Global aid cuts could cause 22.6 million deaths by 2030, mainly in Africa and Asia, threatening progress on child health and disease.

A new study warns that deep cuts to global aid could cause 22.6 million additional deaths by 2030 in 93 low- and middle-income countries, including 5.4 million children under five, with Sub-Saharan Africa and Asia most at risk. Declining official development assistance from major donors like the U.S., U.K., France, and Germany—marking the first drop in nearly 30 years—threatens to undo progress in reducing child mortality, HIV/AIDS, malaria, and malnutrition. Projected further cuts in 2025 and 2026 could reduce aid by 10% to 18%, endangering decades of global health gains.