Despite billions in planned water investments and leaning on support from both USAID and the Chinese private sector, residents of the northern Nigerian state face unreliable supplies, potential contamination, and serious health risks.

Before Trump dismantled USAID, Mozambique had been battling hard-to-eliminate trachoma, an eye disease that causes blindness, especially among children. Now, a lack of stable funding and clean water — critical for preventing transmission, but hard to find among the wreckage caused by climate-induced cyclones and flooding — threatens to reverse the country’s modest progress.