The sudden stop work order on USAID in January 2025 sent shock waves around the world. Many health clinics were immediately shut down, leaving millions without access to vital medicines and facilities, with potentially deadly consequences, especially for HIV patients, children, and women and adolescent girls.
To many, the subsequent axing of 83% of USAID programmes seemed like pure nihilism, engineered by ideologues who wanted to kill off the agency. But there was a long-term vision behind the destruction. The gutting of USAID has cleared a path for the next phase of a plan to reshape the global health landscape, say reproductive justice campaigners.
