Some African leaders regard United States President Donald Trump’s decision to halt aid to the continent as an opportunity to foster self-reliance. They have already initiated plans to mobilise the necessary resources to reshape Africa’s aid landscape.

“Trade, not aid, is now the pillar of our policy in Africa,” said United States ambassador Troy Fitrell, from the Bureau of African Affairs, in a speech on 14 May at business summit in Abidjan.

The declaration settles any doubts over the Trump administration’s position on aid towards Africa. The US – the world single largest aid donor in the world, according to the United Nations – no longer wants to disburse billions in foreign aid, despite the fact that it represents a small percentage of its entire budget.

In 2023, the US spent $71.9 billion in foreign aid, which amounts to 1.2 percent of its entire budget for that fiscal year.

President Donald Trump repeatedly stated that aid is a waste. For years, Africa has been the region receiving more funding from the United States than any other.

Across the African continent, Trump’s executive orders were initially met with shock, anger, and despair — but also with a renewed determination to change course and place African resources at the heart of African healthcare.

In February, at an African Union summit, Rwandan President Paul Kagame announced that the AU’s health institutions, including the Centres for Disease Control, would take the lead in seeking alternatives to US funding.

“Africa now finds itself at a crossroads. The health financing landscape has shifted dramatically.

“I propose that, over the next year, we work together to define new mechanisms for concrete collaboration on healthcare among governments, businesses, and philanthropies,” he told African leaders.

“The work of building our continent, including our healthcare systems, cannot be outsourced to anyone else.”

 

To untangle what is going on, for this edition of Interntional Report, RFI interviewed Eric Olander, editor-in-chief of the China-Global South Project; Chris Milligan, former foreign service officer at USAID, in Washington; Mark Heywood, human rights and social justice activist in South Africa, co-founder of the Treatment Action Campaign (TAC); Onikepe Owolabi, vice president of International research at the Guttmacher institute in New York; Monica Oguttu, founding executive director of KMET, Kisumu Medical and Education Trust, in Kenya.