USAID financing saved millions of children’s lives. Last cuts put in jeopardy
USAID Investments have significantly reduced deaths among children under five years and reproductive era women showed studies
People in Tigray, conflict and Tigray took the shelter in the city of Mekeelle, receives food support distributed in Northern Ethiopia, the United States International Development (USAID) on March 8, 2021.
Minasse Wondimu Drill / Anadolu Agency via Getty Images
President of Donald Trump and Elon Musk has made funding and staff movement of federal federations, and so far, perhaps, it has harmed the US agency for international development or USAID. As soon as he opened on January 20, Trump signed The executive promise to stop all foreign support 90 days. A few weeks later New York Times His administration reported what was planned Decrease agency More than 10,000 employees up to 290. Lastly, the Secretary of State in Marco Rubio said it was the Trump Administration 83% of USAID programs cancel And the rest of the folds depending on the Department of State.
The cuts have been fast and rugged. “We spent the weekend to Wood Chipper to USAID,” Musk published X (earlier twitter), the social network that owns.
The effects of these actions immediately ricocheted around the world, and they feel years. In particular, children and young women will threaten, in fact, the funding of USAID offers lifestyles from the basic medical services based on vaccines. Research shows this funding has helped to save almost three million children under the age of five years and in recent decades at least a million women, experts say.
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All these risks of USAIDE wins them. “This is trying to pause a plane in the middle and then try to pull the crew,” says Aul Gawande, the former head of Global Health in USAID.
Usaid has given health funding and employee support to many countries around the world. But it is a challenge to measure the effects of this support, or a sudden deficiency. To this end, William Weiss, Bloomberg’s Bloomberg, served as a global health care consultant as a global health consultant until his agreement was canceled, and his colleagues created a model to quantify The influence of USAID funding from 2000 to 2016 in five childhood mortality For low and medium income countries. The study was published in January 2022 Population health metric.
The specific consequences of USAID financing is very difficult, Weiss and his colleagues used a method called “Synthetic Control”, retreated in a group of children who appreciate childhood death and did not receive significant amounts of USAID. The researchers received a high level of USAIDs who received the health and malaria of children from 2000 to 2016, a group of groups of similar countries with “synthetic control” until 2000.
Research found that the average levels of USAID financing were received by average 29 deaths for 1,000 per 1,000 births than synthetic control of countries that did not receive financing. This has 500 fewer days a day, saying weiss. In addition, the researchers found that more funding countries received over time, the greater the advantage, suggesting the effect of dose response.
“It was to say the message we were trying to send leadership in the Congress:” That’s what you get when you stand out a country, “” Weiss says.
Published online in the related budget analysis online, modeled with Weiss, Gawande and their colleagues The influences of USAIDEN funding among the reproductive age women Between 2005 and 2019. This research has been approved for publication Global Health Magazine, 2009. In 2019. Over the years, countries received a permanent level of USAID to reduce mortality rate for 1,000 women per reproductive-age woman. This will last about millions and 1.3 million deaths, or expectations of four years of life, says Gawande, a surgeon of the Brigham and the Women’s Hospital, as well as a researcher in writer and public health.
With USAID with Trump Administration, many of these duration benefits may disappear. And while the administration has claimed the cut, they are to avoid government waste, Americans largely support foreign support.
“That was always very bipartida”, Weiss says that foreign health assistance. “Congress and their components (for a long time) save children’s lives, especially in poor countries, were relatively inexpensive with interventions,” he noted. “That’s American people, through ideological lines.”
The US Department of State, now the USAID supervision department has not responded to a request for comment.
Troy Jacobs is a pediatrician and has been for more than 17 years as a medical medical consultant for mothers and children. “As a pediatrician, I joined the full reason, the solutions of most global health problems in mother and children are not completely biomedically in space,” he noted. Before completing early February, Jacobs was working in Ethiopia to offer health and child health care. “In countries like Ethiopia, infectious diseases, and chronic diseases such as mental illnesses are being called. People cannot be able to access resources, “he added.” Worldwide, 95 million people (affected) is a loss of basic medical services. “
Usacid cutters have had more than funding for children and women’s health. Have finished President’s Malaria InitiativeAccording to Gawande, through diseases, diagnosis and treatments, protected 53 million people using diseases, diagnoses and treatments. They All work on tuberculosis endedIncluding funding for most TB treatments. And if they have AIDS relief (Pepfar) USAID contracts that are funded from the US President Emergency Plan), Landmark HIV program He then launched by President George W. Bush in 2003 and has since funded the support of the conference bipartisan. Pepfar has given medication to 20 million people around the world.
Anna Katomski was hired as a program analyst at the Global Health Office of HIV / AIDS office, but after two weeks after January. The opportunity to maximize the opportunity for HIV prevention was to work in a project called Pepfar funded project calledMosaic), With the aim of scaling the prevention of HIV prevention for underground African teenagers and young women. The project was aimed at testing various views for HIV prevention, a Profile injectable form of exposure (preparation).
“A large part of this work has stopped, financing use or will stop very soon,” says Katomski. And these long-action medications must be combined, you can’t stop the turkey cold and change it with the pill. This can hurt the girls and young women in HIV infection. “Say, if one of these young teenagers or young women participate in unprotected sex, such as a person with a penis with HIV,” says Katomski “.” HIV is to dive. “
On March 5, the Supreme Court ran 5-4 that the Trump Administration could not freeze $ 2 million in foreign support. After a federal judge, the Administration had to pay for the payments that had already been paid for the work done, but the decision does not address future payments.
The verdict of the Supreme Court is important, but “Damage has already been made,” Gawand. “Many of these organizations have already ended as an organization. It is barely defeating that past payments can be defeated and the question is that the court will now be dissolved,” because the resolution must be enforced. “
