The United States Agency for International Development grant spending increased from $10.75 billion in 2015 to $11.08 billion in 2016. This $300 million increase occurred as 2016 USAID contract spending decreased by $200 million. As in previous years, the U.S. aid agency’s grant spending outstripped its contract spending by a significant margin.
USAID continues to channel a large share of its grants to multilateral organizations, such as the World Bank and United Nations’ World Food Programme. In 2016, total grant funding for these two organizations reached $3.46 billion, or 31.21 percent of USAID’s entire obligated grant funding for the year. Meanwhile, grants for other U.N.-affiliated agencies combine for an additional $1.41 billion, with UNICEF ($363 million), Gavi Alliance ($235 million), International Organization for Migration ($211 million), World Health Organization ($153 million) and United Nations Development Programme ($136 million) among the organizations which received the most money.
The Trump administration has proposed significant budget cuts to development assistance which, if enacted, could affect future grants to many multilateral organizations. Trump has promised specifically to re-evaluate contributions to the U.N. and “rein in costs.” Further, the administration’s expansion of the “global gag rule” means that those health organizations receiving USAID grants will face a difficult choice over delivering family planning services. USAID’s food and disaster assistance units, another prominent source of grants, face a possible merger under Trump.