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"Governments must restore their aid budgets, and shore up the global humanitarian system that faces its most serious crisis in decades," said an advocate with the international charity Oxfam.
The global anti-poverty group Oxfam International warned this week that US President Donald Trump’s decision to slash foreign aid by more than half could kill nearly 10 million people by the end of the decade.
Responding to new data released Thursday by the Organization for Economic Cooperation and Development (OECD) showing the largest annual drop in the history of official development assistance, Oxfam said “wealthy governments are turning their backs on the lives of millions of women, men, and children in the Global South.”
The OECD released preliminary data on international aid that was provided last year by member countries of the organization's Development Assistance Committee (DAC), finding the largest annual drop in the history of official development assistance.
OECD member countries provided $174.3 billion in aid last year, according to the new data, representing 0.26% of the countries' combined gross national income.
In 2024, the countries sent $215.1 billion, or 0.34% of their gross national income to developing countries, including across the Global South—helping to provide nutritional assistance and healthcare initiatives among other programs.
US foreign aid spending dropped by 56.9% after Trump dismantled the US Agency for International Development, cut smaller aid programs, and pushed Congress to rescind previously approved foreign assistance.
"At a time when aid cuts are already driving instability and fostering greater inequality, government donors are cutting life-saving aid budgets while financing conflict and militarization."
Overall, wealthy OECD countries provided 23.1% less in foreign aid last year than they did in 2024—a greater decline than what the Institute of Global Health in Barcelona projected in February when it released a study in The Lancet, evaluating the impact of development assistance funding declines around the world.
The institute found that aid cuts in 2025 alone, which it assumed would represent a 21% decrease in funding, would lead to 695,238 excess deaths. If cuts continued at the same rate, an estimated 9,416,417 people could die of preventable diseases like malaria and AIDS, starvation, and other impacts by 2030.
The drop in foreign aid spending would suggest even more people could be killed by the cuts over the next four years.
“We are in a time of increasing humanitarian needs; strong pressures on the poorest and most fragile countries; and facing growing global uncertainties and massive insecurity," said Carsten Staur, chair of the OECD's Development Assistance Committee (DAC), which compiled the data. "In this situation, the world needs more ODA, not less—to help fight extreme poverty, improve resilience, and mobilize more private resources."
Trump's cuts helped make Germany the largest provider of development assistance for the first time ever, providing $29.1 billion to countries in need. The US sent $29 billion while the United Kingdom provided $17.2 billion, Japan sent $16.2 billion, and France sent $14.5 billion. All five of the top ODA providers reduced their foreign aid spending, accounting for 95.7% of the total decline.
Eight out of the DAC's 34 member countries either maintained or increased their development aid spending, and four countries—Denmark, Luxembourg, Norway, and Sweden—exceeded the United Nations' target of spending 0.7% of their gross national income on ODA.
Didier Jacobs, development finance lead for Oxfam, emphasized that while "recklessly" cutting foreign aid, "the Trump administration has been preparing to ask Congress for tens of billions in additional funding for bombs, ammunition, and other military equipment relating to its unlawful war against Iran."
"At a time when aid cuts are already driving instability and fostering greater inequality, government donors are cutting life-saving aid budgets while financing conflict and militarization. Cuts from donors including Germany, France and the UK will be felt by the world’s poorest," said Jacobs.
In addition to slashing military spending instead of crucial foreign aid, he said, "there are other ways to find tens of billions, such as by taxing the $2.84 trillions of dollars that the super-rich hide in tax havens.”
"Governments must restore their aid budgets," he said, "and shore up the global humanitarian system that faces its most serious crisis in decades."
As the world's largest economy, the US provided nearly a quarter of the UN's funding. That is, until earlier this month, when Trump stripped hundreds of millions of dollars from dozens of treaties.
Weeks after President Donald Trump withdrew the US from dozens of United Nations organizations, the UN's chief warns that the UN is at risk of an "imminent financial collapse."
"The crisis is deepening, threatening program delivery and risking financial collapse. And the situation will deteriorate further in the near future," UN Secretary-General António Guterres wrote in a letter to ambassadors dated January 28, according to a Friday report from Reuters.
While he did not reference the United States explicitly, Guterres called out the fact that "decisions not to honor assessed contributions that finance a significant share of the approved regular budget have now been formally announced," which almost certainly referenced Trump's pullout from at least 66 international treaties earlier this month, including 31 within the UN system.
With the stroke of a pen, Trump reneged on the US commitment to the UN Framework Convention on Climate Change, which it has been part of for more than 30 years. He also took the US out of the UN International Law Commission, the UN Democracy Fund, UN Oceans, UN Women, and dozens of other global bodies, deeming them "contrary to the interests of the United States."
As the world's largest economy, the US was the largest source of funding for the UN, providing 22% of its regular and peacekeeping budgets as of 2025—about $820 million per year.
The largest single financial cut as a result of the US pullout was the termination of dozens of grants worth approximately $377 million for the UN Population Fund, which focuses on family planning and preventing maternal mortality and sexual violence in developing nations. The organization is estimated to have prevented 39,000 maternal deaths and 18 million unwanted pregnancies in 2024, according to an annual report.
Warning that cash could run out by July, Guterres said, “Either all member states honor their obligations to pay in full and on time–or member states must fundamentally overhaul our financial rules to prevent an imminent financial collapse."
As US Vice President JD Vance on Friday addressed anti-abortion activists at the March for Life, public health and reproductive rights advocates decried the Trump administration's expansion of the Mexico City Policy, which critics call the global gag rule.
Since the Reagan administration, Democrats have repealed and Republicans have reimposed the policy, which bans nongovernmental organizations that perform or promote abortion from receiving federal funding. While President Donald Trump reinstated it as expected after returning to office last year, multiple media outlets revealed the expansion plans on Thursday.
A spokesperson confirmed to NBC News on Friday that the US Department of State will release three final rules expanding the foreign assistance prohibition to include "gender ideology," and diversity, equity, and inclusion (DEI), or what the administration is calling "discriminatory equity ideology," in line with various other Trump policies.
"President Trump and his anti-abortion administration would rather let people starve to death in the wake of famine and war than let anyone in the world get an abortion—or even receive information about it," Rachana Desai Martin, chief US program officer at the Center for Reproductive Rights, said in a Friday statement.
"People are already dying because of this administration's slashing of foreign assistance," she noted. "Now, they're making it harder for doctors and aid workers to provide food, water, and lifesaving medical care. This isn't about saving lives—it's a stunning abdication of basic human decency."
Guttmacher Institute director of federal policy Amy Friedrich-Karnik similarly called out not only the new "supercharged global gag rule" but also the second Trump administration's "unprecedented actions like the dismantling of the US Agency for International Development (USAID) and rescission of US foreign assistance for family planning services around the world."
"Guttmacher research estimates that almost 50 million women and girls have already been denied contraceptive care in low- and middle-income countries due to these draconian actions," she explained. "This new radical policy threatens to aggravate the cumulative harms of earlier administration actions, undermining decades of bipartisan investment in global health and gender equality, and stripping resources from the world's most vulnerable populations, including LGBTQ+ communities around the world."
Amnesty International's senior director for research, advocacy, policy, and campaigns, Erika Guevara-Rosas, blasted the expansion as "an assault on human rights" that will be "disastrous and deadly."
"It strangles healthcare systems, censors information, and violates the rights to health, information, and free expression," she stressed. "It forces frontline providers and many struggling organizations that depend on US funding into an impossible choice: limit essential healthcare for the most vulnerable populations or shut their doors."
"Doubling down on this policy is cruel, reckless, and ideologically driven," she continued. "Expanding it to international and US-based organizations will impact the poorest and marginalized first and hardest, denying people the chance to live full, healthy, autonomous lives where they are able to access rights and services. It is further proof of this US administration's blatant disregard for international law, universal rights, and the rules-based international order."
Dr. Anu Kumar, president and CEO of Ipas, which works to increase access to abortion and contraception around the world, declared that "this radically expanded global gag rule is nothing short of a regressive, harmful policy that puts the United States even further out of step with our global counterparts."
"Bullying individual countries' governments into complying with anti-rights and extremist ideology held by the current US administration is despicable and unacceptable," Kumar asserted. "It will wreak havoc on global efforts to improve health, uphold human rights, and achieve gender equality."
The broadening of the global gag rule comes as survivors and US lawmakers continue to fight for the release of files from the federal trafficking investigation into deceased sex offender Jeffrey Epstein, a former friend of Trump. Mina Barling, the International Planned Parenthood Federation's global director of external relations, said that "in an age of Epstein scandals and hocus-pocus designed to undermine science and medicine, the Trump administration has read the room."
"He knows his obsession with women's bodies is viewed cynically, so he has utilized the man-made panic funded by the fossil fuel industry to shift the focus of his policy against trans people," Barling said of the president. "The global gag rule is hate-bait designed to keep his donors happy and export more division to countries reliant on US aid, in the absence of economic justice."
"We stand in solidarity with women and trans people in all their diversity," she added. "We demand debt relief, and we support national sovereignty. We want to see a new global health architecture that is less susceptible to the whims of American politicians."