Trump administration changes have upended the U.S. agency charged with providing humanitarian aid overseas, with senior officials put on leave, contractors laid off and a sweeping freeze imposed on foreign assistance.

The extent of the impacts of the Trump administration’s sudden 90-day freeze of almost all foreign aid is still unclear almost a week on, as officials and aid workers overseas try to make sense of which activities must be suspended.

Most humanitarian agencies operate just ahead of insolvency in the best of times, Nate Radomski, the executive director of American Jesuits International, says.

A busy shelter for migrants in southern Mexico has been left without a doctor. A program to provide mental health support for LGBTQ+ youth fleeing Venezuela was disbanded. In Colombia, Costa Rica, Ecuador and Guatemala,

Several executive orders Trump signed last week pause or end some federal funding. Those executive orders, which remain in place, include the freezing of foreign aid, all funds to federal grantees who received money for DEI-related purposes and all funds appropriated through the Inflation Reduction Act.

The 90-day suspension of US aid and “stop-work” requirement following the president’s executive order last week has exposed with lightning-like intensity the global reach of US assistance, whose diverse projects worldwide have been an essential part of American soft power.

Patients and health care advocates said the abrupt decision to halt U.S. funding for a lifesaving H.I.V. program led to widespread confusion. The backtracking didn’t help.