How has the development and aid sector in Africa adapted in the 15 months since the Trump administration started closing USAID? Have predictions of mortalities come to pass, and how can the funding gaps be filled? We hear from the people who used to be in charge of multi-billion-dollar budgets, as well as those receiving funds on the front lines of the HIV crisis in Tanzania.

Presenter: Ed Butler

(Picture: 29-year-old Rashida Musa tends to her sick child who was sent home from the hospital due to malnutrition following the aid cut by the United States Agency for International Development (USAID) in Tudun Gambo, Bauchi State, Nigeria, May 8, 2025. Credit: REUTERS/Sodiq Adelakun)