The US has permanently stopped funding thousands of health-care programs in Africa, with notifications to affected organizations arriving without warning and causing a cascade of chaos.Letters from The United States Agency for International Development arrived overnight on Wednesday for many and were also sent to groups funded by the President’s Emergency Plan for AIDS Relief,

The Trump administration's decision to halt funding for health programs in South Africa raises fears that millions, especially those on HIV/AIDS treatment, could lose access to life-saving medication.

Health groups and non-governmental organizations have expressed surprise and outrage and say many humanitarian programs will collapse after the Trump administration’s decision to cut 90% of USAID’s foreign aid contracts.

The Trump administration has terminated the contracts of some 10,000 projects receiving US Agency for International Development (USAID) grants – including HIV, malaria, and humanitarian aid projects.