USAID’s history shows decades of good work on behalf of America’s global interests, although not all its projects succeeded

The Trump administration’s sudden dismantling of nearly all foreign aid, including the work carried out by the U.S. Agency for International Development, has upended the government agency’s longtime strategic role in implementing American foreign policy.

The Trump administration said at the end of February 2025 that it is freezing 90% of USAID’s foreign aid contracts, leaving few projects intact. It has also recalled nearly 10,000 USAID staff from countries around the world.

USAID is a government agency that, for more than 63 years, has led the United States’ foreign aid work on disaster recovery, poverty reduction and democratic reforms in many developing and middle-income countries.

Reuters reported that a senior USAID official wrote in a March 2 internal memo that a yearlong pause in USAID’s work on health, food and agriculture in the world’s poorest countries would raise malaria deaths by 40%, to between 71,000 and 166,000 annually. It would also result in an increase of between 28% and 32% in tuberculosis cases, among other negative effects.

As a historian of USAID, I know well that the agency has long faced a surprisingly high degree of scrutiny for its relatively tiny portion of the national budget.

USAID’s budget has always been small – recently, in 2023, making up a roughly US$50 billion drop in the $6 trillion ocean of the federal budget. But USAID’s projects have had an outsized effect on the world.

From a foreign policy standpoint, USAID’s greatest contribution to American influence abroad has always been its intangible soft-power effects. It helps to create an image of the U.S. as a positive, helpful world power worth partnering with.

A poster for USAID in Beirut marks the U.S. donation for rebuilding lighting infrastructure near a destroyed city port in August 2023.
Scott Peterson/Getty Images

Responding to a Soviet threat in the 1960s

USAID dates back to 1961, born from Cold War confrontations between the U.S. and the Soviet Union.

In 1961, President John F. Kennedy merged several separate foreign aid agencies and offices – including the Mutual Security Agency, the Point Four Program and the Foreign Operations Administration – into one new agency.

Kennedy, like other American presidents in the early years of the Cold War, fretted over the spread of communism.

A well-known development economist, Walt Rostow, who served in Kennedy’s administration, was among the experts who argued that the Soviet Union could easily influence poor countries in Latin America, Africa and Asia. It was possible, Rostow argued, to help these countries grow their economies and become more modern.

This possibility pushed Kennedy in 1961 to sign the Foreign Assistance Act, creating USAID that November.

USAID immediately began to oversee U.S. foreign aid programs to develop farming, irrigation and dam construction projects throughout Southeast Asia, Africa and Latin America, taking over the existing projects of the various other aid departments that were now defunct.

USAID was also responsible for public works projects in Cold War conflict zones, particularly Vietnam. There, USAID struggled in its efforts to build dams, improve rural agriculture techniques and construct South Vietnamese infrastructure. There were various environmental challenges working in the dense jungles, the physical threats caused by the ongoing Vietnam War and the realities of rural poverty.

For example, USAID introduced new farming technologies to Vietnam, including modern fertilizers and tractors. This helped some farmers produce more crops, faster. But it also created disparities between wealthy and poor farmers, as modern fertilizer and other improvements were expensive. A growing number of poor farmers simply gave up and moved to nearby cities.

Throughout the 1960s, USAID also funded the construction of hydropower water dams in Asia and Africa. This led to higher energy production in those regions, but also resulted in environmental degradation, as recklessly dammed rivers flooded forests and arable fields.

Rostow and other development experts had unrealistically high goals for helping poor countries grow their economies. By the end of the decade, across the board, USAID beneficiary countries in Asia and Africa fell short of the economic growth expectations the U.S. set at the beginning of the 1960s.

Still, USAID made substantial progress in developing food production and some economic growth, and improving the health of people in rural parts of countries such as India and Ghana.

But that progress had limits and did not magically turn these economies into modern, Western-style capitalist democracies.

People work on a long-exposed metal pipe in a rural-looking town in a black-and-white photo.
With the help of a USAID grant, people lay pipework to bring water from a mountain spring to a town called Korem in Ethiopia in 1968.
Paul Conklin/Getty Images

Mixed results and focus

As a result of USAID’s uneven progress in modernizing poor countries, the agency’s approach shifted in the 1970s and ‘80s.

In the early 1970s, Congress and development experts pushed USAID away from grand, gross domestic product-focused modernization projects like dams, which they ostracized for their high costs and lack of tangible results.

Instead, with the support of the Carter administration, USAID began to work more on meeting poor people’s basic human needs, including food, shelter and education, so they could lift themselves out of poverty.

The agency shifted priorities once again in 1981, after President Ronald Reagan took office. His administration created programs meant to advertise American businesses and draw developing countries into the global marketplace.

Rather than USAID giving money to a local government to build a well in a rural village, for example, the agency increasingly started contracting local or American businesses to do so. The U.S., in other words, began outsourcing its foreign aid.

Two men wearing suits appear to move to shake hands, with people standing behind them carrying a large white bag that says USAID.
U.S. Ambassador to Indonesia Stapleton Roy, right, presents Indonesia’s food and agriculture minister, A.M. Saefuddin, with food donated by USAID in Bandar Lampung, South Sumatra, in July 1998.
Bernard Estrade/AFP via Getty Images

USAID’s next phase

At the end of the Cold War in 1991, the United States’ interest in spending money on helping poorer countries develop and modernize declined around the world.

USAID shifted priorities once again.

Without the threat of the Soviet Union, USAID’s mission throughout the 1990s became increasingly focused on new issues. These included democracy promotion in former Soviet countries in Eastern Europe. Sustainable development – a broad term that means promoting economic growth while respecting environmental concerns and long-term natural resource usage – was another focus in different regions.

After the U.S. invaded Iraq and Afghanistan in the early 2000s, USAID struggled to fulfill its existing international projects while also rebuilding critical infrastructure to resurrect the Iraqi and Afghani economies during wartime.

USAID’s funding remained stagnant in the 2010s after the recession. At the time, its annual budget was roughly $25 billion.

At the same time, China expanded its own international development program to entice governments toward its side and to tether them to the Chinese economy.

China’s aid work in South America has expanded rapidly over the past several years, and it is now the region’s top trading partner and also a major contributor to investment, energy and infrastructure projects. China’s aid and investment work in Africa has also grown considerably over the past few decades.

Now, with USAID’s dissolution, Chinese influence throughout poor and middle-income countries is expected to grow.

A lasting mark

Despite its limitations and frustrations, in my view, USAID has had an undeniable, and often massive, positive impact on the world.

USAID’s efforts to promote American businesses and exports abroad have resulted in the creation of thousands of jobs, both domestically and abroad, in a wide variety of industries, ranging from farming to medical sciences.

The tens of thousands of water wells and other forms of critical rural infrastructure the agency has funded, or created itself, have provided clean, safe drinking water for millions in Africa. The agency’s Office of Foreign Disaster Assistance has provided decades of critical disaster assistance during famines, earthquakes and hurricanes around the world.

These humanitarian efforts cost money, however. Some Republicans, including politicians and voters, say they have found the idea of American tax dollars being sent abroad, whether during the Cold War or today, wasteful, and others have worried over how aid funds may have been [abused].

USAID has always straddled a difficult line, as development is a messy field. But ending U.S. foreign aid will be much messier, and it could also cost millions of people who are reliant on USAID their health or lives.