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Beyond the Chatbot: Why AI in Healthcare Still Needs the Human Touch. Insights with Prof. Krishnan Ganapathy
Saison 3 · Épisode 6
mercredi 19 novembre 2025 • Durée 35:32
Artificial intelligence is changing the way we think about healthcare, offering new ways to connect, diagnose, and support patients—especially through telemedicine. More people than ever are speaking to their doctor from home, getting advice online, and sharing data from their devices. It’s fast, it’s convenient, and it’s full of promise. But is it enough? Where does technology stop and real human insight begin?
In a recent episode of Development Aid Dialogues, host Hisham Allam sat down with Professor Krishnan Ganapathy, a veteran neurosurgeon and one of the world’s leading voices on digital health. Together, they cut through the hype to talk honestly about what AI can—and can’t—do for medicine today.
Ganapathy doesn’t shy away from the benefits. He’s seen firsthand how remote consultations and wearable gadgets make it possible to spot health issues early, save time, and reach people who might otherwise be left behind. He’s comfortable with the future—“A clinician who’s not AI literate is a menace to society,” he says. Still, the heart of his message is caution. “Chatbots may handle routine questions, but they cannot get inside my brain—or understand my patient’s real needs.” No app or algorithm, he insists, can read the whole story behind a symptom.
Instead, Ganapathy believes that good care depends on context, conversation, and trust. “The human-trained brain understands not just symptoms, but a patient’s story—their social status, their context, and can factor in what matters most.” He’s wary of putting too much faith in technology and sees doctors as the guardians of real judgment. “AI can recommend, but only humans should decide management for real people, at real moments.”
He calls for proper training, careful oversight, and honest conversations between doctors and their patients about what technology can—and cannot—be trusted to do. “A fool with a tool is still a fool,” Ganapathy says with a smile. “Technology is only useful in the right hands.”
This episode reminds us that new tools are exciting, but real care is personal. As healthcare moves forward, it’s the human touch—and the wisdom behind it—that will always matter most.
In line with his vision for advancing digital health, Professor Ganapathy is playing a pivotal role as Scientific Advisor for the upcoming Transforming Healthcare with IT (THIT 2026), South Asia’s leading international conference on telemedicine and digital health. Scheduled for January 30–31, 2026 in Hyderabad, India, THIT brings together global experts, innovators, and policymakers for keynotes, workshops, and interactive sessions designed to translate talk into real-world technology adoption. While Ganapathy is a staunch advocate of telemedicine, he emphasizes the importance of physical, face-to-face conferences in driving collaboration and meaningful change. His tireless efforts not only elevate the conversation but help bridge the gap between concept and impact, ensuring technology serves the cause of accessible, patient-centered care. For more details or to participate, visit www.transformhealth-it.org.
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Artificial Intelligence and Telemedicine: Human Judgment in the Digital Era with Dr. Jan Niclas Strickling
Saison 3 · Épisode 5
jeudi 6 novembre 2025 • Durée 28:29
The age of artificial intelligence is reshaping healthcare delivery worldwide, with telemedicine at the forefront of this transformation. In episode five of the DevelopmentAid Dialogues podcast, host Hisham Allam speaks with Dr. med. Jan Niclas Strickling, a German board-certified interventional cardiologist who has played a key role in advancing telemedicine through Germany’s certified centers and holds multiple certifications from the German Society of Cardiology.
“AI is redefining what’s possible in telemedicine—but at every step, it’s collaboration, not competition,” Strickling said, unpacking how digital tools are changing patient care.”
Across Germany and the EU, AI-driven triage systems, medical imaging analysis, and real-time language translation are making healthcare more accessible. “If AI takes the strain out of documentation—which is half my daily work—it frees me to focus on the patient,” Strickling explained. Wearables like the Apple Watch, CPAP machines, and glucose sensors generate continuous data streams that help identify patients’ needs remotely, especially in underserved areas.
But he cautioned that technology alone isn’t enough. “AI can bridge gaps, but equity depends on broadband access, device availability, and whether AI models are trained on diverse populations.” Without representative data, AI risks missing or misdiagnosing patients from different demographic groups.
Alongside opportunity, risks persist. Strickling described “alert fatigue” where oversensitive AI systems overwhelm clinicians with notifications, potentially obscuring urgent issues. The bigger danger is “automation bias”—over-relying on AI recommendations while sidelining clinical judgment. “The final decision must remain human,” he stressed. He recalled uploading his own ECG to ChatGPT, which wrongly diagnosed a life-threatening arrhythmia. “For patients, that can cause needless fear and erode trust in doctors.”
Aid cuts: Gamble on development or risky retreat? Insights from Professor Stefan Dercon
Saison 2 · Épisode 11
mercredi 11 juin 2025 • Durée 39:38
In this 26th episode of DevelopmentAid Dialogues podcast, host Hisham Allam interviews Stefan Dercon, Professor of Economic Policy at the University of Oxford and author of Gambling on Development, about the global consequences of recent aid cuts by major donor countries, particularly the United States. As foreign aid budgets shrink and populist politics gain traction, the discussion delved into the complex motivations driving these cuts and their far-reaching consequences for vulnerable communities.
Professor Dercon, who has advised multiple governments and development agencies, stressed that the changes underway go far beyond short-term budget adjustments. “This is not just about saving money,” he said. “It’s a sign of weakness. A sign that countries are no longer confident about their place in the world.”
According to Dercon, the decision to scale back aid budgets reflects a shift in political narratives across Western nations. With rising domestic pressures, leaders are choosing retreat over engagement. “Cutting foreign aid may win headlines,” he warned, “but it damages credibility, influence, and ultimately, security.”
Although certain opponents, like Elon Musk, have asserted that foreign aid is corrupt or ineffectual, Dercon argued that this viewpoint misses the subtleties. He cited life-saving interventions in Ghana, Ethiopia, and Bangladesh to support his claim that "there is plenty of aid that works." However, he admitted that aid has frequently failed to create sustainable systems in fragile nations like the DRC or South Sudan. "It's insufficient to save lives," he continued. "Aid must assist nations in becoming self-sufficient."
Dercon called for more selective engagement, arguing that aid should be directed where local leadership shows real commitment to progress. “You can’t fix countries from the outside,” he said. “You need local forces of change. Without them, aid becomes a crutch rather than a catalyst.”
The War on Global Health | Diagnosing the Impact of Aid Cuts with Lisa Hilmi
Saison 2 · Épisode 10
mercredi 28 mai 2025 • Durée 34:19
As foreign aid cuts ripple across donor nations, global health systems are beginning to fracture. In the 25th episode of the DevelopmentAid Dialogues podcast, host Hisham Allam sat down with Lisa M. Hilmi, Executive Director of CORE Group, to discuss the very real and immediate consequences of this funding vacuum. Hilmi, a seasoned public health leader, has spent decades working across Africa, South Asia, and beyond, shaping frontline programs in partnership with governments and grassroots networks.
Hilmi swiftly refuted the notion that recent aid reductions have had no human cost. “Children have tragically died from malnutrition due to the closure of feeding centers,” she said, adding that community health workers, many of whom are women and primary caregivers, are facing desperate circumstances: “Some are unable to afford school fees for their children or access life-saving medications for themselves. Several have even lost their lives to suicide after losing their jobs.”
She said that the cuts were not just one-time budget decisions, but a planned breakdown of important infrastructure. "We're not getting the leadership or money we need from donor governments." The cuts came quickly and without warning; this was a planned attack on global health and humanitarian aid. “I think right now we're seeing a targeted war upon global health in the way that these cuts were implemented.”, added Hilmi.
The ripple effects, she warned, are already apparent. “Polio eradication efforts have been suspended in some areas due to halted surveillance and vaccination campaigns,” Hilmi said. On malaria, she noted, “We’ve had reports from health workers and governments about shortages of diagnostic kits, insecticide-treated nets, and reduced educational outreach.”
Hilmi pointed out that while the United States led the wave of withdrawals, others followed closely. “It’s not just the U.S.—the UK, France, and Germany have also reduced their commitments,” she said. While countries like Canada and Saudi Arabia have stepped up, she emphasized that these efforts are not yet sufficient to compensate for the scale of the cuts.
Unveiling the aid cuts: Between chaos and power shifts | Rethinking the aid model with Katri Bertram
Saison 2 · Épisode 9
mercredi 14 mai 2025 • Durée 30:44
As foreign aid budgets shrink across Western nations, the global development sector is confronting a moment of reckoning. In this episode of DevelopmentAid Dialogues, host Hisham Allam speaks with Katri Bertram—a global health and development expert with two decades of experience spanning international organizations, NGOs, and government institutions. She is currently the International Director of Impact and Advocacy at Light for the World, focusing on disability inclusion and eye health. Her experience at the World Bank, Save the Children, and the German Federal Ministry of Health, informs the critical analysis she shares in this interview, examining how these historic aid cuts are reshaping global development—and what that means for accountability, power, and the future of international cooperation.
Drawing on her experience, Bertram makes one thing clear: this is not just a funding crisis—it’s a systemic shift. “We’re not talking about minor adjustments,” she said. “These are real cuts — billions of dollars. Entire aid programs are being shut down. This is a cliff, not a dip.”
The warning signs, Bertram noted, have been building for years, especially since 2015 when anti-migration politics began dominating the discourse in many European countries. “What started as rhetoric about refugees being a threat has seeped into how politicians view aid recipients,” she said. “The sector didn’t pay enough attention. Now the political narratives have overtaken the development agenda.”
These shifts aren’t just ideological—they’re having tangible consequences. In health, where Bertram has focused much of her career, the data is devastating. “Recent figures show people die every day from HIV/AIDS due to U.S. aid cuts. Humanitarian services are reporting deaths as well. This isn’t theoretical. This is happening now.”
Water shortage isn't the problem - we are. Navigating the water crisis with David Shackleton.
Saison 2 · Épisode 8
jeudi 1 mai 2025 • Durée 41:17
In this episode of DevelopmentAid Dialogues, host Hisham Allam speaks with David Shackleton, CEO of SIS.BIO, about a problem that rarely makes headlines but affects millions every day: water that’s too polluted to use. Shackleton makes a clear distinction—this isn’t a crisis of not having enough water but of failing to protect what we already have. Through SIS.BIO, he’s leading efforts to bring damaged ecosystems in rivers, lakes, and reservoirs back to life so they become renewable and can once again sustain communities and local economies.
"This isn't about running out of water," Shackleton said. "It's about the water we have being too contaminated to use."
He remembered how toxic algae blooms in Lake Erie caused the city of Toledo, Ohio, to shut down its drinking water supply in 2014. "The lake was full of water, and it used to be great, but it became inappropriate for use. The problem wasn't with the amount of water.”
That core idea drives the work being done at SIS.BIO. Rather than simply removing contaminants, the company is focused on helping nature do what it used to do—keep water clean through its own cycles. Using biotechnology, their approach aims to repair the underlying ecosystems that have broken down in rivers, lakes, and reservoirs. “We’re trying to fix the system, not just treat the symptoms,” Shackleton said, underscoring the need for long-term solutions over short-term fixes.
SIS.BIO believes that the best way to work with nature is not overpowering it at all. Their work, based on natural enzymes, boosts oxygen levels and then brings back aquatic ecosystems, helping restore the self-cleaning ability of water bodies. "Instead of dumping chemicals or building gigantic treatment facilities," Shackleton said, "we help nature do what it used to do on its own."
The Future of Aid, Donald Trump, and the Prisoner’s Dilemma | A dialogue with Dr. Göran Holmqvist
Saison 2 · Épisode 7
mercredi 16 avril 2025 • Durée 26:32
While the drastic aid cuts announced by the largest donors are making the headlines around the world, a deeper issue may be at stake. In this episode of DevelopmentAid Dialogues, host Hisham Allam speaks to Dr. Göran Holmqvist, perhaps the most prominent voice in the international context of development, about the unprecedented shift in global aid paradigms.
With foreign aid budgets slashed by up to 40% in the UK, France and Belgium, with Germany likely to follow, the question becomes that much more defining: is this a temporary response due to fiscal pressures or the beginning of a long-term retreat into a darker, more introspective place relative to global solidarity?
"In the short run, yes, it looks quite problematic," Holmqvist said. But he warned against drawing simplistic conclusions. “When it comes to the U.S., I believe the aid cuts reflect a deeper ideological repositioning. For some European countries, the reductions appear more reluctant—done with regret and driven by budgetary constraints rather than a lack of political will."
Corruption in healthcare, education & infrastructure: who pays the price in developing countries? | Dialogue with Jean-Pierre Méan, Attorney-at-law
Saison 2 · Épisode 6
jeudi 3 avril 2025 • Durée 36:21
One of the biggest barriers to sustainable development is still corruption, which undermines confidence in institutions, damages economies, and especially affects the most vulnerable. Host Hisham Allam talked with Dr. Jean-Pierre Méan, a well-known anti-corruption specialist and former president of Transparency International Switzerland, in this episode of DevelopmentAid Dialogues about the ongoing difficulties in the battle against corruption and the pressing need for systematic transformation.
Dr. Méan brings decades of expertise in anti-corruption law and corporate compliance systems. He played a key role in drafting the 2011 edition of the International Chamber of Commerce’s Rules on Combating Corruption and contributed to the development of the ISO 37001 Standard on Anti-Bribery Management Systems. As the head of the working group that established competency requirements for auditors of these systems, he continues to oversee the standard’s implementation. His extensive experience includes advisory roles with the United Nations, the Council of Europe, the OECD, and the Cour des Comptes of the Canton of Vaud. In addition, he has authored numerous publications on international business, focusing on anti-corruption law and best practices.
“Corruption is a natural danger in any such system.”“We have the laws; what we lack is the will to enforce them effectively. Too often, corruption cases are ignored or pursued selectively, undermining public trust in the system,” he explained.“We need a shift in mindset. Anti-corruption measures should not be seen as mere compliance requirements but as fundamental to ethical governance and sustainable development.”
International Development Exodus: Who Pays the Price When the U.S. Pulls Out? discussion with Felix Gnehm
Saison 2 · Épisode 5
jeudi 6 mars 2025 • Durée 32:18
In this episode of DevelopmentAid Dialogues, host Hisham Allam confronted the seismic repercussions of the United States’ decision to slash USAID funding—a policy shift that destabilized the global aid sector and left vulnerable communities worldwide in peril. The cuts didn’t just trim budgets; they severed lifelines, strained alliances, and reshaped geopolitical power dynamics.
Felix Gnehm, President of Alliance Sud and Director of Solidar Suisse, joined the discussion with stark warnings. A veteran of humanitarian crises—from post-earthquake recovery in Pakistan to U.N. policy advocacy—Gnehm minced no words:
“This isn’t just a funding cut. It’s a massive blow to global cooperation. We haven’t seen such a brutal and honest disruption before.”
The cuts immediately halted critical programs, from healthcare initiatives to election support projects. Gnehm cited canceled contracts totaling over $4 billion, including a $130 million healthcare project in Madagascar and a $40 million education program in the Philippines.
“Sixty-four election-related projects in nations like Senegal were scrapped overnight,” he said. “We’re looking at a complete breakdown of critical services. Without intervention, millions will suffer, and instability will rise.”
When asked whether other donors could fill the void, Gnehm dismissed the idea. Though the European Union and smaller donors had floated pledges, he argued:
“This gap is billions of dollars, and you can’t just fill it. No nation can intervene overnight.” While he acknowledged a potential long-term opportunity to reform aid systems, he stressed, “The short-term consequences will be severe.”“These donors don’t ask people what they need. They just build roads, ports, and railways that serve their interests—not necessarily the people’s.”“This isn’t a replacement for democratic aid. It’s a step toward reinforcing authoritarian regimes.”“We’ve been talking about private investment stepping in for 20 years. It hasn’t happened at the scale needed, and I don’t expect it to now,” he said.“Development aid isn’t charity—it’s stability insurance.” He urged policymakers to recognize the domino effect of cuts: “When aid disappears, we don’t just see suffering in distant countries. We see rising instability, refugee flows, and security threats everywhere.”
Surviving USA Stop Work Orders: recovery tactics and legal recourse with Katherine Gentic a Government Compliance, Contracts and Pricing Specialist
Saison 2 · Épisode 3
mardi 18 février 2025 • Durée 25:33
This episode of DevelopmentAid Dialogues examines the rising trend of USAID stop work orders and the difficulties they pose for implementing partners. These unexpected pauses in project activity have left organizations struggling with the urgent need to continue essential development work, financial uncertainty, and compliance challenges. Stop work orders (SWOs), which USAID has been using more frequently lately, have left partners juggling compliance, financial survival, and the urgent need to continue essential projects.
To discuss this pressing issue, our host Hisham Allam is joined by Katherine Gentic, an expert in USAID compliance and contract management. With over 20 years of experience and a track record of advising more than 50 USAID partners, Katherine provided critical insights into how organizations can navigate these disruptions while protecting their teams, subcontractors, and project continuity.
The episode begins with a breakdown of USAID’s stop work orders—what they entail, how they should be implemented under Federal Acquisition Regulation (FAR), and why recent instances deviate from best practices. According to Katherine, these orders have been issued hastily, often with vague language and little opportunity for contractors to seek clarification.
“USAID staff have largely been instructed not to discuss these orders outside the agency,” Katherine explained. “This has left contractors interpreting them on their own, with no clear guidance on what costs they can continue to incur.”
The financial repercussions are profound. Many USAID-funded partners, particularly small businesses and subcontractors, are struggling to stay afloat while waiting for clarity on cost reimbursement.
“Stop work orders are not terminations, but many partners expect the worst. “The financial burden of waiting for resolution is frequently unsustainable,” Katherine warned.“Organizations must weigh whether layoffs or retaining staff is the most cost-effective option. In some cases, it is cheaper to keep staff on payroll than to incur severance and rehiring costs later,” she says.“A stop work order is not a termination. If partners start liquidating assets without approval, they risk severe compliance violations,” Katherine cautioned.“Primes must advocate for their subs,” she insists. “The work these businesses do is integral to development efforts. They should not be left to shoulder the financial risk alone.”
Highlighting the promise of AI, Strickling described a heart failure project in Germany where wearable defibrillator vests and smart scales transmit continuous health information. AI analyzes daily blood pressure, weight, and body movement to preempt hospitalizations by advising medication adjustments. “The data flood makes sense only when paired with human judgment to determine who needs attention now.”
Hybrid care models blending remote monitoring with targeted in-person visits are expanding, with virtual rounds led by nurses and specialists joining as needed. Yet, the human connection—empathy, understanding, and trust—remains irreplaceable
As digital health advances Strickling calls for transparency, patient consent, and robust regulation. “We must disclose AI’s use and limits, monitor for biases, and ensure privacy through encryption and strict data controls.” The need for accountable human oversight is paramount. “Who bears responsibility for AI-driven errors? That must be a clinician.”
Echoing the complex future, he said, “Experience and learning from mistakes remain at medicine’s core. AI assists but can’t replace the wisdom patients deserve.”
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The episode also tackled the immediate fallout. Programs like PEPFAR, which supplies antiretroviral medication across Africa, now face disruption. “We’ll see it in the data—life expectancy will drop. Children will go unvaccinated. Services are collapsing in real time,” Dercon said.
Beyond the humanitarian crisis, there are geopolitical consequences. As Western aid recedes, other powers are stepping in. “China didn’t always make wise choices with its Belt and Road initiative,” Dercon noted, “but at least they showed up. The West risks abandoning the field altogether.”
Asked what comes next, Dercon struck a cautiously optimistic tone. “Aid, as we knew it, is gone,” he said. “But that gives us a chance to build something better—leaner, smarter, and more resilient. The goal must be to make ourselves dispensable, not indispensable.”
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On zoonotic diseases, the consequences are deeply concerning. “In the Horn of Africa alone, we anticipate a 20% to 25%-rise in anthrax cases among animals and humans, with up to 400 human deaths annually. Rabies infections could rise by as much as 40%, potentially causing around 2,000 additional deaths,” she said.
When asked whether institutions like the World Health Organization (WHO) could provide support in the face of donor retrenchment, Hilmi was direct: “The WHO itself is struggling. They're laying off staff and scaling back programs. The very institutions that countries might rely on in a crisis are being gutted.”
Despite the bleak assessment, Hilmi concluded with cautious optimism. “There are committed individuals and resilient communities ready to act. I believe we will find new ways forward—through solidarity, innovation, and accountability.”
For the full conversation with Lisa M. Hilmi, listen to the latest episode of DevelopmentAid Dialogues podcast. Follow us for more grounded, urgent conversations on the future of development cooperation.
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Beyond the loss of life, she sees the chaos exposing a deeper dependency problem. “One donor pulling out should not collapse an entire health system. But it does. That tells you something’s fundamentally broken.”
Bertram argues this moment could be a turning point—but only if the aid model is reimagined with intention. “This isn’t the power shift we wanted,” she said. “We’ve talked for years about localization, about shifting leadership and resources to local communities. But what we’re seeing now isn’t a transfer of power. It’s abandonment.”
She believes the development community must confront this crisis honestly. “We can’t just keep trying to patch up the old system. It’s over. Budgets aren’t coming back. We need to build something more resilient—and rooted in local ownership from the start.”
That means asking difficult questions about the sector’s own structures. “We’ve become too focused on growth. But what if our impact was measured not by how big we get, but by how well local systems can function without us?”
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This method has worked in a range of environments—from polluted lagoons in Zambia to deep lakes and rivers in North America. It’s not a one-size-fits-all solution, but a flexible model that uses biological principles to adapt to local conditions. Shackleton compared it to the way Africa skipped landline IT infrastructure and jumped straight to mobile networks: “We can leapfrog outdated water treatment infrastructure and build smarter systems tailored to today’s needs."
Still, he expressed concern about the lack of engagement from major aid agencies. "We often fall into a gap—too small for billion-dollar programs and too comprehensive for piecemeal NGO projects." The result, he warned, is a fragmented approach that fails to address the bigger picture.
He believes this has real-world consequences. "When water systems collapse, fishing stops, agriculture falters, and people get sick. Eventually, they abandon their home environment and migrate elsewhere. Then we spend ten times as much money dealing with increasing migration in donor countries."
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Yet the implications are profound. Holmqvist emphasized that the challenges necessitating global cooperation—climate change, migration, conflict—are intensifying, not fading. “These problems will come back and haunt us. Eventually, we’ll have to return to the table of international cooperation.”
The disconnect between public sentiment and political action has made aid an easy target. Holmqvist warned against internalizing the rhetoric that global solidarity is unpopular. “We shouldn’t buy into the idea that people don’t care anymore. That simply isn’t supported by the evidence.”
Throughout the conversation, Holmqvist returned to a powerful metaphor—the Prisoner’s Dilemma. Global problems, he explained, mirror the logic of that game: individual actors are tempted to defect for short-term gain, even though long-term cooperation benefits everyone. “Game theory shows us that the most successful strategy over time is ‘tit-for-tat with forgiveness.’ That means we start by cooperating, punish defections, but always leave the door open to rebuild trust.”
Applying this logic, he stressed the need for “naming and shaming” countries that withdraw from cooperation.
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Dr. Méan emphasized that although worldwide efforts have been made, corruption still flourishes because of political apathy and selective enforcement in systems where power and financial interests interact.
Despite a proliferation of international agreements and compliance programs, Dr. Méan emphasized that these measures often amount to little more than symbolic gestures.
Without genuine commitment from governments and the private sector, corruption remains deeply embedded in institutional structures.
He underlined that one of the most obvious shortcomings in the battle against corruption is the lack of protection for whistleblowers.
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With the U.S. retreating, Gnehm noted that China, Russia, and Gulf states had swiftly expanded their influence through loans and infrastructure deals. But he questioned their motives:
The shift, he warned, wasn’t benign:
Even as organizations scrambled to adapt, Gnehm expressed skepticism about private sector solutions.
Philanthropic efforts, while helpful, lacked the reach to replace systemic funding losses.
Gnehm closed with a blunt appeal:
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With uncertain timelines and delayed communication, how can organizations reduce expenses without jeopardizing future operations? Katherine outlined reasonable steps that partners can take to balance compliance with financial sustainability. She emphasizes that organizations must carefully assess staffing costs, as many field offices operate in countries where termination of employment comes with significant severance obligations.
Reevaluating office leases is another major concern. Rent and utilities remain a fixed burden, and while some organizations may consider terminating leases, they must first secure USAID approval to dispose of government-funded assets.
Subcontractors, many of whom are small businesses, are particularly vulnerable when stop work orders take effect. Some prime contractors have refused to reimburse subcontractors for ongoing costs, a practice Katherine criticized as both unethical and non-compliant.
As organizations prepare for the resumption of work, Katherine stressed the impor
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