In northern Uganda, the unfolding consequences of US funding cuts to international humanitarian aid are palpable. Thousands of families have been living in refugee camps along the border with South Sudan for almost a decade, and newcomers are reported every day as the never-ending conflict within the country intensifies.
Uganda has long been a crossroads of migration, shaped by historical and contemporary population movements. Today, it hosts over 1.9 million refugees and asylum seekers – one of the largest refugee populations in the world. Persistent violence in South Sudan and the eruption of armed conflict in Sudan have displaced millions. As both countries spiral further into instability, Uganda remains one of the few safe havens in the region.
The decision by Donald Trump’s administration to cut support to USAID, a giant in the international humanitarian assistance network, disrupted the lives of millions of people across the continent, and other humanitarian groups were impacted. In March, the World Food Programme (WFP), an international nonprofit, announced a cut to food distribution to one million refugees in Uganda.
The AVSI Foundation, along with many other humanitarian actors, was forced to abandon a project that employed over 200 local field officers, leaving their families without a steady income, and thousands of refugees unable to enroll in agricultural training, schools, or start small businesses. Before the end of 2024, they had identified 13,000 households to receive support that vanished just a few days after Trump’s inauguration day.
Bottom: A worn out poster on the wall of a school in Palabek.
Among a slew of executive orders, and actions by the “department of governmental efficiency” (Doge), led then by Elon Musk, the funding cuts dashed people’s hopes and expectations to leave extreme poverty. A general sentiment of failure and retreat spread among the refugee and host communities. In the following months, a consequent rise in suicides was reported, as Jatuporn Lee, a UNHCR local representative, explained.
“Families are struggling to cope with the impact of reduced support, increased food insecurity, higher land rental costs, growing mental health and psychosocial challenges, surges in gender-based violence, school drop-outs, child neglect, abandonment, and child labor,” she said. “We would be cautious about drawing a direct link between funding cuts and suicide rates. As a non-clinical specialist, drawing such a correlation can be misleading. However, these concerning vulnerability trends are clear indicators of growing vulnerability and underscore the urgent need for sustained donor support to promote refugees’ protection, well-being, and social and economic inclusion.”
In April and May, I spent two weeks in several northern Ugandan districts, including Lamwo, Kitgum, Madi Okollo and Terego, at the very time when new refugees from South Sudan and Sudan were arriving at the border seeking safety. Olive Ngamita, the representative of AVSI Foundation in Kampala, said that 200 humanitarians in Kitgum had to leave, and that they had paid several months of rent in advance, relying on their upcoming salaries.
The absence of international humanitarian support left a vacuum in the ecosystem of refugee settlements and host communities. Teachers who stop receiving their salary volunteer to maintain continuity in their students’ education, but struggle to support their families. Since the beginning of 2025, children and youth have been abandoning schools in large numbers, unable to afford the enrollment fees that were once subsidized. Small restaurants and street food vendors, who had looked forward to expanding their activities through loans and microcredit initiatives, have instead scaled back their operations.
Bottom: Women from the Rhino refugee community meet to discuss microcredits, briquette production and other topics of interest.
In the quiet corners of these settlements, there is a visible loss of rhythm – routines once built around schooling, training sessions and market days have been disrupted. The absence of humanitarian programming leaves young people idle, exposing them to greater risks of recruitment, trafficking or exploitation.
Trump and his cohorts replied to harsh criticism of the cuts from the agency’s officials and the humanitarian world, saying they would not cut life-saving aid. Massive humanitarian operations in critical situations have the primary goal of providing food and access to healthcare, indeed. But the bigger picture is to sustain a community, not to let it free-fall.
One of the first people I met in the Palabek camp in Lamwo was Viola, a 23-year-old pregnant woman who, unable to treat malaria and lower her fever, miscarried. Antimalarials were not delivered to the camp’s clinic. The supply chain, because of the freeze on international aid, had been interrupted. Her story is not an exception. In places where disease can spread fast, even short interruptions in supplies can be fatal.
USAID was meant to secure the United States’s dominance as part of a system aimed at stabilizing countries and strengthening diplomatic relations through cooperation. The long-term ramifications of this policy shift are only beginning to emerge. What is unfolding in Uganda today may soon reflect broader regional patterns, where donor disengagement risks creating power vacuums ripe for instability.
As Nicholas Apiyo, a Ugandan lawyer and human rights defender, explains: “There is an absolute uncertainty in the future. National and international organizations that depended on USAID have either closed or scaled down their operations. People are left with no continuous care, and many have already lost their lives.
“The USAID office in Kampala, is now closed, with debilitating consequences. Although funding for life-saving aid partially resumed, the disruption left a heavy toll on the beneficiaries of treatment to cure Ebola, HIV and malaria. A restoration enabling the supply chain to resume will take time, and lives will be lost in the process.”
Bottom: A store in the Ogili host community in Lamwo district.
Uganda will have to adjust to a new funding mechanism, which, according to Apiyo, must increase its national budget for assistance. African countries could now strengthen their ties with Russia, India, Iran and China – those countries are seen as more predictable and less “schizophrenic”, as Apiyo puts it.
“You need soft power to rule the world. The colonial roots of the humanitarian system have always had their negative consequences in the majority world as a way to extend its dependency on the donor.”
An example of success
In Madi Okollo and Terego districts, located near a triple border, hundreds of refugees from the DRC and South Sudan cross into Uganda daily at unofficial border crossing points, converging to form a growing community in established refugee settlements. There, interventions that received funding before the imposition of the new policies remain operational, promoting sustainable economic practices and creating job opportunities. However, educators are concerned that without further funding, those children, out of school without job opportunities, could be driven to illegal survival strategies and be at higher risk of forced recruitment in their country of origin, contributing to internal instability. Local teachers and social workers spoke of “a race against time”, where every month of consistent support can be the difference between a child learning to read or joining an armed group.
AVSI Foundation implemented the STEP – Transition from Emergency to Sustainable Development Program, a project funded by the Ministry of Foreign Affairs and International Cooperation through the Italian Agency for Development Cooperation, in collaboration with the Office of the Ugandan Prime Minister, UNHCR, local leaders, and partners. It aimed at improving the socioeconomic stability of refugees and host communities by addressing their priority needs through a multisectoral approach. The project reached 600 direct participants.
The project promoted the use of renewable technologies among households, increasing adoption from 0% to 61%. These included briquette production, small-scale irrigation, water harvesting, energy-saving cooking solutions, and partnerships with private renewable energy providers.
By the end of the initiative, 92% of families reported higher agricultural production. This was supported through training, access to farming tools and seeds, and the establishment of backyard gardens with a reliable water supply. The program also formed 24 production and marketing groups, bringing together refugees and host community members to improve cooperation and create income opportunities.
Support systems for the most vulnerable were strengthened, offering mental health and psychosocial services, gender-based violence prevention, and legal assistance through community dialogues, legal clinics and coordinated referral pathways. Cases of abuse and neglect were promptly referred as a result of child protection and birth registration initiatives.
Special focus was placed on pregnant adolescents, young women and youth, who received life skills training, mentorship and sport therapy, resulting in 80% showing positive behavior change. Positive parenting sessions also improved family relationships, with follow-up home visits and group mentoring helping communities sustain these changes. These models – holistic, inclusive, and locally adapted – should guide future international efforts. What they demonstrate is clear: when investments are sustained, results follow.
