For years, international NGOs and U.S. based nonprofits have benefited from numerous government grants, international development projects, foundation support, corporate philanthropy, and individual donors. For those NGOs focused on global health or international development, U.S. Government dollars have long played an essential role.
That is evolving.
Changes to U.S. Foreign aid – including the closing of USAID and the increasing use of government-to-government agreements on health projects – are transforming how international development is funded and delivered. As the U.S. Government moves toward a system increasingly driven by bilateral agreements and shifted government-to-government accountability, a larger question beyond that of increased or decreased funding emerges for many NGOs:
Is there a new era for nonprofit funding, and if so, what should NGOs do to be ready?
It’s a complex question – but the short answer is this: NGOs won’t go away, but they might need to adapt the way they tap into funding opportunities, build partnerships, and showcase their effectiveness.
The U.S. Funding Landscape Is Changing
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Government aid has long been among the most important sources of development and global health assistance in the world – and NGOs have been key to translating the money into concrete programs for decades. Through them, programs provided health services; bolstered HIV and malaria work; provided humanitarian aid; improved education; bolstered livelihoods and helped those communities that government agencies, other big-government agencies and international partners, for any reason, can’t easily access.
Now that the model is changing, “America First” global health. The new ‘America First’ global health policy emphasizes direct partnerships with countries, moving away from reliance on NGOs for aid. This approach fosters stronger bilateral relationships and ensures more effective aid distribution. This approach fosters stronger bilateral relationships and ensures more effective aid distribution. This approach fosters stronger bilateral relationships and ensures more effective aid distribution. This approach fosters stronger bilateral relationships and ensures more effective aid distribution.
The United States will look to shift long-term responsibility more directly to partner countries forhealth financingand delivery. Instead of major donor funds being transmitted by organizations like the World Bank, a major HIV program will likely be managed by recipient countries instead of NGOs (Sourced by: Center for Health Security, JHU). And, for NGOs, that could mean more shifts in sources of their funding opportunities.
Does This Mean NGOs Will Lose Their Place?
And, yet… this doesn’t necessarily hold. It’s a real jump to assume the government is simply stepping in as a total replacement in the NGO sector. NGOs will undoubtedly continue to be important players in delivering health and development projects.
But in the coming years, their activities may be more as government partners operating side-by-side with official institutions rather than as intermediaries or beneficiaries of foreign development financing.
Their activities could include collaborating with government ministries, major implementing partners, universities, private sector companies, NGOs, and other entities, while delivering programs focusing on community mobilization, training and technical assistance, monitoring and evaluation, data collection, service delivery, and ensuring access to remote populations. This isn’t to question if and when NGOs will ever receive funding; rather, it’s to consider the means by which they’ll do so, and the role they’ll be playing.
Why This Could Be Difficult for Some NGOs
For organizations that have depended heavily on U.S. government grants, the transition could be challenging.
A funding model built around direct grants can be very different from a model in which an NGO becomes a subcontractor, consortium member, technical partner, or local implementation organization.
That can affect everything from proposal writing and financial management to reporting, staffing, partnerships, and project planning.
Smaller NGOs may face an even greater challenge.
Large international organizations often have dedicated teams for compliance, finance, monitoring, legal requirements, and donor management. A small nonprofit may have only a handful of employees handling all of these responsibilities.
If more funding flows through large government-led programs, smaller NGOs may need to become better at forming partnerships and demonstrating the specific value they bring.
Local Knowledge Could Become an NGO’s Biggest Advantage
There is, however, something that many NGOs have that large institutions cannot easily replicate: community trust.
An organization that has worked in the same community for years may understand local languages, cultural practices, barriers to healthcare, transportation challenges, and the concerns of residents.
That knowledge can become extremely valuable when large programs need to reach people effectively.
A government may have the infrastructure.
A major international organization may have the financial capacity.
But a local NGO may know how to make the program work on the ground.
This could create opportunities for organizations that can clearly demonstrate their local expertise and relationships.
Instead of competing only for funding, NGOs may increasingly need to position themselves as essential partners.
Partnerships May Become More Important
One of the biggest changes NGOs may need to prepare for is a greater focus on partnerships.
A small organization does not necessarily need to manage a huge international program alone.
It could partner with a larger NGO, government agency, university, foundation, or international organization.
The larger partner may provide funding management, technical expertise, or administrative capacity, while the smaller NGO contributes local knowledge, community connections, and implementation experience.
This kind of partnership can allow organizations to participate in larger programs without having to build every capability internally.
For NGOs, therefore, networking is becoming more than a way to share ideas.
It can become a funding strategy.
Funding Diversification Is No Longer Optional
The changes in U.S. foreign aid also highlight an issue that NGOs have discussed for years: donor dependence.
When an organization depends heavily on one donor, a change in government policy can quickly become a major financial problem.
This is why NGOs should consider building a more diverse funding portfolio.
That could include:
- Government grants
- Foundations
- Corporate social responsibility funding
- Individual donations
- Major donors
- Community fundraising
- Institutional grants
- International donors
- Partnerships
- Earned-income or social enterprise models where appropriate
Diversification does not mean abandoning U.S. government funding.
It means making sure the organization can continue operating if one funding source changes.
For many NGOs, this could become one of the most important lessons from the current transition.
Impact Will Matter More
As competition for funding increases, simply having a good idea may not be enough.
NGOs will need to show that their programs work.
This means having reliable monitoring and evaluation systems, clear project objectives, accurate financial records, and evidence of results.
Funders increasingly want to know:
What changed because of this project?
Being able to answer that question clearly can make an organization more competitive.
For example, instead of simply reporting that an NGO conducted 100 training sessions, the organization should be able to explain what participants learned, what changed afterward, and whether those changes lasted.
Good impact measurement helps an NGO tell a stronger story to donors and partners.
Transparency Will Become Even More Important
Changing funding systems also mean changing compliance expectations.
Organizations working with governments and institutional donors need strong systems for financial reporting, data protection, safeguarding, procurement, monitoring, and documentation.
This may sound administrative, but these systems can directly affect an NGO’s ability to secure future funding.
A donor or government partner needs confidence that an organization can manage money responsibly, protect beneficiaries, meet reporting requirements, and deliver what it promises.
For smaller NGOs, strengthening internal systems may therefore be one of the best investments they can make.
What About USAID?
The changes are particularly significant because USAID previously played a major role in U.S. foreign assistance.
Following the Trump administration’s restructuring of foreign assistance, the State Department assumed responsibility for programs previously managed by USAID. A recent State Department inspector-general review found that the transition faced staffing shortages, delayed guidance, and technology problems.
That disruption has affected NGOs and other organizations that depended on U.S. assistance.
The situation also shows why nonprofits need to prepare for policy changes rather than assuming that an existing funding system will continue indefinitely.
For NGOs, flexibility is becoming a core organizational skill.
The Health Sector Shows How Big the Change Could Be
Global health is one of the clearest examples of this transition.
The U.S. has begun signing bilateral health agreements with partner countries to shift greater responsibility toward national health systems. KFF’s July 2026 tracker documents the countries that have signed these agreements and continues to track new developments.
KFF has also reported that U.S. health funding is expected to decline significantly in several countries covered by these agreements. Its analysis of 29 countries estimated a combined $3.3 billion reduction by 2029 compared with previous funding levels.
This does not mean every health program will disappear.
Instead, it suggests that NGOs may be operating in an environment where there is less external funding, greater government responsibility, and stronger pressure to demonstrate results.
That is a very different funding environment from the one many organizations became accustomed to.
But New Opportunities Can Still Emerge
Every major change in funding creates winners and losers.
Some organizations may struggle because their traditional funding sources disappear.
Others may find opportunities because governments and larger institutions need reliable organizations to help implement new programs.
NGOs that can combine local knowledge, measurable impact, strong financial management, technical skills, and partnership capacity may be especially well positioned.
There may also be opportunities outside traditional foreign-aid programs.
Organizations can explore domestic philanthropy, corporate partnerships, foundations, social-impact investors, individual donors, and new technology-focused funding programs.
The key is to avoid thinking about fundraising as a single pipeline.
A stronger NGO builds a funding ecosystem.
What Should NGOs Do Now?
NGOs do not need to completely reinvent themselves overnight.
But they should start preparing for a more competitive and less predictable funding environment.
The first step is understanding where the organization’s money currently comes from. If one donor represents a very large share of annual income, that is a risk worth addressing.
The next step is identifying what makes the organization valuable.
Is it local expertise? A strong volunteer network? Technical knowledge? Access to underserved communities? Excellent monitoring and evaluation? A proven track record?
Once an NGO understands its strengths, it becomes easier to identify the right partners and funding opportunities.
Organizations should also strengthen their internal systems, improve their impact reporting, maintain accurate financial documentation, and invest in staff skills.
These may not sound like exciting changes, but they can make a major difference when funding becomes more competitive.
AI Could Also Help NGOs Adapt
Technology is another area where NGOs can improve efficiency.
AI tools can help organizations with repetitive tasks such as drafting documents, organizing information, summarizing reports, researching potential funders, preparing first drafts, and analyzing large amounts of feedback.
For small organizations with limited staff, these efficiencies can be valuable.
But AI should not become a substitute for human judgment.
A funding proposal still needs local knowledge. A project design still needs community input. And an impact report still needs accurate evidence.
The organizations that benefit most from technology will likely be those that use it to strengthen their people and systems rather than simply adopting AI because it is popular.
A New Funding Era Does Not Mean the End of NGOs
It is easy to look at the changes in U.S. foreign assistance and conclude that NGOs are losing their importance.
The reality is more complicated.
Governments may take a larger role in financing and managing programs, but communities will still need organizations that can reach people, provide specialized services, build trust, and respond to local problems.
In many situations, NGOs may become more specialized rather than less important.
The organizations that adapt to this new environment could find ways to work with governments rather than compete with them.
They could become technical partners rather than traditional grant recipients.
They could build coalitions rather than work alone.
And they could combine several funding sources rather than depending on one major donor.
The Conclusion :
So, are U.S. NGOs entering a new funding era?
Yes, but it is more than just an era of less funding. It is an era of changing funding.
The U.S. Is evolving its approach to foreign assistance by leaning toward increased use of bilateral government-to-government arrangements and a decreased reliance on external implementing organizations in certain sectors. NGOs are still part of the funding equation and may continue to provide valuable services in the fields of implementation, technical assistance, and community outreach.
Here’s the takeaway for nonprofits.
The future favors those that are adaptable, sound financially, transparent, collaborative, and show they can have an impact.
The question for NGOs is no longer simply:
Where do we go from here on funding?
It is:
What do we do to develop an organization that will thrive-and still deliver change in the shifting funding environment?
How can you raise the most money? Could be the most critical gift in our new era of fundraising.

