Global malnutrition crisis: assessing the fallout of US Agency for International Development (USAID) withdrawal and pathways forward

Malnutrition remains one of the most pressing global health crises, exacerbating paediatric mortality in low- and middle-income countries. It has long-term implications, from immediate health concerns to weakened immune function and reduced economic productivity. Despite decades of progress driven by international collaboration, contemporary global disruptions have counteracted the gains in combating malnutrition. The US Agency for International Development (USAID) abruptly withdrew support, aggravating the situation, which previously funded large-scale nutrition programmes and health interventions across more than 50 countries. USAID tailored its assistance to nutritional rehabilitation, maternal-child health and healthcare infrastructure, significantly curbing child malnutrition in countries like Pakistan, South Sudan and Yemen. The dissolution of these programmes has placed millions of vulnerable children at increased risk of malnutrition. This editorial accentuates the urgency of addressing the funding gap left by USAID's cessation and calls for coordinated policy interventions, increased domestic investment in nutrition programmes and global collaboration through alternative funding sources. Strengthening food security initiatives, bolstering healthcare supply chains and launching public awareness campaigns on maternal and child nutrition are critical in preventing a worsening public health crisis. [Abstract copyright: © Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.]