This week, we discuss The Aid Report, a project supported by a media grant from the Gates Foundation to track the real-world impacts of U.S. foreign aid cuts. Over the past couple of months, the initiative has documented more than 1,000 verified impacts across multiple countries and sectors. We examine the major trends and surprises that emerged, discuss what lessons policymakers and donors can take away, and explore the questions that still remain unanswered. To unpack these findings, Rumbi Chakamba sits down with Kelli Rogers and Rashad Nimr for the latest episode of our weekly podcast series. The podcast is taking a short break next week. We'll be back with a new episode the following week. Check out Perdure, a member of the Devex Podcast Network, via the link below: https://open.spotify.com/show/7CMiGygkWqhtoYfXVLuOQM?si=a07177387e314420&nd=1&dlsi=8866940a467843b4

Philanthropists and global development donors have made a lot of promises about supporting local leaders and community-based organizations. But their insistence on finding scalable models might be getting in the way of a simpler achievement: helping people. Kakenya Ntaiya is a one-woman case study in persistence. As a girl in southwestern Kenya, she underwent the traditional Masaai practice of female genital mutilation — a precursor to marriage and motherhood. But she negotiated with her father to stay in school, secured a scholarship to attend college in the United States, and used her education to scrutinize the very cultural practices that she — and the other women in her village — were born into. As the founder of Kakenya’s Dream, a nonprofit organization, Ntaiya has returned to Kenya to open up spaces for discussion of cultural taboos — and educational opportunities for thousands of girls. Ntaiya joined the Theory of Change podcast to share her experiences navigating complex community politics, pushing for cultural change, and confronting the blind spots in modern international philanthropy that get in the way of improving people’s lives.

This week we look back at the last 18 months of U.S. foreign assistance — a period defined by the dismantling of USAID and the absorption of foreign aid strategy into the State Department. We break down the types of initiatives the Trump administration is prioritizing and where the funding is flowing. On the other side of the Atlantic, the European Union is currently in the process of negotiating the bloc’s next seven-year budget. The new financial framework could mark a turning point for European aid, formalizing a shift from development-first spending toward an approach that increasingly serves member states’ geopolitical and economic interests. To dig into these stories and others, Adva Saldinger sits down with Michael Igoe and Jesse Chase-Lubitz for the latest episode of our weekly podcast series. Redeem your Devex Pro discount: https://www.devex.com/upgrade/payment?package_short_name=PRO&payment_page_permalink=pro-discount-fortypercent&utm_medium=link&utm_source=newswire&utm_campaign=pro_week_2026

U.S. foreign aid advocacy groups are soul-searching in the wake of the Trump administration’s dismantling of the U.S. Agency for International Development and deep cuts to U.S. foreign assistance. Bipartisan support for U.S. aid programs crumbled quickly in the face of Elon Musk’s attack on the agency via the Department of Government Efficiency, and USAID’s legacy is now viewed through a starkly polarized political lens. In the aftermath of that collapse, advocacy organizations are trying to regain their footing — including by hiring conservative political veterans into key roles. Jim Richardson, a longtime congressional staffer and former aide to Mike Pompeo, coordinated one of the largest reorganization efforts in USAID’s history during Trump’s first term. He recently joined the U.S. Global Leadership Coalition — one of the most influential “soft power” advocacy groups in Washington, D.C. — as national outreach director. He joined the Theory of Change podcast to discuss the future of U.S. development advocacy — and what it will take to rebuild support for aid programs. "We have to really go back to the basics,” he said. “Where does the U.S. government have a comparative advantage? What does the power of international assistance do? What can it do?”

With the FIFA World Cup entering its final week, we explore how NGOs operating in participating nations can leverage the tournament’s spotlight to advance their work. While tournament hype is notoriously fleeting, we break down how NGOs can translate a short-term spike in curiosity into sustained long-term impact. We also discuss our key takeaways from the United Nations’ Global Dialogue for AI Governance and the International Telecommunication Union’s AI for Good Summit, both of which we covered on the ground in Geneva, Switzerland. From the absence of major AI labs to how lower- and middle-income countries are demanding an equal voice in global tech regulation, we explore why the development sector must stop leaving AI’s future to technologists alone. To dig into these stories and others, David Ainsworth sits down with Catherine Cheney and Thomas Cserep for the latest episode of our weekly podcast series. In the sponsored segment of the podcast, hosted in partnership with The Pfizer Foundation, Devex Executive Vice President and Executive Editor Kate Warren speaks with Freddy Nkosi, Senior Director of Global Programs for West and Central Africa & DRC Country Director at VillageReach. They explore how locally-led supply chains and data-informed approaches are helping countries, such as the DRC and Cameroon, address last-mile challenges, supporting efforts to ensure vaccines reach remote and underserved communities when and where they are needed.

Global health is entering a period of profound upheaval. As governments reassess foreign aid, donors rethink decades-old models, and African leaders push for greater ownership of their health systems, one question looms over the sector: Who should hold the power to shape global health? Dr. Ebere Okereke is a prominent voice in that conversation. She joins Theory of Change for a wide-ranging conversation with Devex Senior Reporter Michael Igoe about the risks and opportunities of this massive global health shakeup. "Everything's about power. Everything is about politics. But it's also about understanding what power you have," Okereke says. She reflects on the consequences of the dismantling of the U.S. Agency for International Development, the rise of bilateral health agreements, the promise of the Accra Reset, and why African governments must play a far greater role in defining and financing their own priorities. At the same time — with disease outbreaks still testing national response systems — she cautions against retreating from global collaboration, arguing instead for a model that is "locally owned, regionally anchored, but remain[s] part of a global architecture."

With uncertainty lingering over its future, we discuss a new UNAIDS interim report outlining potential pathways forward — including further downsizing the secretariat, turning it into a U.N.-hosted hub, or merging it with another health entity. During the conversation, we explore UNAIDS’ alternative suggestions, as well as how this imminent transition fits into the wider restructuring of the global health architecture. As the Ebola emergency continues across eastern Democratic Republic of Congo, responders are facing a lack of community trust. During the 2018–2020 outbreak of the disease, aid workers subjected the locals to widespread sexual abuse and exploitation. We discuss whether the humanitarian sector is doing enough to prevent history from repeating itself. To dig into these stories and others, Senior Editor Rumbi Chakamba sits down with senior reporters Jenny Lei Ravelo and Sara Jerving for the latest episode of our weekly podcast series. Sign up to Devex CheckUp here: https://www.devex.com/newsletters/devex-checkup

This week we discuss Jeremy Lewin’s departure from the U.S. State Department’s foreign aid bureau to the White House. His transition to the National Security Council ends a controversial leadership marked by the retreat of the U.S. from its long-held role as the world’s leading bilateral donor. He is expected to be replaced by Andrew Veprek, who has pushed immigration and refugee restrictions at the State Department. As the United Nations continues to face budgetary constraints, we also analyze the potential merger of two major U.N. development agencies: the U.N. Development Programme, or UNDP, and UNOPS. While Secretary-General António Guterres sees this ambitious development reform as a way to overcome a yawning funding gap, UNDP chief Alexander De Croo and UNOPS Executive Director Jorge Moreira da Silva have butted heads over their vastly different visions for the future. During the conversation we also discuss our key takeaways from the Hamburg Sustainability Conference, including a new initiative that is designed to tackle debt, trade, climate finance, and multilateral reform to help reset the terms of global cooperation. To dig into these stories and others, Senior Reporter Adva Saldinger sits down with U.N. correspondent Colum Lynch and reporter Jesse Chase-Lubitz for the latest episode of our weekly podcast series. How can climate and nature investments move from ambition to action? In the sponsored segment of the episode, recorded live at Devex Impact House during London Climate Action Week, Kate Warren, Executive Editor and Executive Vice President at Devex, speaks with Waqas Batley, Senior Director, Conservation and Climate Finance Policy at The Nature Conservancy. Together, they explore how policy advocacy can help countries develop the plans, financial roadmaps, and regulatory systems needed to attract investment in nature and climate. The conversation looks at why nature should be understood as economic infrastructure, what finance ministries can do to send clearer signals to investors, and how approaches such as country platforms can help turn national climate and biodiversity priorities into investable pipelines. Sign up to Devex Invested: https://www.devex.com/newsletters/invested

This special two-part edition of This Week in Global Development comes to you from the Hamburg Sustainability Conference, where leaders from across development, government, business and civil society gather to debate the big questions facing the global economy — from climate and debt to security, trade, and the future of international cooperation. In part one, Devex Global Development Reporter Ayenat Mersie speaks with Achim Steiner, chair of the Hamburg Sustainability Conference and former administrator of the United Nations Development Programme, to explore a question at the heart of today’s geopolitical moment: Are governments preparing for the wrong kinds of threats? As defense budgets climb around the world, Steiner tells Ayenat that countries risk neglecting the investments that actually make societies more secure, from climate resilience and affordable clean energy to digital infrastructure. He also explains why sustainability should be seen not as a sacrifice, but as an opportunity to strengthen economies, lower costs, and build resilience. In part two, Ayenat speaks with Sierra Leone Vice President Mohamed Juldeh Jalloh, who talks about “the politics of painful choices” — the difficult trade-offs governments face when debt burdens, aid cuts, and external shocks leave little room for long-term investment. He reflects on balancing immediate needs with climate action, why he believes countries need new tools to absorb global shocks, and what sustainability looks like from the perspective of a government under severe fiscal pressure.

In a special edition of the This Week in Global Development podcast, Devex cofounder and Executive Vice President Alan Robbins sits down with Brazilian thoracic surgeon Dr. Ricardo Sales do Santos to discuss a revolutionary approach to tackling lung cancer in medically underserved communities in Brazil. As the most lethal form of cancer globally, lung cancer often goes undetected until its final stages, but Dr. Santos and the Bristol Myers Squibb Foundation are working to change that narrative through a combination of mobile technology and local capacity building. By bringing advanced CT scanning units directly into high-risk, low-income communities, they are catching tumors when they are small and potentially curable, fundamentally shifting the odds for thousands of patients. The conversation also touches on the logistical and cultural hurdles of delivering specialized oncology care to remote areas. Dr. Santos highlights the importance of “bringing the clinic to the patient,” utilizing mobile CT units and telemedicine to bridge the gap in healthcare access. Beyond the technology, the success of the program relies heavily on empowering local health workers and community members to recognize early cancer warning signs and overcome the stigma associated with a cancer diagnosis. This approach not only improves individual health outcomes but also strengthens the broader healthcare system, offering a scalable model for global health initiatives. To learn more about sustainable improvements in cancer care and get a compelling look at how local solutions can drive global change, listen to this special edition of This Week in Global Development. For more international development news, visit: http://www.devex.com Visit Strengthening Care Systems — a series raising awareness of the scale of the global lung cancer burden and the systems-level changes required to address it: https://pages.devex.com/strengtheningcaresystems.html