Trump administration changes have upended the U.S. agency charged with providing humanitarian aid overseas, with senior officials put on leave, contractors laid off and a sweeping freeze imposed on foreign assistance.

US Secretary of State Marco Rubio has backpedalled on the near-total freeze of US foreign aid, stating that ‘life-saving humanitarian assistance’ would be continued during the 90-day review period. There is widespread uncertainty about which programmes fall under the new waiver among global and South African health organisations.