Displaced persons seeking refuge in Thailand following a 7.7 magnitude earthquake in Myanmar in March are amongst those facing dwindling American assistance after the United States federal government initiated drastic reductions to the United States Agency for International Development (USAID) programs in Thailand, Myanmar and other countries in need of humanitarian aid. While non-government organizations (NGOs) are working diligently to provide humanitarian assistance to those affected by the second-largest recorded earthquake in Southeast Asia and its hundreds of aftershocks, USAID’s absence is noticeable in the region. 

USAID Cuts Coincide With Devastation in Asia

Myanmar state media reported that, as of April 19, the earthquake killed more than 3,700 people and injured 5,100 in the country, with 114 residents still missing. Thai newspaper Khaosod reported that, as of April 29, 66 people had died, 28 people were missing and nine people were injured.

Refugees from the ongoing civil war in Myanmar have relied on humanitarian assistance and medical care in neighboring Thailand for decades. USAID programs in Thailand bolstered the assistance Thai hospitals could provide those in need. Before the earthquake in Myanmar occurred, the Border Consortium aid group reported that many Thai hospitals helping around 100,000 refugees from Myanmar had to close following cuts to USAID in late February.

On March 28, the region experienced “a level of devastation that has not been seen in over a century in Asia,” according to Marie Manrique, the acting head of the International Federation of Red Cross and Red Crescent Societies in Myanmar. The same day, The U.S. State Department formally notified Congress that it was moving to dissolve USAID.

The Results of USAID Cuts

The earthquake’s epicenter was in Myanmar’s second-largest city, Mandalay; however, 600 miles away, in the Thai capital city of Bangkok, residents felt widespread shaking and saw significant damage to infrastructure, including a skyscraper that collapsed when it was under construction.

While USAID cuts have backtracked in recent weeks due to pushback from Americans and the country’s federal agencies, aid workers report that, with thousands of residents remaining homeless in Mandalay after the destruction, U.S. assistance is lacking.

“The United States only sent a paltry amount of assistance…it sent only three workers, which then, subsequently, were fired,” Francisco Bencosome, a former USAID worker, said. Some workers were notified of their termination while in the earthquake’s disaster zone.

The ongoing poverty crisis in Myanmar, escalating in recent years due to ongoing civil conflict, saw almost doubled rates from 24.8% in 2017 to 49.7% in 2023. In the beginning of 2025, around 19.9 million people, or about 35% of the country’s population, were in dire need of humanitarian assistance; this included 6.4 million children.

The destruction due to the earthquake in Myanmar has exacerbated existing pervasive poverty conditions, resulting in 4.3 million people lacking basic needs such as shelter, nutrition and clean water.

Solutions

After the reduction of USAID programs in Thailand and Myanmar, NGOs have stepped in to address the earthquake in Myanmar. Here are some examples of NGO efforts in Thailand and Myanmar:

• The Myanmar Red Cross Society: The Myanmar Red Cross Society and its partners successfully delivered eight charter flights and six cargo shipments of aid into Myanmar within the first week of the earthquake’s aftermath, according to the organization. The IFRC is rapidly mobilizing, adapting and delivering critical aid to the hardest-hit areas. The Myanmar Red Cross Society initiated its Emergency Operations Centers after the earthquake. Additionally, it sent out volunteers to search for and rescue those the earthquake affected, while also sending out teams to connect hospitals and clinics with emergency blood donations.
• UNICEF: UNICEF is on the ground in Myanmar, working with other aid organizations to meet children’s needs. According to UNICEF, the organization and its partners have delivered emergency water, sanitation and hygiene kits, medical kits and nutrition supplies; UNICEF is also delivering essential health and nutrition services through temporary emergency health facilities and mobile clinics.
• Doctors Without Borders: Doctors Without Borders deployed medical, mental health, logistics and water and sanitation staff to areas that experienced the earthquake. The organization is working to provide support to hospitals with special focus on sanitation, water, infection control and waste management. It also installed a water filtration system and a water tank at the Mandalay General Hospital.
• Save the Children: Save the Children has launched a “Children’s Emergency Fund” to support adolescents in Myanmar in need of shelter and other basic needs in the aftermath of the earthquake. Aid workers are responding to the urgent, lifesaving needs of children and their families by providing water, food and health care services.
• United Nations Humanitarian Crisis Relief (UNHCR): The UNHCR has reported that its team is on the ground responding with other UN agencies by providing “medical care, shelter, safe water, hygiene kits and food,” despite dealing with extremely damaged infrastructure and a lack of telecommunications. As of April 23, UNHCR reported that the organization provided critical aid – including core relief items (CRIs) and emergency shelter materials – to 48,354 people who experienced earthquake in Myanmar and Thailand. CRIs include mattresses, blankets, hygiene kits, solar lamps and cooking essentials kits. On April 15, the city of Yangon received more than 40,000 kg of supplies to help 16,000 people from UNHCR, and there was a promise of more supplies in the following weeks.

Looking Ahead

Though USAID downsizes have immobilized necessary American federal assistance in Myanmar and Thailand following the historic earthquake in Myanmar, other aid organizations are using donor funding to make effective strides in alleviating poverty conditions and the ongoing refugee crisis.

– Erin Hellhake

Erin is based in Old Bridge, NJ, USA and focuses on Global Health and Politics for The Borgen Project.

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