Source: Amnesty International
The United States government’s abrupt and sweeping freeze on foreign aid is severely imperiling the human rights of refugees, civilians in armed conflict areas and individuals fleeing persecution in Myanmar, Amnesty International said today.
The organization warned that lives could be lost unless the decision is urgently reversed, amended or if waivers for life-saving assistance are not immediately granted and swiftly implemented for those working on the ground.
“The Trump administration’s cruel decision to issue immediate stop work orders on foreign aid is having an instant and devastating impact across the globe, and in Myanmar it is hitting people at a particularly dark hour,” said Amnesty International’s Myanmar Researcher Joe Freeman.
“The decision has abruptly shut down hospitals in refugee camps, put fleeing human rights defenders at risk of deportation and imperiled programs helping people prevent atrocities, survive in conflict zones and rebuild their lives amid ongoing waves of violence.”
On 20 January, US President Donald Trump signed a presidential executive order pausing all foreign aid amid a 90-day review of whether it is consistent with American foreign policy. On 24 January, US Secretary of State Marco Rubio issued a stop work order to those delivering assistance worldwide as part of the review, but carved out exemptions to the pause for emergency food assistance, as well as military aid to Israel and Egypt.
An additional waiver dated 28 January exempted “life-saving humanitarian assistance” from the stoppage, while follow-up clarifications in the first week of February broadened the exemptions for specific activities. However, based on Amnesty’s latest research, implementation of these waivers has yet to trickle down to many organizations working along the Thai-Myanmar border.
“The US government’s shocking move has had immediate global impacts whose real-life consequences are still being felt and understood. Our findings from Myanmar and Thailand provide just one example of the damage wrought by this heartless decision,” Joe Freeman said.
In Myanmar, the funding pause has further devastated a civilian population already enduring escalating armed conflict, widespread displacement and severe human rights violations by a military that seized power in a coup more than four years ago. It has also sowed chaos, desperation and anguish among tens of thousands of Myanmar refugees living in Thailand.
To date, US funding has helped many endure the upheaval by supporting emergency shelter or relocation for activists, delivering food aid, helping create early-warning systems for air strikes, delivering medical treatment in war zones and providing education opportunities to those who have lost all hope of a future.
From 3-10 February, Amnesty International spoke to 12 Myanmar refugees living in camps along the border in Thailand, along with representatives from 14 organizations with Myanmar-focused activities. They include health workers, human rights researchers and NGOs providing cross-border assistance as well as media and education providers. All warned of severe consequences if the decision was not reversed or amended. Not one had received a communication or confirmation of a waiver from the US government to continue operations.
‘The mission is not to die”
Despite the promise of waivers for life-saving humanitarian assistance, the aid stoppage is posing serious risks to the rights to health of more than 100,000 people living in nine refugee camps on the Thai side of the border with Myanmar. The majority have been there for years, fleeing previous waves of violence in Myanmar, but the camps have grown in size since the coup.
Amnesty International spoke to refugees living in two separate camps along the border. All said hospitals in the camp, which are run by the International Rescue Committee (IRC) through USAID funding, had abruptly shut down after the stop work order. Though Thai authorities and hospitals have been able to step in and provide services for camp residents, their resources are stretched. As of 11 February, the IRC had still not received a waiver to continue their work.
The impact of the initial shutdown was felt immediately. In the Umpien camp, for example, residents said at least four people have died as a result of not receiving oxygen provided by the hospitals. Amnesty could not independently confirm the claim. Reuters reported on 7 February that Pe Kha Lau, 71, died four days after she was sent home from a healthcare facility funded by the US through the IRC.
“It was so scary, they forced everyone to go out of the hospital…and some people died because they lost their oxygen. We were not only sad but also scared of what is coming next,” said U Htan Htun, 62.
Ma Su Su, a volunteer community medical worker in the Umpien camp, also said that on the day the order was announced people who needed treatment were told to leave the hospital. She said she witnessed staff removing an IV-drip from a patient and described how someone without proper training had to provide stitches to a wounded resident.
“I told everyone it’s only 90 days. We’ll be okay after 90 days. But I feel hopeless,” she said. “The mission is not to die.”
Water services at the camps were disrupted, according to residents, while food aid is also at risk of disappearing.
Maximillian Morch from the Thai Border Consortium (TBC), which provides food and cooking fuel to all the nine camps along the Thai-Myanmar border, said they were trying to get approval for a life-saving waiver from the US government but had no confirmation yet.
Just over 60% of the Consortium’s funding is from the US through the Bureau of Population, Refugees and Migration (PRM) at the US State Department. The bulk of that is food and cooking assistance. While they have not been told to stop work, they will run out of funds for food in four to six weeks if their funding is discontinued as part of the review of foreign aid.
“Food is as inoffensive as you can be. And if you stop funding food this is not just a TBC problem, it’s an international humanitarian problem,” Morch said.
“Very tough days for us”
Since the Myanmar military took power in a 2021 coup, armed conflict has intensified across the country. Ever-increasing military air strikes have killed civilians and targeted schools, hospitals and monasteries, while elsewhere the military has targeted protesters, activists and journalists. Funded by USAID, civil society organizations across Myanmar help civilians, journalists and human rights defenders find shelter, aid and safety in exile if they have to flee the country.
Groups in southeastern Myanmar, an area particularly hard-hit by military air strikes, run several US-funded programs which can be considered life-saving. They provide mobile medical units in frontline areas, help pay for hospital referrals for more advanced care and assist civilians in the aftermath of an air strike to find food and shelter.
“At the same time as all the air strikes, all the bombings…artillery attacks, displacement…the funding has been stopped,” said Saw Diamond Khin, director of the Karen Department of Health and Welfare, which assists seven districts in southeastern Myanmar. “It is very tough days for us.”
No waivers for life-saving work
Saw Thar Win, from the Ethnic Health Systems Strengthening Group, said his organization had planned to deliver portable, battery-charged ultrasound and X-ray machines to conflict-affected communities in Myanmar. One set can serve an estimated 50,000 people. But the stop work order meant the machines were just sitting in boxes in his office because the funding for transporting it had been impacted.
Another community-based health provider said the pause in US funding meant that they can no longer support urgent life-saving treatment inside Myanmar. Their funding had supported costs for emergency surgery to treat wounds from air strikes or other armed conflict injuries, as well as neonatal emergency treatment and surgery for appendicitis and blood transfusions.
Despite the announcement of waivers at the end of January, medicines for HIV, tuberculosis and malaria, as well as support for mental health services for those traumatized by the armed conflict, have been similarly affected. Not one group Amnesty spoke to said they had been given any communication or confirmation of a waiver for life-saving work, even though their operations, such as helping feed, shelter and treat people in war zones, would clearly qualify.
All said they lacked clear communication from US agencies such as USAID and their partners on the grounds. The Overseas Irrawaddy Association – which provides emergency relocation for hundreds of activists inside Myanmar, where protesters are routinely imprisoned and tortured by the military – said the freeze has affected their ability to support hundreds of at-risk individuals.
“By removing the ability of these organizations to protect some of the most vulnerable people inside Myanmar, the US is effectively giving the rights-abusing Myanmar military an invaluable gift in their crackdown on the right to freedom of expression and information,” Freeman said.
“People are now more vulnerable to arrest, to torture, and for those who have fled to Thailand and rely on funding for shelter, to deportation back to Myanmar. The US must immediately and directly communicate that groups working on life-saving assistance in Myanmar can continue their work.”