Sibusisiwe Ngalombi, 42, a community health worker, shows a USAID jacket...

Sibusisiwe Ngalombi, 42, a community health worker, shows a USAID jacket she used to wear in Harare, Zimbabwe on Feb. 7. Credit: AP/Aaron Ufumeli

CAPE TOWN, South Africa — Health groups and non-governmental organizations expressed surprise and outrage Thursday and said many humanitarian programs would collapse after the Trump administration's decision to cut 90% of USAID's foreign aid contracts.

The move, barely a month after U.S. President Donald Trump announced a 90-day review of spending, will permanently defund programs across the world that fight hunger and disease and provide other life-saving help for millions.

“Women and children will go hungry, food will rot in warehouses while families starve, children will be born with HIV — among other tragedies,” said the InterAction group, an alliance of NGOs in the United States that work on aid programs across the world.

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