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Is anyone in EA coordinating a response to the PEPFAR pause? Seems like a very high priority thing for US-based EAs to do, and I'm keen to help if so and start something if not.

I wonder if the response will be seen as more credible if it's driven by Africans?

Insofar as there's a motivation behind cutting foreign aid, I suspect that skepticism of the NGO sector is playing a role. I can imagine Trump supporters thinking: This program supposedly helps millions of poor Africans, yet the primary voices advocating for it online are rich-world progressives. Seems fishy.

It is important for Americans and taxpayers to contact our members Congress (especially if your elected officials are Republican or Libertarian). USAID is funded by the American people - Congress needs to hear from us that we think this is a good use of our tax dollars. You can go here for more info on how to contact your members of congress about this.

Maybe, though if the pause itself will cause lots of harm, might be too many frictions to do so. Would work better if the ask is "restore PEPFAR after the pause." The other audience to target is pro-life evangelicals, which might be slightly easier on short notice

Update: Seems like PEPFAR is back for at least 90 days.

Unfortunately these waivers have not led to real change on the ground for implementing organizations - many are still unable to operate. More pressure on members of Congress is needed ensure lifesaving programs can continue. This New York Times article published on 2/1 covers more details (gift link). 

"In Uganda, the National Malaria Control Program has suspended spraying insecticide into village homes and ceased shipments of bed nets for distribution to pregnant women and young children, said Dr. Jimmy Opigo, the program’s director.

Medical supplies, including drugs to stop hemorrhages in pregnant women and rehydration salts that treat life-threatening diarrhea in toddlers, cannot reach villages in Zambia because the trucking companies transporting them were paid through a suspended supply project of the United States Agency for International Development, U.S.A.I.D.

Dozens of clinical trials in South Asia, Africa and Latin America have been suspended. Thousands of people enrolled in the studies have drugs, vaccines and medical devices in their bodies but no longer have access to continuing treatment or to the researchers who were supervising their care."

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