CAPE TOWN, South Africa (AP) 鈥 The Trump administration鈥檚 decision to terminate 90% of USAID鈥檚 foreign aid contracts slammed humanitarian projects worldwide on Thursday, from a new hospital in troubled Haiti to the biggest HIV program on the planet in South Africa.
Health groups, non-governmental organizations and others who received money from to do good work had been bracing for bad news since President Donald Trump鈥檚 executive order froze for a 90-day review on Jan. 20.
But even those who by the extent of the permanent cuts announced Wednesday, barely a month into the review.
鈥淲e are being pushed off a cliff,鈥 said Dr. Kate Rees, a public health specialist who works at one of the biggest NGOs fighting HIV in South Africa, the country worst affected . The NGO lost all its USAID grants, she said, when they were expecting their funding to be reduced.
Termination letters land worldwide
In the hours after the Trump administration announced it was , termination letters arrived at NGOs across the world. They advised that their programs providing life-saving assistance against hunger and disease and performing other humanitarian work were being ended.
The letters said that the programs were being defunded 鈥渇or convenience and the interests of the U.S. government,鈥 according to a person with knowledge of the content who spoke on the condition of anonymity because they were not authorized to speak publicly on the issue.
The letters added that and an official acting as a deputy administrator of USAID 鈥渉ave determined your award is not aligned with Agency priorities and made a determination that continuing this program is not in the national interests,鈥 according to the person.
Some 10,000 USAID contracts were ended.
After holding on for weeks in hopes that the Trump administration would relent, some organizations shut down life-saving programs within hours of receiving contract terminations. In Somalia, U.S.-based Alight closed the doors Thursday on the sole health clinics in 13 communities and stopped therapeutic nutrition for 1,700 malnourished children a day.
鈥淪tarting today, without providing those health services, those feeding services, without providing that access to water and sanitation, absolutely people will die,鈥 said Jocelyn Wyatt, the chief executive of Alight.
鈥淲omen and children will go hungry, food will rot in warehouses while families starve, children will be born with HIV 鈥 among other tragedies,鈥 said InterAction, an alliance of international and American NGOs. 鈥淭his needless suffering will not make America safer, stronger, or more prosperous. Rather, it will breed instability, migration, and desperation.
Liz Schrayer, head of the U.S. Global Leadership Coalition, a non-profit that promotes U.S. diplomatic and humanitarian efforts, said that the Trump administration鈥檚 move to China, Russia and Iran. 鈥淭he American people deserve a transparent accounting of what will be lost 鈥 on counterterror, global health, food security, and competition,鈥 she said.
'Appalled at the announcement'
and advisor have hit foreign aid harder and faster than almost any other target in their push to cut the size of the federal government. Both men say USAID projects advance a liberal agenda and are a waste of money.
The U.S. is and NGOs in almost had feared over the last month for their programs and the impact cuts would have on millions of vulnerable people they help.
The International Rescue Committee, which works in some of the worst humanitarian crises, said the 鈥渨idespread termination鈥 of USAID funding could cut off help for millions of people and urged the U.S. administration to reconsider. The Danish Refugee Council said it was 鈥渁ppalled at the announcement from the U.S. government to terminate nearly all its aid contracts.鈥
The impact was felt immediately at the grass-roots level , the poorest country in the Western hemisphere and wracked by gang violence, hunger and disease.
A desperately needed new hospital, which was opened last week in the western coastal town of Petit-Trou-de-Nippes by the Colorado-based nonprofit Locally Haiti lost funding and six jobs for doctors and nurses and 13 positions for community health workers have been eliminated.
鈥淲e have this new health center, and now significant staff has been cut as it鈥檚 opening,鈥 said Wynn Walent, the organization's executive director. 鈥淭o see that being cut at this moment is incredibly dangerous.鈥
鈥榃e will see lives lost鈥
Health experts have raised alarm over the future of extensive and long-running HIV programs in Africa, where USAID has helped fund started by President George W. Bush in 2003.
PEPFAR is credited with saving millions of lives in Africa and more than 26 million lives globally, largely by helping people get antiretroviral treatment that keeps the virus in check and keeps them alive.
In South Africa, which runs providing treatment to 5.5 million people with U.S. assistance, an alliance of health groups said the cuts were a crisis and people would die.
鈥淲e will see lives lost,鈥 said professor Linda-Gail Bekker, director of the Desmond Tutu HIV Center. Among other work, the center oversaw studies that found a can prevent HIV infections, but it has now lost USAID funding.
鈥淲e are going to see this epidemic walk back because of this," Bekker said.
The health groups said the U.S. government had abandoned the most vulnerable people in South Africa and abroad.
Bekker said that they expected the Trump administration to target specific programs like those that offer treatment for gay men and sex workers, but were astonished at how almost every program was cut. She said they didn鈥檛 know of one HIV NGO or health center in South Africa that didn鈥檛 lose its USAID funding.
鈥淭his has been across the board,鈥 she said. 鈥淭his is programs for children, orphans, for young women and girls. It is not hyperbole that I predict a huge disaster ... unless we can fill the gap.鈥
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AP writers Matthew Lee and Ellen Knickmeyer in Washington, D谩nica Coto in San Juan, Puerto Rico, and Monika Pronczuk in Dakar, Senegal, contributed to this report.
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