Policy Updates

On August 4, 2025, the Gates Foundation announced a US$2.5 billion commitment through 2030 to accelerate R&D focused on women’s health, this pledge comes as many donor governments, including the US, are reducing their ODA budgets, placing a greater emphasis on private philanthropy to fill funding gaps.

The funding aims to address chronic underinvestment in the sector, noting that only 1% of healthcare research is for female-specific conditions beyond oncology. The investment will support over 40 innovations across five priority areas:

• Obstetric care and maternal immunization;
• Maternal health and nutrition;
• Gynecological and menstrual health;
• Contraceptive innovation; and
• Sexually transmitted infections.

The foundation urged governments, philanthropists, and the private sector to co-invest to close funding gaps. The announcement cited research showing that every US$1 invested in women’s health yields US$3 in economic growth and that closing the gender health gap could boost the global economy by US$1 trillion annually by 2040.

On August 1, 2025, the French health ministry stated it could not legally intervene to stop the planned destruction of US$10 million in contraceptives held in Belgium, which were purchased by the USAID under former President Joe Biden and set to be destroyed by the administration of President Donald Trump, despite strong public outcry to intervene.

The US decision sparked criticism in France, with rights groups and left-wing politicians urging their government to halt the plan. France's health ministry, however, stated it had no legal basis to seize the products, as the products are not drugs of major therapeutic interest and no supply shortage exists in France. Multiple organizations, including MSI Reproductive Choices, offered to purchase the contraceptives at no cost to the US government, but their offers were rejected.

The contraceptives, mostly long-acting products like IUDs and birth control implants, were intended for countries in SSA and stored in Geel, Belgium. A US State Department spokesperson stated the decision to incinerate the unexpired products was based on the Mexico City Policy. The policy, reinstated in early 2025 by the Trump administration, prohibits providing assistance to NGOs that perform or promote abortions, though none of the products held in Belgium align with that description. The destruction was estimated by the US State Department to cost US$167,000.

On July 22, 2025, the US announced its decision to withdraw from UNESCO, citing concerns over the agency's perceived anti-Israel bias and promotion of divisive causes.

The US State Department stated the withdrawal, effective December 2026, was due to UNESCO's agenda and its admission of Palestine as a member state. This marks the third time the US has left the agency, having last rejoined in 2023 after a 2018 departure under the previous Trump administration. The US first left in 1984 due to security concerns around the Soviet Union before rejoining in 2003.

Alongside its cultural programming, UNESCO supports a number of education, SRHR education, literacy, clean water, and gender equality initiatives. It also helps set standards for ocean protection and AI ethics and protect cultural heritage and education in conflict zones.

UNESCO’s Director-General Audrey Azoulay noted her regret over the decision but stated it was anticipated. She denied the accusations of anti-Israel bias, pointing to the agency's work on Holocaust education and fighting antisemitism. Azoulay noted that the reasons cited by the US were the same as cited in the previous departure, despite significant changes and reduced political tensions within the organization.

The withdrawal will impact UNESCO's budget, as the US contributes 8% of its funding. However, the agency has diversified its funding sources and stated that it does not anticipate any immediate staff layoffs.

On July 21, 2025, analysis from the Lowy Institute interactive Southeast Asia Aid Map highlighted the impact that major US and European ODA cuts are set to have on South-East Asia’s LICs.

Australia continues to provide targeted assistance in areas such as gender, climate, and disability, but its overall ODA contribution remains low compared to other OECD countries. The Lowy Institute warns that without renewed commitments from Western donors, long-term climate adaptation and poverty reduction efforts in South-East Asia may suffer.

Stakeholders are encouraged to review ODA strategies to ensure effective and equitable support for the region.

On March 28, 2025, the US administration announced plans to merge USAID into the State Department, dissolving it as an independent agency and reducing staffing to a statutory minimum of 15 positions, and additionally detailed specific cuts to USAID grants and multilateral funding.

Congress must pass new legislation to officially eliminate the agency. The State Department will create an Office of Global Food Security to manage food security and humanitarian programs previously handled by USAID. The remaining global health programs will be supervised by the Bureau of Global Health Security and Diplomacy. Other programs will be managed by regional bureaus within the State Department.

Deputy administrator of policy and programs at USAID Jeremy Lewin informed staff that employment contracts would be severed by July 1 or September 2, 2025. By July 1, 2025, the State Department will fully take over USAID’s remaining programming. By September 2, 2025, USAID’s operations will transfer to State or shut down completely.

The administration also provided Congress with documents listing 5,341 terminated USAID programs and 898 active ones, detailing that 86% of programs have been terminated, slightly more than the 83% cut reported on March 10, 2025. The total value of terminated programs is US$75.9 billion, with US$48.2 billion already obligated and US$27.7 billion yet to be assigned.

UN institutions and other multilaterals saw steep cuts, with terminated awards totaling US$4.1 billion to 14 UN agencies, the IBRD, and Gavi.

On November 22, 2024, USAID announced a number of new commitments and a progress report on its climate work at COP29.

USAID announced a pledge of US$54 million for blended finance partnerships to provide catalytic investments for climate finance vehicles and investment funds in coastal and marine natural capital. The blended finance package also included US$28 million for Columbia Invest for Climate and US$6 million for a green partnership in Southeast Asia. Further investments supported climate-resilience and reduced emissions in agriculture and food systems in Africa.

USAID added to the investments in the US president’s Emergency Plan for Adaptation and Resilience, investing a total of US$83 million for early warning systems in 30 countries..

Other investments included:

• US$12 million for the Climate Smart and Disaster Ready program in regions across the globe;
• More support for green energy transitions in Asia;
• A joint USAID and NASA investment in Central America to help manage and prepare for climate risks;
• A contribution from Power Africa of US$410 million to the GVCA funding window; and
• An US$11 million commitment from USAID to champion women decision-makers in responding to climate crises.

On October 2, 2024, USAID Administrator Samantha Power announced additional humanitarian assistance to vulnerable Ukrainian populations and refugees in the surrounding region during a visit to Ukraine.

The resources will be provided by both USAID and the US State Department and will help populations prepare both for winter as well as providing food, shelter, health, WASH, and protection assistance, including GBV prevention and support. UN partners and NGOs will also receive some of the resources to help provide life-saving assistance.

With this announcement, the total US humanitarian assistance to Ukraine and the region has been US$3.8 billion since February of 2022.

On September 11, 224, US Secretary of State Anthony Blinken announced that the US will provide US$290 million to conflict-affected populations in Ukraine. US$100 million will come from USAID and US$190 million will come from the US State Department.

The US pledges to provide vulnerable groups with food, shelter, and winter preparedness. Additionally, health services, including disease prevention, psychosocial assistance, and vital assistance to women and girls who are survivors of GBV.

The US State Department will also provide emergency assistance, including safe drinking water, education, and legal support while working to reunify families where possible.

The US has provided a total of US$3.5 billion to Ukraine since February 2022, the largest provider of humanitarian assistance.

On August 7, 2024, the US pledged to provide US$424 million in both humanitarian and health funding in response to the ongoing crises in the DRC.

The humanitarian assistance will include emergency food assistance, nutrition, health care, WASH, shelter, child protection services, and GBV prevention.

USAID pledged to provide 50,000 mpox vaccinations to address the current outbreak in the DRC with a further US$10 million in health care assistance.

On August 7, 2024, the USAID and the US DFC announced a package of assistance and guarantees intended to help underserved women succeed as entrepreneurs and support climate adaptation and clean energy.

DFC pledge to provide US$42 million in loan guarantees through a local Dominican bank to catalyze up to US$87 million in local currency.

The US pledged a further US$43 million in grant funding to address several issues to build a more resilient and prosperous country, and will specifically address gender equity and equality needs.