America First cuts are the deepest: global health aid reductions and African palliative care.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-07-03 DOI:10.1136/spcare-2025-005657

Richard Antony Powell, Lois Chingandu, Dermott McDonald, Diederik Lohman, Frederick Kibbedi, Emmanuel Luyirika, Eve Namisango

引用次数: 0

Abstract

In January 2025, President Trump immediately paused US foreign development assistance, upending healthcare in many low- and middle-income countries. The scale of the lost funding is substantial. The US administration terminated 86 per cent of USAID programmes worth $75.9 billion. The impact of these reductions on African health systems and governments will be considerable. With limited resources to cover financial shortfalls, already neglected African palliative care organisations will be further deprioritised, subsumed under more cost-effective disease prevention and treatment programmes. We outline practical areas to herald an era of hybrid funding models to help ensure financial stability and organisational longevity.

查看原文本刊更多论文

“美国优先”的削减幅度最大：全球医疗援助削减和非洲姑息治疗削减。

2025年1月，特朗普总统立即暂停了美国的对外发展援助，颠覆了许多中低收入国家的医疗保健。资金损失的规模是巨大的。美国政府终止了86%的美国国际开发署项目，价值759亿美元。这些减少对非洲卫生系统和政府的影响将是相当大的。由于用于弥补财政短缺的资源有限，已经被忽视的非洲姑息治疗组织将进一步被剥夺优先地位，纳入更具成本效益的疾病预防和治疗方案。我们概述了一些实用领域，预示着混合融资模式时代的到来，以帮助确保财务稳定和组织寿命。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.