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The Independent UK
The Independent UK
National
Bram Janssen and Kristen Gelineau

PHOTO ESSAY: By a dark, dangerous highway in Nepal, aid workers fired by USAID cuts turn to sex work

Foreign Aid Sex Work or Starve Photo Essay - (Copyright 2026 The Associated Press. All rights reserved)

For years, aid workers in central Nepal visited the shadowy spot alongside a darkened highway where transgender sex workers gather each night, offering them free HIV tests and counseling. Today, those aid workers still visit this spot — but this time, as sex workers themselves.

These former aid workers are among 280,000 worldwide who lost their jobs after the United States slashed its foreign aid funding last year. Most of those workers live outside the U.S., in conflict zones or poor areas where other job opportunities are scarce.

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