The spiraling consequences underline the real-world harms from Donald Trump's upending of decades-old U.S. initiatives.

J ames Akot has three goats. He shares them with his wife, his mother, three younger siblings, and two of his cousin's children, in a household in Northern Bahr el Ghazal in South Sudan. The crops Akot's family planted were washed away in the floods last year, the fourth and worst flood in the region in four consecutive years.

Food distribution is being stopped. Health services are being shut down. Lifesaving aid is being tied up, with no way to disburse it. These aren’t warnings of what’s to come, but examples of what aid workers say is the fallout of the Trump administration’s freeze on foreign aid and the gutting of the United States Agency for International Development (USAID).

Critics say a Trump administration order calls into question the United States’ global standing and reliability.