Trump Canceled Their Salaries. These Health Workers in Uganda Showed Up Anyway.
When a counselor jokingly chided them, 'Why aren't you happy to see us?' the crowd offered a perfunctory cheer. Then clients said that they'd heard news of the Trump administration's changes to foreign aid. Many of them wept as they explained their fear that TASO Tororo wouldn't come as scheduled. A grandmother of 12, fearing for the survival of her teenage granddaughter, also living with H.I.V., pleaded to me, an American, to convince whoever in my government had put the program in jeopardy to relent. 'Change the heart,' she begged repeatedly, then collapsed forward, her body shaking.
It was 20 years ago that I made my first visit to Tororo, Uganda. A rural community where roughly a third of residents live on less than a dollar a day, Tororo is a world away from Washington. But the U.S. Senate could influence the fate of H.I.V.-positive people there this week. Lawmakers have until July 18 to vote on a bill, known as a 'rescission package,' that would slash $900 million for global health, including $400 million for the President's Emergency Plan for AIDS Relief, or PEPFAR, which supports H.I.V. treatment worldwide. It has saved 25 million lives since it was established by President George W. Bush 22 years ago.
The package retroactively approves the unlawful actions of the Department of Government Efficiency, which in January and February halted foreign aid and other spending already approved by Congress. While Secretary of State Marco Rubio approved a waiver to continue PEPFAR's lifesaving services, including the distribution of antiretrovirals, the maelstrom of grant cancellations and terminations at the U.S. Agency for International Development left the H.I.V. program in chaos.
This was evident in Tororo. When the medical team arrived with drugs for the grandmothers and other clients in April, they hadn't received salaries for three months as a result of a canceled grant. Nor had TASO staff members, who support more than 120,000 people across the country. And yet, counselors, doctors, nurses and peer educators kept showing up. Many counselors and educators also have H.I.V., and they told me that abandoning their clients was unthinkable.
Mr. Rubio has positioned himself as a champion of PEPFAR. And indeed, his waiver, PEPFAR's operational structure (it has been housed in the State Department and implemented by multiple government agencies since it began) and the work of volunteers like those in Tororo have kept the program operational, even as U.S.A.I.D. formally shut down this month.
Want all of The Times? Subscribe.
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
Yahoo
28 minutes ago
- Yahoo
Islamic State and al-Qaida threat is intense in Africa, with growing risks in Syria, UN experts say
UNITED NATIONS (AP) — The threat from Islamic State and al-Qaida extremists and their affiliates is most intense in parts of Africa, and risks are growing in Syria, which both groups view as a 'a strategic base for external operations,' U.N. experts said in a new report. Their report to the U.N. Security Council circulated Wednesday said West Africa's al-Qaida-linked Jama'at Nasr al-Islam wal-Muslimin group, known as JNIM, and East Africa's al-Qaida-linked al-Shabab have continued to increase the territory under their control. The experts monitoring sanctions against the two groups said 'the organization's pivot towards parts of Africa continued" partly because of Islamic State losses in the Middle East due to counterterrorism pressures. There are also 'increasing concerns about foreign terrorist fighters returning to Central Asia and Afghanistan, aiming to undermine regional security,' they said. The Islamic State also continues to represent 'the most significant threat' to Europe and the Americas, the experts said, often by individuals radicalized via social media and encrypted messaging platforms by its Afghanistan-based Khorasan group. In the United States, the experts said several alleged terrorist attack plots were 'largely motivated by the Gaza and Israel conflict,' or by individuals radicalized by IS, also known as ISIL. They pointed to an American who pledged support to IS and drove into a crowd in New Orleans on Jan. 1, killing 14 people in the deadliest attack by al-Qaida or the Islamic State in the U.S. since 2016. In addition, they said, 'Authorities disrupted attacks, including an ISIL-inspired plot to conduct a mass shooting at a military base in Michigan,' and the IS Khorasan affiliate issued warnings of plots targeting Americans. In Africa's Sahel region, the experts said, JNIM expanded its area of operations, operating 'with relative freedom' in northern Mali and most of Burkina Faso. There was also a resurgence of activity by the Islamic State in the Greater Sahara, 'particularly along the Niger and Nigeria border, where the group was seeking to entrench itself.' 'JNIM reached a new level of operational capability to conduct complex attacks with drones, improvised explosive devices and large numbers of fighters against well-defended barracks,' the experts said. In East Africa, they said, 'al-Shabab maintained its resilience, intensifying operations in southern and central Somalia' and continuing its ties with Yemen's Houthi rebels. The two groups have reportedly exchanged weapons and the Houthis have trained al-Shabab fighters, they said. Syria, the experts said, remains 'in a volatile and precarious phase,' six months after the ouster of President Bashar Assad, with unnamed countries warning of growing risks posed by both IS and al-Qaida. 'Member states estimated that more than 5,000 foreign terrorist fighters were involved in the military operation in which Damascus was taken on Dec. 8,' the experts' 27-page report said. Syria's new interim President Ahmad Al-Sharaa led the rebel group Hayat Tahrir al-Sham, or HTS, once an al-Qaida affiliate that later split from it. He has promised that the country will transition to a system that includes Syria's mosaic of religious and ethnic groups under fair elections, but skeptics question whether that will actually happen. The experts expressed concern at the Syrian military's announcement of several senior appointments including 'prominent Syrian armed faction leaders' and six positions for foreigners — three with the rank of brigadier general and three with the rank of colonel. 'The ideological affiliation of many of these individuals was unknown, although several were likely to hold violent extremist views and external ambitions," the report said. As for financing, the experts said the HTS takeover in Syria was considered to pose financial problems for the Islamic State and likely to lead to a decline in its revenues. Salaries for Islamic State fighters were reduced to $50-$70 per month and $35 per family, 'lower than ever, and not paid regularly, suggesting financial difficulties,' said the experts, who did not give previous salaries or family payments. They said both al-Qaida and the Islamic State vary methods to obtain money according to locations and their ability to exploit resources, tax local communities, kidnap for ransom and exploit businesses. While the extremist groups predominantly move money through cash transfers and informal money transfer systems known as hawalas, the experts said the Islamic State has increasingly used female couriers and hawala systems where data is stored in the cloud to avoid detection, and 'safe drop boxes' where money is deposited at exchange offices and can only be retrieved with a password or code.
Associated Press
an hour ago
- Associated Press
Islamic State and al-Qaida threat is intense in Africa, with growing risks in Syria, UN experts say
UNITED NATIONS (AP) — The threat from Islamic State and al-Qaida extremists and their affiliates is most intense in parts of Africa, and risks are growing in Syria, which both groups view as a 'a strategic base for external operations,' U.N. experts said in a new report. Their report to the U.N. Security Council circulated Wednesday said West Africa's al-Qaida-linked Jama'at Nasr al-Islam wal-Muslimin group, known as JNIM, and East Africa's al-Qaida-linked al-Shabab have continued to increase the territory under their control. The experts monitoring sanctions against the two groups said 'the organization's pivot towards parts of Africa continued' partly because of Islamic State losses in the Middle East due to counterterrorism pressures. There are also 'increasing concerns about foreign terrorist fighters returning to Central Asia and Afghanistan, aiming to undermine regional security,' they said. The Islamic State also continues to represent 'the most significant threat' to Europe and the Americas, the experts said, often by individuals radicalized via social media and encrypted messaging platforms by its Afghanistan-based Khorasan group. In the United States, the experts said several alleged terrorist attack plots were 'largely motivated by the Gaza and Israel conflict,' or by individuals radicalized by IS, also known as ISIL. They pointed to an American who pledged support to IS and drove into a crowd in New Orleans on Jan. 1, killing 14 people in the deadliest attack by al-Qaida or the Islamic State in the U.S. since 2016. In addition, they said, 'Authorities disrupted attacks, including an ISIL-inspired plot to conduct a mass shooting at a military base in Michigan,' and the IS Khorasan affiliate issued warnings of plots targeting Americans. In Africa's Sahel region, the experts said, JNIM expanded its area of operations, operating 'with relative freedom' in northern Mali and most of Burkina Faso. There was also a resurgence of activity by the Islamic State in the Greater Sahara, 'particularly along the Niger and Nigeria border, where the group was seeking to entrench itself.' 'JNIM reached a new level of operational capability to conduct complex attacks with drones, improvised explosive devices and large numbers of fighters against well-defended barracks,' the experts said. In East Africa, they said, 'al-Shabab maintained its resilience, intensifying operations in southern and central Somalia' and continuing its ties with Yemen's Houthi rebels. The two groups have reportedly exchanged weapons and the Houthis have trained al-Shabab fighters, they said. Syria, the experts said, remains 'in a volatile and precarious phase,' six months after the ouster of President Bashar Assad, with unnamed countries warning of growing risks posed by both IS and al-Qaida. 'Member states estimated that more than 5,000 foreign terrorist fighters were involved in the military operation in which Damascus was taken on Dec. 8,' the experts' 27-page report said. Syria's new interim President Ahmad Al-Sharaa led the rebel group Hayat Tahrir al-Sham, or HTS, once an al-Qaida affiliate that later split from it. He has promised that the country will transition to a system that includes Syria's mosaic of religious and ethnic groups under fair elections, but skeptics question whether that will actually happen. The experts expressed concern at the Syrian military's announcement of several senior appointments including 'prominent Syrian armed faction leaders' and six positions for foreigners — three with the rank of brigadier general and three with the rank of colonel. 'The ideological affiliation of many of these individuals was unknown, although several were likely to hold violent extremist views and external ambitions,' the report said. As for financing, the experts said the HTS takeover in Syria was considered to pose financial problems for the Islamic State and likely to lead to a decline in its revenues. Salaries for Islamic State fighters were reduced to $50-$70 per month and $35 per family, 'lower than ever, and not paid regularly, suggesting financial difficulties,' said the experts, who did not give previous salaries or family payments. They said both al-Qaida and the Islamic State vary methods to obtain money according to locations and their ability to exploit resources, tax local communities, kidnap for ransom and exploit businesses. While the extremist groups predominantly move money through cash transfers and informal money transfer systems known as hawalas, the experts said the Islamic State has increasingly used female couriers and hawala systems where data is stored in the cloud to avoid detection, and 'safe drop boxes' where money is deposited at exchange offices and can only be retrieved with a password or code.
Washington Post
an hour ago
- Washington Post
Islamic State and al-Qaida threat is intense in Africa, with growing risks in Syria, UN experts say
UNITED NATIONS — The threat from Islamic State and al-Qaida extremists and their affiliates is most intense in parts of Africa, and risks are growing in Syria , which both groups view as a 'a strategic base for external operations,' U.N. experts said in a new report. Their report to the U.N. Security Council circulated Wednesday said West Africa's al-Qaida-linked Jama'at Nasr al-Islam wal-Muslimin group, known as JNIM , and East Africa's al-Qaida-linked al-Shabab have continued to increase the territory under their control. The experts monitoring sanctions against the two groups said 'the organization's pivot towards parts of Africa continued' partly because of Islamic State losses in the Middle East due to counterterrorism pressures. There are also 'increasing concerns about foreign terrorist fighters returning to Central Asia and Afghanistan, aiming to undermine regional security,' they said. The Islamic State also continues to represent 'the most significant threat' to Europe and the Americas, the experts said, often by individuals radicalized via social media and encrypted messaging platforms by its Afghanistan-based Khorasan group. In the United States, the experts said several alleged terrorist attack plots were 'largely motivated by the Gaza and Israel conflict,' or by individuals radicalized by IS, also known as ISIL. They pointed to an American who pledged support to IS and drove into a crowd in New Orleans on Jan. 1, killing 14 people in the deadliest attack by al-Qaida or the Islamic State in the U.S. since 2016. In addition, they said, 'Authorities disrupted attacks, including an ISIL-inspired plot to conduct a mass shooting at a military base in Michigan,' and the IS Khorasan affiliate issued warnings of plots targeting Americans. In Africa's Sahel region, the experts said, JNIM expanded its area of operations, operating 'with relative freedom' in northern Mali and most of Burkina Faso. There was also a resurgence of activity by the Islamic State in the Greater Sahara, 'particularly along the Niger and Nigeria border, where the group was seeking to entrench itself.' 'JNIM reached a new level of operational capability to conduct complex attacks with drones, improvised explosive devices and large numbers of fighters against well-defended barracks,' the experts said. In East Africa, they said, 'al-Shabab maintained its resilience, intensifying operations in southern and central Somalia' and continuing its ties with Yemen's Houthi rebels. The two groups have reportedly exchanged weapons and the Houthis have trained al-Shabab fighters, they said. Syria, the experts said, remains 'in a volatile and precarious phase,' six months after the ouster of President Bashar Assad, with unnamed countries warning of growing risks posed by both IS and al-Qaida. 'Member states estimated that more than 5,000 foreign terrorist fighters were involved in the military operation in which Damascus was taken on Dec. 8,' the experts' 27-page report said. Syria's new interim President Ahmad Al-Sharaa led the rebel group Hayat Tahrir al-Sham, or HTS, once an al-Qaida affiliate that later split from it. He has promised that the country will transition to a system that includes Syria's mosaic of religious and ethnic groups under fair elections, but skeptics question whether that will actually happen. The experts expressed concern at the Syrian military's announcement of several senior appointments including 'prominent Syrian armed faction leaders' and six positions for foreigners — three with the rank of brigadier general and three with the rank of colonel. 'The ideological affiliation of many of these individuals was unknown, although several were likely to hold violent extremist views and external ambitions,' the report said. As for financing, the experts said the HTS takeover in Syria was considered to pose financial problems for the Islamic State and likely to lead to a decline in its revenues. Salaries for Islamic State fighters were reduced to $50-$70 per month and $35 per family, 'lower than ever, and not paid regularly, suggesting financial difficulties,' said the experts, who did not give previous salaries or family payments. They said both al-Qaida and the Islamic State vary methods to obtain money according to locations and their ability to exploit resources, tax local communities, kidnap for ransom and exploit businesses. While the extremist groups predominantly move money through cash transfers and informal money transfer systems known as hawalas, the experts said the Islamic State has increasingly used female couriers and hawala systems where data is stored in the cloud to avoid detection, and 'safe drop boxes' where money is deposited at exchange offices and can only be retrieved with a password or code.
