The abrupt defunding of USAID in 2025 caused global shockwaves. The cuts thrust recipient countries who were dependent on foreign aid for medical care into health crises. One area that has been particularly hard hit is Malawi, a country in southeastern Africa where doctors and community organizers are struggling to fill the gaps in essential services left in the wake of the USAID cuts. The loss of local outreach clinics and lack of fuel for ambulances has caused severe delays—and sometimes tragic outcomes—in providing care to mothers and children. A year out from the cuts, we look at how Malawi is rethinking its relationship to foreign aid as it considers how to continue providing vital health services.
In the first of a series supported by the nonprofit Pulitzer Center and in collaboration with Science Magazine, we provide an on-the-ground look at the impact of USAID defunding on health services in key spots across the globe.
