USAID

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Line chart titled "China's Health Aid, 2000–23" showing inflation-adjusted Chinese health commitments to low- and middle-income countries in 2023 U.S. dollars. Aid remained mostly below $400 million from 2000 to 2004, then spiked to approximately $1.3 billion in 2005 following a large loan for Cuban hospitals, before falling back to under $400 million through 2014. After China introduced the Health Silk Road in 2015, aid rose to roughly $700 million in 2016, then fluctuated between $400–500 million through 2020. Aid surged dramatically during the COVID-19 pandemic, peaking near $2.4 billion around 2021–2022, then dropped sharply to near zero in 2023. Source: AidData

China's Health Silk Road and Soft Power

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Understanding China's previous engagement on health development can inform its future strategy as the United States pulls back

Community health workers prepare vaccines for a measles vaccination drive amid a surge in cases, in San Cristobal de Las Casas, Chiapas, Mexico, on February 25, 2026.

Global Health Reform for Communities Beyond Institutions

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Much of global health progress has been driven by small teams, writes the head of Expertise France's major pandemics cluster

How the Iran War Could Drive a Historic Hunger Crisis

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Acute hunger threatens 45 million if the conflict extends into June. A roadmap from the Ukraine War could contain the humanitarian fallout

A woman from the indigenous Turkana Nilotic community pours sorghum grains into a sack, at a World Food Program food distribution center, at the Kenya Oil village near Lodwar, in Turkana County, Kenya, on February 17, 2026.

How the Iran War Is Straining Humanitarian Aid, in Three Charts

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Aid organizations face meandering shipping routes and soaring fuel costs beyond the price of gasoline

Map titled “Shipping Aid in Wartime” showing how food shipments to Port Sudan are rerouted because of the Iran War. A solid dark line marks the typical route from Nhava Sheva, India, across the Arabian Sea, through the Bab-el-Mandeb Strait and Red Sea, to Port Sudan, with labels for Salalah, Jeddah, Suez Canal, and Port Sudan. A dashed orange line shows the alternate route looping south across the Indian Ocean, around the Cape of Good Hope at Africa’s southern tip, and back up West Africa and the Mediterranean before reaching the Red Sea. A note on the map says ships avoiding the Bab-el-Mandeb take this longer route. Caption states that rerouting can add 6,000 miles and more than three weeks of transit time.

The Expanded Global Gag Rule and the Case for Regional Solidarity

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The anti-abortion policy undermines organizing principles, rooted in ubuntu, that keep African health systems coherent under stress

A woman gazes out of a window while attending a talk on sexual health and HIV prevention, in the Tanghin neighborhood of Ouagadougou, Burkina Faso, on April 13, 2013.

Multilane Procurement Amid the America First Health Agenda

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Health procurement in low- and middle-income countries will remain unavoidably multilane. Donors should build around that reality

An Ethiopian Cargo terminal worker offloads a shipment of Johnson and Johnson's COVID-19 vaccines that arrived under the COVAX scheme, at the Bole International Airport, in Addis Ababa, Ethiopia, on July 19, 2021.

Sustaining Tuberculosis Innovations to Counter Foreign Aid Cuts

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A new World Health Organization policy allows for portable TB testing, which could help close massive gaps in disease surveillance

A man is treated for tuberculosis, at the Muniz public hospital, in Buenos Aires, Argentina, on January 11, 2019.

The Global Health Reform Debate's Dangerous Blindspot

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Unitaid's executive director compels countries to consider how the future global health system ensures equitable access to innovation

A worker displays a plastic test cassette for HIV 1/2 at Codix Bio production plant where HIV and Malaria test kits are locally produced, as it aims to fill the gap left by U.S. funding cuts to USAID, in Iperu-Remo in Ogun State, Nigeria, on June 18, 2025.

Sovereignty vs. Multilateralism Is the Wrong Debate in Global Health

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Seed Global Health CEO: countries need a global health model where sovereignty sets the agenda and multilateralism enables it

U.S. Deputy Secretary of State Christopher Landau shakes hands with African Union Commission Chair Mahamoud Ali Youssouf, at the African Union headquarters, in Addis Ababa, Ethiopia, on January 28, 2026.

The Overlooked Benefits of Health Aid to Donor Countries

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A recent study outlines how health development assistance creates economic gains for donor countries

A U.S. flag is reflected in the windows of the shuttered former offices of the U.S. Agency for International Development (USAID) in Washington, DC, on July 22, 2025.

India's Tuberculosis Patients, One Year After USAID's Dismantling

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Loss of U.S. aid caused community care interruptions that increase the risk of drug-resistant TB

Ramesh Kumar, 45, sits outside a public hospital after another day spent seeking affordable tuberculosis treatment, at Ram Manohar Lohia Hospital, in New Delhi, on November 28, 2025.

Expanding the Mexico City Policy Undermines Global Health

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A new rule prohibits U.S. foreign assistance from projects supporting or discussing abortion, gender identity, diversity, equity, and inclusion

Mexican property manager Iran Sosa, who co-founded the Nunca Madres (Never Mothers) global online community for Spanish-speaking women in 2021 with Colombian commodities trader Isabel Cortes to address the lack of spaces where Latinas can discuss social issues and cultural taboos surrounding motherhood decisions, participates in a roundtable discussion in partnership with Wikimedia on the future of non-maternity, held as part of International Women's Day, in Mexico City, on March 12, 2025.