On the night of his inauguration, President Trump signed an executive order that froze almost all international assistance for 90 days.

Shortly after that, the State Department has issued an expansion on President Trump's executive action Monday to freeze foreign assistance for 90 days.

In a memo, Secretary of State Marco Rubio ordered a pause on foreign aid spending and a stop work order for any existing humanitarian and development projects.

What followed was the termination of billions of dollars in aid, which funded everything from infrastructure building to vaccination programs to getting supplies into sensitive conflict zones.

Experts like Abby Maxman,

President of Oxfam America, warned at the time that this move could have a destabilizing effect in countries where that aid's critical. It's having seismic impacts for the entire global aid system.

And really, frankly, it's a cruel decision that has life or death consequences

for millions of people around the world. One small U.S. foreign aid program working to eliminate

so-called neglected tropical diseases was shut down this year. Those diseases affect more than

a billion people worldwide and can be debilitating.

Mamadu, Kui Bali, coordinate several disease elimination programs for the Mali Ministry of Health.

It was like a thunderbolt.

This lack of financing has stopped our activities.

He says the country has used its own money to fill the financial void, but it just isn't enough. These are diseases that make someone completely invalid. They have a very heavy

impact on the development of the country. There could be a return of these diseases if we're not

careful. Over in southwest Uganda, locals note that

refugees are spending less on food. That's because the U.S. has not renewed its contributions

to the U.N.'s World Food Program that helped them buy groceries. Economist Dean Carlin works on

anti-poverty programs in the region. Because of the cutbacks in aid, there was less economic activity going

on. The markets were not as thriving, and they could actually see that difference. As the Trump

administration ends its first year, some foreign aid money is flowing again, but much less than before.

And the future of U.S. foreign assistance now looks very different.

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