The Hidden Toll of Aid Cuts: A Humanitarian Worker’s Testimony —The Real Story of Humanitarian Workers Surviving in a Shifting Aid System — Oak Academic Publishing
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The Hidden Toll of Aid Cuts: A Humanitarian Worker’s Testimony —The Real Story of Humanitarian Workers Surviving in a Shifting Aid System
Public Health & M&E Department, The Islamic University of South Sudan, PhD Advisory Committee for Texila American University Juba, Republic of South Sudan
1 Public Health & M&E Department, The Islamic University of South Sudan, PhD Advisory Committee for Texila American University Juba, Republic of South Sudan
The Hidden Toll of Aid Cuts: A Humanitarian Worker’s Testimony explores the human and institutional consequences of declining humanitarian funding, with South Sudan serving as the primary case study. The study combines personal testimony with analytical reflection to uncover how abrupt funding cuts, organizational restructuring, and job losses have deeply affected humanitarian workers particularly national staff who form the foundation of aid delivery systems. These disruptions have not only jeopardized livelihoods but also undermined community trust, weakened program continuity, and eroded the social fabric within humanitarian settings. The findings reveal that the sudden loss of employment often leaves staff unprepared to navigate new realities such as unpaid bank loans, economic instability, and family disruptions. Beyond financial hardship, many workers face emotional exhaustion and social isolation as they attempt to reintegrate into communities after years of continuous professional engagement. Despite these difficulties, the study highlights strong adaptive capacities among humanitarian workers. Many respond to uncertainty with remarkable resilience pursuing small-scale consultancies, entrepreneurship, agriculture, or other income-generating activities to sustain their families and preserve their dignity. Adaptation, is not only an economic process but also a cognitive and emotional one. Effective coping is strengthened by peer networks, transparent communication, fair labor practices, and organizational attention to staff well-being. Both national and international staff experience similar vulnerabilities, underscoring the need for solidarity, inclusion, and ethical leadership within humanitarian institutions. In its final reflection, Silent Heroes, the book calls for renewed recognition of humanitarian workers as essential actors in crisis response and recovery. Building resilience at both individual and institutional levels is vital to sustaining ethical, accountable, and durable humanitarian systems. The study concludes that strengthening peer-support structures, enhancing financial literacy, and investing in resilience-building initiatives can significantly improve coping capacity and well-being among humanitarian personnel in fragile contexts like South Sudan.
ACAPS (2025). Implications of US Foreign Aid Cuts for Humanitarian Operations in Ukraine . ACAPS Thematic Report.
Ager, A., Pasha, E., Yu, G., Duke, T., Eriksson, C., & Cardozo, B. L. (2015). Stress, Mental Health, and Burnout in National Humanitarian Staff: A Systematic Review. Disasters, 39, S125-S143.
Ager, A., Pasha, E., Yu, G., Duke, T., Eriksson, C., & Cardozo, B. L. (2012a). Stress, Mental Health, and Burnout among National Humanitarian Staff. Disasters, 36, 608-621.
Ager, A., Pasha, E., Yu, G., Duke, T., Eriksson, C., & Cardozo, B. L. (2012b). Stress, Mental Health, and Burnout in National Humanitarian Aid Workers in Gulu, Northern Uganda. Journal of Traumatic Stress, 25, 713-720. https://doi.org/10.1002/jts.21764
Al Jazeera (2025). US Aid Cuts Leave South Sudan Children Dead as Medical Services Collapse . https://www.aljazeera.com/news/2025/4/9/us-aid-cuts-leave-south-sudan-children-dead-as-medical-services-collapse#:~:text=Eight%20people%2C%20including%20five%20children%2C%20have%20died%20after,aid%20cuts%20forced%20local%20health%20facilities%20to%20close
ALNAP (2018). The State of the Humanitarian System 2018 . ALNAP/ODI.
ALNAP (2022). The State of the Humanitarian System 2022. Active Learning Network for Accountability and Performance in Humanitarian Action . https://www.icvanetwork.org/uploads/2022/09/alnap-2022-sohs-report_0.pdf
American Psychological Association (2022). Managing Employee Transitions: Best Practices for Offboarding and Career Development . APA.
Barbelet, V. (2018). Rethinking Capacity and Complementarity for a More Local Humanitarian Action . Overseas Development Institute. https://odi.org/documents/6072/12957.pdf
Béné, C., Wood, R. G., Newsham, A., & Davies, M. (2012). Resilience: New Utopia or New Tyranny? Reflection about the Potentials and Limits of the Concept of Resilience in Relation to Vulnerability Reduction Programmes . IDS Working Paper 405, Institute of Development Studies. https://doi.org/10.1111/j.2040-0209.2012.00405.x
Bonanno, G. A. (2004). Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive after Extremely Aversive Events? American Psychologist, 59, 20-28. https://doi.org/10.1037/0003-066x.59.1.20
Bradbury, A., Dinnen, S., & Smith, H. (2018a). Local Staff and the Humanitarian Enterprise: Resilience, Recognition, and Reform. Disasters, 42, S49-S70.
Organizational Change
South Sudan
Bradbury, A., Smith, M., & Milner, J. (2018b). National Humanitarian Staff: Challenges and Resilience in Crises . Humanitarian Policy Group.
Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N., & Rubin, G. J. (2015). Social and Occupational Factors Associated with Psychological Wellbeing among Humanitarian Aid Workers. European Journal of Psychotraumatology , 6, Article No. 24008.
Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N., & Rubin, G. J. (2019). Protecting the Psychological Well-Being of Humanitarian Aid Workers: The Need for Evidence-Based Action. Humanitarian Exchange Magazine, 74, 15-17.
Connorton, E., Perry, M. J., Hemenway, D., & Miller, M. (2012). Humanitarian Relief Workers and Trauma-Related Mental Health: A Systematic Review. Disasters, 36, 148-162.
Dara, M., Smith, J., & Chen, L. (2021). Ethical Workforce Management in Humanitarian Organizations: Policies and Practices for Staff Retention and Transition. Journal of Humanitarian Affairs, 3, 45-60.
Fechter, A. (2016). Aid Work as Moral Labour. Critique of Anthropology, 36, 228-243. https://doi.org/10.1177/0308275x16646837
Ferrie, J. E., Westerlund, H., Virtanen, M., Vahtera, J., & Kivimäki, M. (2015). Flexible Labor Markets and Employee Health. Scandinavian Journal of Work, Environment & Health, 41, 429-438.
Food and Agriculture Organization of the United Nations (FAO) (2021). Empowering Rural Communities: Sustainable Livelihoods and Agricultural Initiatives . FAO.
Gupta, S., & Kaur, R. (2019a). Emotional Well-Being of National Humanitarian Staff: Strategies for Support and Retention. International Journal of Humanitarian Studies, 6, 12-28.
Gupta, S., & Kaur, R. (2019b). Psychosocial Support for Humanitarian Workers: National Staff Perspectives. Journal of Humanitarian Affairs, 1, 45-60.
Hammond, L., Maxwell, D., & Vaughan-Lee, H. (2023). Resilience in Humanitarian Crises: Lessons from Conflict-Affected Regions of East Africa. Disasters, 47, 317-336.
Harvey, P. (2018). Humanitarian Action in the Age of Uncertainty: Managing Risk, Adaptation, and Resilience . Overseas Development Institute (ODI).
Headington Institute. (2023). Staff Care Essentials: Psychological Support and Well-Being for Humanitarian and Development Workers . Headington Institute.
Hershey, D. A., & Mowen, J. C. (2000). Psychological Determinants of Financial Preparedness for Retirement. The Gerontologist, 40, 687-697. https://doi.org/10.1093/geront/40.6.687
Hobfoll, S. E., Halbesleben, J., Neveu, J., & Westman, M. (2018). Conservation of Resources in the Organizational Context: The Reality of Resources and Their Consequences. Annual Review of Organizational Psychology and Organizational Behavior, 5, 103-128. https://doi.org/10.1146/annurev-orgpsych-032117-104640
Hobfoll, S. E., Stevens, N., & Zalta, A. K. (2015). Conservation of Resources Theory: Implications for Stress, Coping, and Resilience in Families and Communities. In F. Walsh (Ed.), Strengthening Family Resilience (3rd ed., pp. 87-108). Guilford Press.
Inter-Agency Standing Committee (IASC) (2020a). Guidelines for Mental Health and Psychosocial Support in Emergency Settings . IASC.
Inter-Agency Standing Committee (IASC) (2020b). Guidelines on Mental Health and Psychosocial Support for Humanitarian Staff . IASC.
Intergovernmental Panel on Climate Change (IPCC) (2023). Sixth Assessment Report (AR6): Climate Change 2023—Impacts, Adaptation, and Vulnerability . Cambridge University Press. https://www.ipcc.ch/report/ar6/wg2/
International Labour Organization (2020). Promoting Savings and Credit Cooperatives (SACCOs) for Economic Empowerment in the Workplace . ILO.
International Labour Organization (2021). Managing Workforce Transitions in the Humanitarian Sector: Guidance for Employers . ILO.
Kim, J. E., & Moen, P. (2002). Retirement Transitions, Gender, and Psychological Well-Being: A Life-Course, Ecological Model. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57, P212-P222. https://doi.org/10.1093/geronb/57.3.p212
Loquercio, D., Hammersley, M., & Emmens, B. (2006). Understanding and Addressing Staff Turnover in Humanitarian Agencies . Overseas Development Institute (ODI).
Lusardi, A., & Mitchell, O. S. (2014). The Economic Importance of Financial Literacy: Theory and Evidence. Journal of Economic Literature, 52, 5-44. https://doi.org/10.1257/jel.52.1.5
Masten, A. S. (2014). Global Perspectives on Resilience in Children and Youth. Child Development, 85, 6-20. https://doi.org/10.1111/cdev.12205
McAlister, S., Lyttleton, C., & Sinclair, C. (2019). The Precarious Work of Humanitarian Aid: Contracting, Insecurity, and Survival Strategies. Third World Quarterly, 40, 1687-1704.
McKay, S. (2011). Spirituality and Resilience among Humanitarian Workers. Journal of Religion, Spirituality & Social Work, 30, 193-210.
Mollica, R. F. et al. (2014a). Mental Health Support for National Staff in Crisis Settings. The Lancet Psychiatry, 1, 85-93.
Mollica, R. F., Poole, C., & Son, L. (2014b). The Psychological Impact of Repeated Crises on Humanitarian Workers. Journal of Traumatic Stress, 27, 379-387.
O’Donnell, K. (2022). Humanitarian Staff Transitions: Psychological Impacts and Organizational Responsibility . Humanitarian Practice Network, Overseas Development Institute (ODI).
Oxfam America (2025). What USAID Does, and the Impact of Funding Cuts on Foreign Aid . https://www.oxfamamerica.org/explore/issues/making-foreign-aid-work/
Paul, K. I., & Moser, K. (2009). Unemployment Impairs Mental Health: Meta-Analyses. Journal of Vocational Behavior, 74, 264-282. https://doi.org/10.1016/j.jvb.2009.01.001
Rahman, M. E., Sathi, N. J., Rahman, M. M., & Rahman, M. A. (2022). Job Insecurity and Mental Health among Humanitarian Workers during COVID-19: The Mediating Role of Stress. BMC Psychology, 10, Article No. 242.
Slim, H. (2015). Humanitarian Ethics: A Guide to the Morality of Aid in War and Disaster . Oxford University Press.
Smith, G., & Darcy, J. (2017a). Donor Policies and the Sustainability of Humanitarian Operations. Journal of International Humanitarian Policy, 3, 87-102.
Smith, R., & Darcy, J. (2017b). The Impact of Funding Cuts on National Staff in Humanitarian Organizations. Disasters, 41, 682-704.
The New Humanitarian (2025). Aid Cuts Push South Sudan into Uncharted Territory . https://www.thenewhumanitarian.org/news-feature/2025/04/29/aid-cuts-south-sudan-uncharted-territory
Tol, W. A., van Ommeren, M., Bass, J. et al. (2014). Mental Health and Psychosocial Support in Humanitarian Settings: Linking Practice and Research. The Lancet, 384, 188-207.
UN Women (2025). Rapid Global Assessment on the Impact of Funding Reductions on Local Women-Led Organizations in Crisis Settings . UN Women Situation & Monitoring Report.
UNAIDS (2025). Impact of US Funding Cuts on HIV/AIDS Response . UNAIDS Situation Report.
Ungar, M. (2018). Systemic Resilience: Principles and Processes for Global Health and Social Development . Cambridge University Press.
UNHCR (2022). High Commissioner’s Address on Staff Support during Crises . UNHCR.
United Nations Development Programme (UNDP) (2022). Building Human Capital: Strategies for Professional Development and Sectoral Investment in Fragile Contexts . UNDP.
United Nations Geneva (2025). US Aid Cuts Will Make World “ Less Healthy, Less Safe and Less Prosperous ” : Guterres . https://www.ungeneva.org/en/news-media/news/2025/02/103853/us-aid-cuts-will-make-world-less-healthy-less-safe-and-less
United Nations UN (2019). United Nations Faces Ongoing Liquidity Crisis . UN News. https://news.un.org/en/story/2019/10/1048782
World Bank (2020). Building Resilient Communities: Social Protection and Local Support Systems in Crisis Contexts . World Bank Group.
World Bank (2023). Knowledge Transfer and Capacity Building in Fragile and Conflict-Affected Settings . World Bank Group.
World Health Organization (2021). Mental Health and Psychosocial Support for Staff in Emergency and Humanitarian Settings . WHO.