US president Donald Trump has taken a series of decisions that have delivered body blows to the global management of health. He has announced that the US will leave the World Health Organization. And a 90-day freeze has been placed on money distributed by the US Agency for International Development (USAid) pending a review by the US State Department. This includes funds for the President’s Emergency Plan for Aids Relief (Pepfar). The decisions have triggered alarm in the global health sector.
Catherine Kyobutungi, executive director of the African Population and Health Research Center, outlines which countries are most at risk and which health programmes will suffer the most damage.