The development follows the pause announced to billions of dollars of funding on 24 January by the US administration affecting “nearly all US foreign aid programmes, pending a 90-day review”, said Pio Smith from the UN’s sexual reproductive health agency, UNFPA, briefing journalists in Geneva.
‘Unwavering commitment’ to serve people in need
In a letter to all UN personnel released on Tuesday morning in New York, UN Secretary-General António Guterres said he had responded to the executive order from US President Donald Trump with a call to “ensure the delivery of critical development and humanitarian activities”.
Mr. Guterres said the organization will remain actively engaged in assessing and mitigating the impact of the order.
“Now, more than ever, the work of the United Nations is crucial…Together, we will ensure that our organization continues to serve people in need around the world with unwavering commitment.”
Deadly consequences
Mr. Smith said that in response to the executive order, UNFPA “has suspended services funded by US grants that provide a lifeline for women and girls in crises, including in South Asia”.
The UNFPA Regional Director for Asia and the Pacific warned that between 2025 and 2028 in Afghanistan, the absence of US support will likely result in 1,200 additional maternal deaths and 109,000 additional unintended pregnancies.
Mr. Smith said the agency was seeking “more clarity” from the administration “as to why our programmes are being impacted, particularly those which we would hope would be exempt” on humanitarian grounds.
Meanwhile, the UN aid coordination agency OCHA, said that there have been no “layoffs or closing down access” in response to the executive orders.
Spokesperson Jens Laerke added that the agency’s country offices were “in close contact” with local US embassies to better understand how the situation will unfold.
He explained that the US Government funded around 47 per cent of the global humanitarian appeal across the world last year; “that gives you an indication of how much it matters when we are in the situation we are in right now, with the messaging we’re getting from the Government”.
The move follows the announcement that the new US administration has placed the country’s principal overseas development agency, USAID, under the authority of the Secretary of State.
Staff from the agency have been locked out of their offices, while the head of the newly-formed Department of Government Efficiency has accused USAID of criminal activity and a lack of accountability.
“Public name-calling won’t save any lives,” said OCHA’s Mr. Laerke, while Alessandra Vellucci, head of the UN Information Service at UN Geneva, highlighted the UN Secretary-General’s appeal for a relationship of trust with the Trump administration.
“We are looking at continuing this work together [and listening]…if there are criticisms, constructive criticism and points that we need to review,” she told reporters, underscoring the “decades-long relationship of mutual support” between the UN and the US.
Retreat from Human Rights Council
At the same scheduled press encounter, a spokesperson for the UN Human Rights Council responded to news reports that President Trump plans to issue an executive order withdrawing the US from the 47-member world body.
The US was a member of the Council from 1 January 2022 to 31 December 2024, meaning that since 1 January this year it has been an “observer State…like any of the 193 UN Member States that are not Council Members” explained spokesperson Pascal Sim:
“Any Observer State of the Council cannot technically withdraw from an intergovernmental body that is no longer part of.”
USAID and UNICEF sign a partnership in 2024 to improve water and sanitation services across Iraq.
Preventable problems
Amid uncertainty about future US funding, UNFPA’s Mr. Smith underscored the immediate impact on at-risk individuals in the world’s poorest settings: “Women give birth alone in unsanitary conditions; the risk of obstetric fistula is heightened, newborns die from preventable causes; survivors of gender-based violence have nowhere to turn for medical or psychological support,” he said.
“We hope that the US Government will retain its position as a global leader in development and continue to work with UNFPA to alleviate the suffering of women and their families as a result of catastrophes they did not cause.”
Afghanistan emergency
UNFPA works across the world including in Afghanistan, where more than nine million people are expected to lose access to health and protection services because of the US funding crisis, it said.
This will impact nearly 600 mobile health teams, family health houses and counselling centres, whose work will be suspended, Mr. Smith explained.
“Every two hours, a mother dies from preventable pregnancy complications, making Afghanistan one of the deadliest countries in the world for women to give birth. Without UNFPA’s support, even more lives will be lost at a time when the rights of Afghan women and girls are already being torn to pieces.”
Pakistan, Bangladesh fall-out
In Pakistan, the UN agency warns that the US announcement will affect 1.7 million people, including 1.2 million Afghan refugees, who will be cut off from lifesaving sexual and reproductive health services, with the closure of over 60 health facilities.
In Bangladesh, nearly 600,000 people, including Rohingya refugees, face losing access to critical maternal and reproductive health services.
“This is not about statistics. This is about real lives. These are literally the world’s most vulnerable people,” Mr. Smith insisted.
In Bangladesh’s Cox’s Bazar refugee camp complex –where more than one million Rohingya refugees remain trapped in dire conditions – nearly half of all births now take place in health facilities, with UNFPA’s support.
“This progress is now at risk,” Mr. Smith continued, noting that the agency requires more than $308 million dollars this year to sustain essential services in Afghanistan, Bangladesh and Pakistan.
