News from the South - Alabama News Feed
USAID’s reproductive health funding has saved millions of lives. Now it’s gone. • Alabama Reflector
USAID’s reproductive health funding has saved millions of lives. Now it’s gone.
by Jessica Kutz, The 19th, Alabama Reflector
February 9, 2025
This story was originally reported by Jessica Kutz of The 19th. Meet Jessica and read more of her reporting on gender, politics and policy.
On Sunday, Elon Musk, the world’s richest man, boasted that he was gutting the federal agency tasked with providing foreign aid to its poorest.
“We spent the weekend feeding USAID into the wood chipper,” Musk, the tech billionaire head of the so-called Department of Government Efficiency, posted on his social media platform, X.
The United States Agency for International Development (USAID) was established in 1961 to provide foreign assistance to impoverished countries around the world through food aid and humanitarian and economic development work. It is also one of the world’s largest providers of contraception through its family planning program. According to the Congressional Research Service, the agency’s funding in 2023 was about $40 billion, which represented less than 1 percent of the federal budget.
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Beth Schlachter, senior director of U.S. engagement for MSI Reproductive Choices, a global non-governmental organization (NGO) that provides contraception and abortion care, said Musk’s comment made her feel sick.
“You can just hear the cavalier, malicious, cruel approach to it as they’re laughing,” she said, referring to a conversation Musk broadcast earlier in the day on his platform about the cuts. “I can’t get past it. It’s so malicious and disgusting. You have to believe that the cruelty is the point.”
MSI Reproductive Choices doesn’t receive USAID funding, but Schlachter has worked for decades at both the State Department and with NGOs on programs that build up support for sexual and reproductive health rights, maternal care and access to contraception globally. She’s seen the ways USAID funding has saved lives through its family planning initiatives. Now she worries about the immediate fallout for people across the world. She and other experts say women and LGBTQ+ people will face significant and deadly consequences because of an abrupt pause in aid.
“There will be maternal deaths, and there will be unintended pregnancies,” she said.
USAID started its family planning program in 1965 as an anti-population growth initiative, Schlachter said. “[It was] really a racist program to ensure that Black and Brown people had less babies. But it morphed over time into being the backbone of the reproductive health sector within global health.”
Experts say the family planning work, which ranges from sexual education, access to contraceptives, and maternal and infant health, have all been implemented as a way to bolster the human rights of women and girls around the world. By giving people the ability to delay pregnancy into adulthood, and the choice to go to school or have fewer children, they and their families are healthier.
“Ultimately, in planning their families, their children are more prosperous. They themselves are able to work now,” said Onikepe Owolabi, director of international research at the Guttmacher Institute, a Washington-based organization that tracks reproductive health policy.
USAID has been rocked by the Trump administration after an executive order signed on his first day in office halted all foreign funding for 90 days and a stop work order issued on January 24 for all existing foreign assistance awards. While a waiver was issued a week later to continue funding for “life-saving humanitarian assistance,” family planning was specifically excluded from the action. Separate from the executive orders, it was reported by the New York Times on Thursday that nearly all staff from the agency of about 10,000 employees would be let go.
Secretary of State Marco Rubio has been announced as the acting administrator for the agency — signaling a potential, though according to legal experts not constitutional, move to dissolve the agency’s functions into his department. The State Department did not respond to a request for comment.
For over a decade, USAID has spent about $600 million annually for its family planning work.
“The good that money has done is unquantifiable,” Owolabi said. She received training through a USAID-funded program for HIV prevention and treatment and family planning while she was a medical student in Nigeria.
She’s seen how that money has led to better maternal health outcomes and helped combat HIV in places like Rwanda and Uganda through training doctors and providing supplies and antiretrovirals to clinics. Now she’s hearing accounts of how that work has been affected.
“Imagine a rural area in Uganda, a small health outpost where women will come with their babies for care, or their pregnancy, or [where a] child can receive immunization, or for family planning counseling,” she said. “The staff can’t work because of the stop work order, the drugs, the medications, the commodities … are no longer available because USAID is one of the largest procurers and suppliers of commodities in this country. So you handicap health workers, you handicap the health system. You hold the logistics and supply chain ransom.”
As of 2023, 67 percent of contraceptives supplied through USAID went to Africa, where some of the leading causes of death for girls and women are related to pregnancy and sexually transmitted infections like HIV. According to an analysis by the Guttmacher Institute, if no contraceptive care is provided by USAID in 2025, that will lead to about 4.2 million unintended pregnancies and over 8,000 deaths related to pregnancy and childbirth complications.
“Women will die as a result of this decision,” said Rachel Clement, senior director of government relations at PAI, a global advocacy group. “Those people will die from preventable maternal mortality causes.”
Owolabi said even Momentum, a program implemented during the first Trump administration to help women survive childbirth in places like India, Senegal and Nigeria, has been shut down. One of the initiatives under the program was created to reduce maternal and infant mortality by training doctors on how to perform cesarean sections and other types of lifesaving procedures, as well as how to insert and take out intrauterine devices. Without that critical care, “they are exposing women with complicated pregnancies, a majority of who are low income, to die simply because they can’t access it,” she said.
The pause on family planning work has also impacted the United Nations Population Fund, the UN’s sexual and reproductive health agency. USAID provides between 40 to 50 percent of the funding that goes to humanitarian work at the UN.
This includes maternal health programs in Afghanistan, where the UN has had a presence for about 40 years. Up until the funding pause, the UN was able to continue providing that care through midwives that worked in rural health clinics in mountainous regions of the country.
“We try to have a midwife in every single one of [the clinics], and we have over 1,700 midwives that are supported by U.S. funds that are mostly frozen right now,” a UN official said.
Prevention and care for HIV is another concern for advocates. While the State Department issued a waiver to continue providing funding for HIV treatment, experts say it’s still not reaching clinics on the ground through programs like the U.S. President’s Emergency Plan for AIDS Relief. The global program, known as PEPFAR, has been credited with saving more than 26 million lives through providing access to antiretrovirals, which suppress the virus, and preventing the spread of HIV in 5 million children, according to UNAIDS, the United Nations program on AIDS.
While the State Department funds the program, much of the work is implemented by USAID. According to reporting from The New York Times, no money has been distributed from USAID since the initial freeze on foreign assistance, and stop work orders are still in effect. Groups on the ground are waiting for instructions to restart work, but so far none have been issued. As a result, hundreds of organizations had to halt services, according to The New York Times.
Once someone stops taking antiretrovirals, the virus can become detectable again within a few weeks, making people more likely to transmit it to others. A temporary disruption to the medication can also lead to drug resistance for someone with HIV, making their regimen less effective. PEPFAR also pays for PrEP, a medication that protects those at high risk of contracting HIV. According to the State Department, PEPFAR accounts for 90 percent of PrEP treatment initiations globally.
While advocates say HIV treatments could resume under the State Department program, new executive orders aimed at weeding out “gender ideology” and DEI in the department mean it may not serve those most at risk of exposure to HIV.
“Are they going to allow men who have sex with men? Are they going to include female sex workers, who have the highest risk of HIV transmission, in programming?” Owolabi asked. “Or are they going to impose their values on programming, and thus not going to protect the most at risk?”
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Alabama Reflector is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Alabama Reflector maintains editorial independence. Contact Editor Brian Lyman for questions: info@alabamareflector.com.
The post USAID’s reproductive health funding has saved millions of lives. Now it’s gone. • Alabama Reflector appeared first on alabamareflector.com
News from the South - Alabama News Feed
Drexel On The Road: Laughter
SUMMARY: In tonight’s WKRG News 5 segment, Drexel Gilbert introduces Denise Knox, a longtime Fair Hope resident and boutique owner who embodies resilience through faith and laughter. Despite facing numerous challenges, including a stroke and the impact of COVID-19, Denise maintains a positive attitude. She emphasizes the importance of allowing oneself to feel emotions but advocates for quickly getting back up and moving forward. Her motivation comes from a desire to uplift others who may be struggling. Denise’s story highlights how maintaining a positive outlook can help navigate life’s difficulties, ultimately inspiring hope and strength in the community.
![YouTube video](https://i.ytimg.com/vi/sicL8qH7BbE/hqdefault.jpg)
Science tells us that, in many cases, keeping a positive attitude, even in the tough times, can actually help us become stronger and happier. Tonight, News 5’s Drexel Gilbert introduces us to a woman who believes in the power of positivity, faith… and laughter.. in the face of life’s hard knocks. Drexel is on the road in Fairhope!
News from the South - Alabama News Feed
Fires and floods are eviscerating US communities, intensifying the housing crisis • Alabama Reflector
Fires and floods are eviscerating US communities, intensifying the housing crisis
by Robbie Sequeira, Alabama Reflector
February 8, 2025
This story originally appeared on Stateline.
After nearly a month, the Eaton and Palisades wildfires that ravaged California have been contained. But for Southern California and state agencies, another challenge lies ahead: helping people find homes.
The wildfires levied significant long-term damage, with thousands of homes destroyed, billions in damages and a worsening of the state’s housing and homelessness crises. Even before the fires, California already had a shortage of 1.2 million affordable homes, with Los Angeles County alone facing a deficit of 500,000 units.
“This tragic loss will certainly make the housing crisis more acute in multiple ways,” said Ryan Finnigan, an associate research director at the Terner Center for Housing Innovation at the University of California, Berkeley. “L.A. continues to need vastly more affordable housing, and people displaced from lost affordable units might need the most support to become stably housed again.”
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Even those displaced from market-rate or high-end housing will face challenges in an already tight market, with thousands searching for housing at once — likely driving prices even higher for everyone.
Natural disasters are worsening the U.S. housing crisis, upending the home insurance market, and reducing housing options — particularly for lower-income residents. And that trend will likely grow as disasters become more frequent and severe.
Climate change, experts warn, is the world’s fastest-growing driver of homelessness, displacing millions of people annually. In 2022 alone, disasters forced 32.6 million people worldwide from their homes, according to a 2023 report by the Internal Displacement Monitoring Centre.
If trends continue, 1.2 billion people globally could be displaced due to disasters by 2050, according to the international think tank Institute for Economics & Peace.
The consequences are already playing out.
After the 2023 Maui wildfires, homelessness in Hawaii rose by 87%. With Los Angeles’ fires destroying about six times as many homes, experts predict that California’s homeless population will surge dramatically in 2025.
“Natural disasters cause a massive spike in homelessness,” said Jeremy Ney, a macroeconomics policy strategist who studies American inequality. “The primary goal of relief organizations like the Red Cross is to prevent people from becoming permanently unhoused — but for many, it can take a decade or more to recover.”
A long path to recovery
According to the Migration Policy Institute, 3.2 million U.S. adults were displaced or evacuated because of natural disasters in 2022, with more than 500,000 still unable to return home by the end of the year.
The recovery timeline can be grueling. In North Carolina, state officials managing Hurricane Helene’s recovery warned that key federal funding for home reconstruction could be delayed for months — possibly into next fall, according to NC Newsline.
In the event of a disaster, the Federal Emergency Management Agency, known as FEMA, focuses on shorter-term relief, offering emergency shelters, disaster unemployment assistance and grants for rebuilding. State agencies, though, are tasked with the long-term projects, such as making infrastructure repairs and developing housing initiatives, said Samantha Batko, a senior fellow in the Housing and Communities Division at the Urban Institute.
“Disaster relief programs like FEMA focus on short-term recovery, whereas homelessness response systems struggle with long-term systemic challenges,” said Batko. “People who live in unsheltered places during disasters, like on street corners or in cars, have higher exposure to ash [from fires] and debris, which leads to more health issues and emergency room visits.”
At the time of the Eaton fire, Los Angeles’ Skid Row was home to roughly 2,200 unsheltered people, experiencing some of the worst air quality effects, according to Batko, who co-authored a report on the issue for the institute.
Los Angeles’ homelessness crisis was already dire: Last year, Los Angeles County had just 27,000 shelter beds for 75,000 unhoused residents. The fires have now left thousands more without homes, further straining an already overwhelmed system.
“The relevant governments — state and federal agencies, L.A. County and its 88 cities — must be on the same page to mount an organized and effective response,” said Finnigan, of the Terner Center for Housing Innovation.
There may be another twist coming.
When President Donald Trump visited western North Carolina last month, he floated the idea of eliminating FEMA and leaving disaster response to the states, with federal reimbursement of some costs. He has since signed an executive order calling for a full assessment of FEMA and recommendations for “improvements or structural changes.” State emergency managers quickly responded that they need FEMA’s involvement.
Insurance challenges
Disaster recovery is not equal: Homeowners with insurance typically rebound the fastest, as policies cover much of the rebuilding costs. But as climate disasters intensify, the insurance market has begun to unravel. In 2023, insurers lost money on homeowners’ coverage in 18 states — more than a third of the country — according to a New York Times analysis.
It’s led to an insurance crisis — rising premiums, reduced coverage or insurers pulling out altogether — a trend that began in California, Florida and Louisiana but that has spread across the country.
Even before this winter’s fires, these insurance issues would have been a defining legislative issue for California, predicted Alexandra Alvarado, director of education and marketing at the American Apartment Owners Association, an industry lobbying group.
“There’s a great anxiety from … property owners on whether they will be insured or covered when another wildfire or a similar event costs them their home, and whether it’s worth it to rebuild and start over,” Alvarado told Stateline in December. “I think it’s going to be on the radar of lawmakers not just in our state, because we’re seeing this play out in other states as well.”
During the fires, California Insurance Commissioner Ricardo Lara reminded insurers of their legal duty to cover mudslide damage caused by recent wildfires, as colder, wetter weather raises risks, particularly for Los Angeles County wildfire survivors.
Already, State Farm, the largest home insurer in California, has asked the state to approve “emergency” rate hikes because of the fires, seeking an average 22% increase for homeowners and 15% for renters.
Barriers for lower-income residents
The long-term recovery process is filled with hurdles — especially for low-income and marginalized communities.
Lower-income households are disproportionately vulnerable to climate disasters; they’re also disproportionately harmed. Residents may reside in older, high-risk homes that are more susceptible to destruction. In some places, lower-income neighborhoods were built in low-lying flood plains because land was cheaper or red-lining kept families of color from living elsewhere.
Many households cannot afford homeowners or flood insurance, and strict eligibility criteria may prevent them from qualifying for disaster relief loans, said Katie Arrington, a disaster recovery expert for Boulder County, Colorado.
Natural disasters cause a massive spike in homelessness.
– Jeremy Ney, a macroeconomics policy strategist
Renters, mobile home residents and uninsured households often can’t afford homes comparable to the ones lost to disaster. Without financial safety nets, many displaced residents face an impossible choice: endure months or years of instability, or leave their community altogether.
“People with insurance have an easier time recovering than people without it. Homeowners, in general, recover more easily than renters,” Arrington said. “There’s a spectrum, from homeowners with full insurance to renters without insurance, and each group faces very different recovery timelines.”
One major barrier to recovery for renters is the post-disaster surge in housing costs. A Brookings Institution report published in October 2023 shows that effective rents typically rise 4% after a disaster and remain elevated for at least five years.
In the past few weeks in Los Angeles, fire-affected neighborhoods such as Venice and Santa Monica saw rents surge by 60-100% within days, fueling calls for stronger enforcement of California’s anti-price gouging laws.
California lawmakers in January allocated billions in funding to state and federal government relief efforts and put an immediate moratorium on evictions. The governor’s office also has issued an executive order prohibiting Los Angeles-area landlords from evicting tenants who provide shelter to survivors of the Los Angeles-area firestorms.
Experience and luck
For many municipalities, past experience is the only real preparation for disaster recovery. And sometimes, a bit of luck helps, too.
In 2021, the Marshall Fire in Colorado forced the evacuation of 35,000 residents in Boulder County and destroyed nearly 1,000 buildings. County officials say their response benefited from both preparation and circumstance.
“Some of our success was due to experience, but some of it was luck. We had a vacant county-owned building available to house the disaster assistance center, which allowed us to act quickly,” said Arrington, the disaster response manager for Boulder County. “If we had needed to rent or find a less-central location, the response would have been slower.”
Across the U.S., states are grappling with similar challenges.
In North Carolina, state-led efforts such as the Back@Home program helped rapidly rehouse approximately 100 displaced households after Hurricane Florence in 2018, and later helped nearly 800 households find more permanent homes. The program has since become a model for addressing disaster-fueled displacement.
Similarly, after Tropical Storm Helene last fall, Asheville, North Carolina, allocated $1 million in rental assistance to prevent displacement. While Red Cross and state-run shelters were scheduled to close by Nov. 10, the city coordinated with the WNC Rescue Mission to keep one shelter open longer for the remaining displaced residents.
By Dec. 31, 2024, all nine remaining shelter participants had secured exit plans — ensuring no one was left without a place to go, according to the city’s spokesperson, Kim Miller.
Hawaii also has launched large-scale relief initiatives. In response to the 2023 Maui fire, HomeAid Hawaii, in partnership with the state, developed interim housing solutions for 1,500 displaced residents for up to five years.
“Disaster-driven homelessness requires targeted programs that meet the needs of people at risk,” said Batko, of the Urban Institute. “States must integrate housing policy into emergency preparedness, or they’ll find themselves overwhelmed when the next disaster strikes.”
In Colorado, Boulder County has managed to rebuild or begin construction on about two-thirds of the homes that were lost.
Boulder County is aiming for an ambitious 90% recovery rate, meaning 9 of 10 displaced households will find a new homes in the area. But even that success comes with a twinge of mourning for what was lost.
“We started this recovery with a goal to get close to 90%, so we’re proud,” Arrington said. “But we also recognize that some parts of the community have changed forever.”
Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.
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Alabama Reflector is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Alabama Reflector maintains editorial independence. Contact Editor Brian Lyman for questions: info@alabamareflector.com.
The post Fires and floods are eviscerating US communities, intensifying the housing crisis • Alabama Reflector appeared first on alabamareflector.com
News from the South - Alabama News Feed
Santa Rosa County family recounts horrific events of Saturday night car crash
SUMMARY: Teresa Ashby, her husband, and three children survived a horrific hit-and-run on their way home from celebrating her birthday. Driving on Highway 29 in Santa Rosa County, they were struck by a vehicle that veered into their path, causing their truck to flip. The family miraculously survived, though some sustained injuries. After the crash, the other driver, Dexter Ivy Smith, yelled at them before fleeing the scene. Later arrested, Smith was found to have a revoked license due to a past DUI. He faces charges of hit-and-run and driving with a revoked license, and is due in court later this month.
![YouTube video](https://i.ytimg.com/vi/OOzyAIJJKjQ/hqdefault.jpg)
A Saturday night that began celebrating her birthday nearly turned tragic for Teresa Ashby when her family’s Toyota truck was smashed by a reckless driver.
FULL STORY: https://trib.al/qH9oJqf
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