusion on July 10, 18 days after the group became trapped in the cave. (Sadly, one of the rescuers, Saman Kunan, an ex- Thai Navy SEAL diver, lost his life during the rescue.) It was quite possibly the most difficult and technically challenging cave rescue operation ever conducted, and its success was due to an unprecedented level of international cooperation, with hundreds of expert volunteers from at least 20 nations including Australia, Belgium, Canada, China, Czech Republic, Denmark, Finland, Germany, Israel, Japan, Laos, Myanmar, Netherlands, Philippines, Russia, Singapore, Spain, Sweden, Ukraine, the United Kingdom, and the United States.

As the rescue and its aftermath unfolded, details about the boys and their coach emerged, and the international community learned that the coach and most of the boys are from ethnic minority groups, or “hill tribes,” and three of the boys as well as the coach are stateless. The area is in close proximity to the Thailand-Myanmar border, and is home to many stateless ethnic minorities. Around 500,000 stateless people are registered in Thailand – members of ethnic groups who for generations have moved across borders in the mountainous regions between Thailand, Laos, Myanmar, and China.

The high profile nature of the Thai cave rescue has served to raise international awareness of the plight of stateless people in Thailand, who cannot travel outside their home provinces, and are not eligible for basic government services such as healthcare and higher education. After the successful completion of the cave rescue, the Thai government promised citizenship to the three boys and their coach within six months, assuming there are no complications. Will this promise become a reality? It’s a powerful symbolic gesture to fast-track citizenship for the three Moo Pa soccer team members and their coach, but how does this help the rest of the 500,000 stateless people in Thailand who are waiting to start the process, or struggling to get through the process (which is often lengthy and complex)? Statelessness is a difficult problem to address, and can only be handled one case at a time. It took a massive cave rescue operation requiring international cooperation among 20+ nations to speed up the citizenship process for just four stateless individuals.

In partnership with the UNHCR, Thailand has pledged to end statelessness by 2024, and more than 27,000 stateless individuals have become Thai citizens since 2011. There are many reasons that people might be stateless, but typically it happens because of discrimination – religious or ethnic, for example. Those who are stateless have no nationality, and are denied basic human rights. The UNHCR estimates that there are 10 million stateless people worldwide, and UNHCR’s #IBELONG campaign seeks to end statelessness in the next decade. Everyone has the right to a nationality!

My hope is that the increased awareness of statelessness generated by the Thai cave rescue will help to bolster international support for the UNHCR’s #IBELONG Campaign to End Statelessness, not just in Thailand but worldwide. As individuals, we can help by signing up to support the campaign at http://www.unhcr.org/ibelong/ . Will you do it today?

Angela Morgan works for UAB Health System as a database administrator, and is a student in UAB’s Anthropology of Peace and Human Rights graduate program. Outside of school and work she has many interests including traveling, caving, hiking, backpacking, and photography.