Evidence map›Paper›PMID 41410401›Full record

ArticleJournal of public health (Oxford, England)2025

USA's exit from the WHO and freeze on USAID funds globally: its perils and possible opportunities.

Srikrishna Sulgodu Ramachandra, Premila Webster

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Srikrishna Sulgodu RamachandraDepartment of Community Medicine, KMC Medical College and Hospital, Mahuawa, Farenda Road, Maharajganj District, Uttar Pradesh 273303, India.ORCID 0009-0000-2392-5530
Premila WebsterSomerville College, University of Oxford, Oxford, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Two Executive Orders signed by USA's President Trump on 20 January 2025: one, USA's exit from World Health Organization (WHO) and other, a 90 days' freeze on USAID's funds and activities globally with immediate effect, have far reaching impact on global public health and development. Zero fund contribution from USA (currently, largest fund contributor to WHO), means decreased resources which would negatively impact WHO developmental initiatives globally. The impact of USAID fund freeze is yet to be ascertained. DOGE and Trump administration appear to have based their decision on their 'America First' to critically assess US aid to global communities, vis-à-vis the requirement and needs to their own people. However, the modus operandi and modalities of executing these orders overnight, without consulting or appraising the stakeholders was not the best way. It erodes the ethos of commitment to Global Health, International Health and Development. While World Leaders and Global-Public-Health-Community could consider diplomacy and advocacy channels, urging President Trump to reconsider his decisions, some immediate risk-mitigation and damage-control strategies could be put in place. This could include strengthening and expansion of geopolitical realignments, emergence of new leadership, newer models of programme implementation, technology enabled monitoring and evaluation that can reduce costs of programme implementation and management.

Indexed as

Global HealthInternational CooperationWorld Health OrganizationHumansPoliticsPublic HealthUnited Statesimpact on global public healthUSAID fund freezeUSA’s WHO exit

Identifiers

PMID41410401
PMCPMC12847063

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.