The Human Cost of Foreign Aid Cuts
Published in the lead-up to commemorate Africa Day on 25 May
by Charity Austin
Charity is an activist, writer, and community leader, and the founder of Trans Inclusion Group (formerly Trans Initiative Gorom). Her work focuses on human rights, social justice, displacement, resilience, and amplifying marginalized voices through storytelling and advocacy. Through her writing and activism, she brings attention to the lived experiences, struggles, and resistance of LGBTQ+ communities in East Africa.

For many people living safely in wealthy countries, foreign aid may sound like a political debate or a government budget issue. But for refugees in Africa, especially LGBTQ+ refugees, foreign aid is often the difference between life and death.
Under the U.S. administration led by President Donald Trump, major changes to foreign aid and humanitarian funding have been introduced. One of the most significant shifts has been the restructuring and severe reduction of the United States Agency for International Development (USAID), which was formerly the world’s largest foreign aid agency. In 2025, USAID’s operations were significantly cut back, with many of its functions reduced or transferred into other government structures, including the U.S. State Department.
For refugee communities across Africa, these changes have had immediate and life-threatening consequences.
In already under-resourced refugee settlements, people are now facing even deeper shortages of food, clean water, shelter, and essential medical care. For transgender refugees and other LGBTQ+ people, who already experience discrimination and exclusion within these systems, the impact has been especially severe.
Reality on the Ground
According to Trans Inclusion Group (TIG), a trans-led initiative supporting LGBTQ+ refugees in displacement, reduced humanitarian funding has directly worsened the living conditions of transgender refugees who rely on aid programs for survival.
Many transgender refugees live with HIV/AIDS and depend entirely on donor-funded clinics and humanitarian health programs for antiretroviral medication. When funding is reduced or programs are disrupted, access to treatment becomes unstable. Missing medication is not a minor interruption—it is life-threatening.

The mental health impact has also been devastating. Many LGBTQ+ refugees fled persecution, violence, and arrest in their home countries, only to find themselves trapped in overcrowded and unsafe refugee settlements where protection is limited and stigma is widespread.
At the same time, reductions in refugee resettlement pathways to the United States have worsened the crisis. For many LGBTQ+ refugees facing ongoing threats, resettlement is not a privilege, it is often the only route to safety. When these pathways are slowed or suspended, people remain stuck in dangerous environments with no realistic exit.

Some transgender refugees previously escaped extreme violence in places such as Kakuma Refugee Camp in Kenya, hoping for safety through resettlement programs. Instead, many now remain stranded in other settlements with shrinking international support and increasing vulnerability.
These policy decisions are not abstract. They directly determine whether a person receives HIV medication, whether someone eats that day, or whether a refugee survives another attack.
For many refugees in Africa, daily life is already a struggle for survival. Reducing humanitarian funding and restructuring key aid institutions like USAID only deepens that crisis.
Trans Inclusion Group (TIG) continues to highlight these realities and calls for urgent international attention, renewed funding, and stronger protection mechanisms for LGBTQ+ refugees who are being left behind in global policy shifts.
LGBTQ+ refugees deserve dignity, healthcare, protection, and the chance to live safely. Their lives should never be treated as collateral damage in political decisions about foreign aid.
“I was thirsty”

In Kakuma refugee camp (Kenya), water has become a daily struggle for many refugees following cuts to humanitarian support. These photos capture people digging into dry ground in search of water, filling jerrycans by hand because formal water systems are under severe strain. With reduced USAID funding affecting essential services, families are forced to spend hours searching for unsafe and scarce water sources just to survive. Access to clean water is not a privilege, it is a basic human right.

I can personally testify that this crisis is real because I experienced it myself together with other transgender refugees before being resettled. In Kakuma refugee camp, there were days when my friends and I would wake up very early and spend hours searching for water because the normal supply points had run dry or were overcrowded. Sometimes we had no choice but to dig shallow holes in the ground and wait for dirty water to collect so we could fill our jerrycans. The water was often unsafe, but when people are desperate, they use whatever they can find. For transgender refugees who already faced discrimination, violence, and exclusion inside the camp, the struggle for clean water became even more dangerous and exhausting.

This situation is not only happening in Kakuma. Many transgender refugees in Gorom refugee settlement in South Sudan are also facing severe water shortages and humanitarian neglect. People walk long distances under extreme heat just to access a small amount of water for drinking, cooking, and bathing. In some cases, refugees are forced to rely on unsafe water sources – even from swamps – that expose them to disease and other health risks. These experiences show that the humanitarian crisis affecting transgender refugees is not abstract — it is happening to real people every day, across different refugee settlements, where survival itself has become a daily struggle.
Human Stories, Not Statistics
For many transgender refugees, the impact of aid cuts is not just political, it is deeply personal and life-threatening
One transgender woman living in the refugee camp had been relying on antiretroviral medication (ARVs) to manage HIV and stay healthy. But when she recently went to the clinic for her routine refill, she was told that the medication was no longer available. With humanitarian health services under strain and supplies running low, she returned home without the treatment she depends on to survive. She now lives in fear, uncertain when or if she will be able to access the medicine again.
I also have a friend who stopped taking the ARVs he had before the aid was cut, because he wasn’t sure that he would get another dose of medication.

Such stories reflect the reality facing many vulnerable refugees whose lives depend on consistent medical care. For transgender refugees, accessing healthcare is already difficult because of stigma, discrimination, and insecurity inside refugee settlements. Now, with funding cuts affecting clinics and humanitarian programs, many are being pushed into even more dangerous situations. These are not just statistics or policy discussions — they are real people losing access to food, clean water, and lifesaving medication every single day.
Looking the Other Way

What makes this situation so painful is that these decisions were made by political leaders and administrations who chose to cut foreign aid despite knowing that millions of vulnerable people depend on that support to survive. The reduction of humanitarian assistance under the Trump administration has had devastating consequences for refugees already living in desperate conditions. Today, people are struggling to access food, clean water, shelter, and lifesaving medication, and many feel abandoned by the very countries and leaders that had the power to help.
I have painful news for those who made these decisions: people are now dying because of these cuts. Refugees who were already vulnerable are being pushed beyond their limits, with some unable to access medicine, food, or safe water. For refugees, this is not a political argument — it is about survival. The suffering taking place in refugee communities is real, and the world should not look away from the human consequences of these decisions.
Refugee Rights
Read other human rights contributions from Charity:
Protection Briefing
Published: 20 December 2025
Protection Challenges and Advocacy Engagement for LGBTQ Refugees in Gorom Refugee Settlement, South Sudan
Kakuma Pride 2023
Published: 11 July 2023
A report from Kakuma Refugee Camp in Kenya, possibly the only refugee camp in the world to ever have a Pride March, brutally shut down by homophobic Kenya Police.
This blog ©2026 Geoff Allshorn. All rights are hereby returned to the author, who can be contacted via this blog. I acknowledge the Wurundjeri-Willam people, the Traditional Custodians of the land on which this blog was prepared, and show my respect for Elders past and present.











