MEKELE, Ethiopia (AP) — As a displaced person in Ethiopia’s northern Tigray region, 76-year-old Haile Tsege is no stranger to hunger.
During its war with Tigray fighters that in 2020-2022, Ethiopian government restrictions on the rebellious region reduced aid flows to a trickle. Then in 2023, U.S. and U.N. aid distributions of grain were halted for months over a .
Now the Trump administration’s dismantling of the , or USAID, has again halted food deliveries to a sprawling camp of over 20,000 people outside Tigray’s regional capital, Mekele.
“We will just die in silence,†said Tsege, one of the 2.4 million people in Tigray who depend on humanitarian grain, most of it provided by the U.S.
Ethiopia with its over 125 million people had been the biggest beneficiary of U.S. aid in sub-Saharan Africa, receiving $1.8 billion in the 2023 financial year. In addition to life-saving food, the funds were spent on , vaccines, literacy programs and jobs creation, as well as services for 1 million refugees hosted by Ethiopia.
Most of these programs have been stopped. The USAID staffers who oversaw them have been placed on administrative leave and told not to work, as they face the threat of termination. The U.S. Embassy didn't respond to questions.
Emergency food was exempted from President Donald Trump’s executive order, signed on his first day in office, suspending foreign aid during a 90-day review amid the administration's allegations of waste.
Aid agencies in Ethiopia had to apply to USAID for waivers to continue handing out U.S. grain. These have been secured, but USAID’s payments system is still not functioning.
As a result, a consortium of aid agencies in Tigray has had to stop distributions to the over 1 million people it has been responsible for feeding with U.S.-provided grain. It has no money to pay for fuel, trucks and drivers to distribute existing food stockpiles.
That includes 5,000 metric tons of sorghum – enough to feed 300,000 people for a month – stuck in a storage facility in Mekele that could rot before it reaches those in need.
“This is just one warehouse. There are several others across the region,†said Teklewoini Assefa, head of the Relief Society of Tigray, part of the consortium. “This will create malnutrition, disease. If this situation continues, what follows? Death.â€
He added: “Everything boils down to the payment system.â€
The effects of the aid cuts are widespread, with many USAID contracts terminated. Already, Ethiopia has been forced to lay off 5,000 local healthcare workers who were working on its HIV response.
Tigray relied heavily on U.S. funds. More than two years after the war killed hundreds of thousands, full-scale recovery efforts are yet to start. The region’s health system is in ruins and hundreds of schools remain closed.
In 2024, child stood at 21% in some areas, according to a survey reviewed by The Associated Press — far above the World Health Organization’s threshold of 15% at which a situation is classified as an emergency.
Now, aid workers say many programs to improve nutrition have halted. Projects to deliver medicines and vaccines have stopped. Dozens of camps for displaced people have had water sources cut off.
“The impact has been huge,†said Ashenafi Asmelash, executive director of Mums for Mums, which has had two USAID- funded programs terminated. One helped build long-term resilience among farmers. The other helped improve the nutrition of children and new mothers.
Management Sciences for Health, another Tigray organization, has halted a project to combat tuberculosis and told its staff to expect mass layoffs in March, according to a senior executive, who spoke on condition of anonymity for fear of reprisals.
Efforts to assist thousands of women who were have been derailed, said Rigat Bishaw at Ayder Hospital, Tigray’s biggest healthcare facility.
This includes counseling and physiotherapy sessions for survivors run by the U.S.-based Center for Victims of Torture, which received a stop-work order from the Trump administration in February and furloughed its staff.
CVT also halted a program to train health workers to recognize sexual abuse cases and refer survivors to appropriate health services.
“This sudden disruption is having a huge impact on the healing of traumatized people,†said Yohannes Fisseha, a CVT manager.
Major projects to support people living with HIV, improve access to life-saving nutrition services and improve relations between war-affected communities have also been cut off, said Yirga Gebregziabher, the Tigray branch manager of an Ethiopian organization called OSSHD, which helped implement the projects.
The organization has been forced to fire dozens of expert staff.
“Our picture of America was as a protector of rights, a positive force in the world,†Yigra said. “That image has now been broken. If there was a process, maybe the shock would have been less. But there was no consultation, no engagement.â€
___
The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s for working with philanthropies, a list of supporters and funded coverage areas at .
For more on Africa and development:
