Monday, 10 August 2026
Two health and gender rights leaders delivered a stark assessment of what happens when major external funding disappears overnight and organised opposition fills the vacuum. The sudden withdrawal of US government's funding support has not merely reduced services - it has fractured health systems, emptied pharmacy shelves, driven up unplanned pregnancies and unsafe abortions, and enabled anti-rights groups.
"Shelves go dry": The immediate collapse of care
Nelly Munyasia, Executive Director of the Reproductive Health Network Kenya (RHNK), did not soften her language. “We saw shelves go dry,” she said. When the US Agency for International Development (USAID) stop-work order took effect in January 2025, a system that had long operated in silos simply stopped functioning. HIV treatment, lifesaving antiretroviral refills, routine check-ups, counselling and testing outreaches, and community-based services for women, girls and key populations came to a standstill.