Book Classic: The Challenge of Famine, Recent Experience and Lessons Learned by John Osgood Field

The anthology edited by John Osgood Field, The Challenge of Famine, Recent Experience Lessons Learned” remains one of the premier books about predicting and measuring famine ever published.  Field, until his retirement a professor of food studies at Tufts University School of Nutrition, published this in 1993 with Kumarian Press, arrayed a dozen key scholars of famine who including Joel Charney, Mary Anderson, Dirk Stryker, Peter Cutler, Jack Shepard and others.  Field wrote the introduction, the first chapter, and the final summary chapter.  The book is as appropriate to read today as when it was published as it hones in on the ambiguity of when to say that there is a famine.

Field writes that when in full bloom, famine is dramatically clear to the naked eye.  However, he writes, how to recognize famine before it becomes obvious is the dilemma around which much of the book revolves. This is relevant at a time when there are hot debates over which parts of Sudan may or may not be in famine, which parts of Gaza may or may not be in famine with data sets pointing in different directions as to the answer.

Field clarifies that famine is a slow onset disaster, which does not happen suddenly, but has a lengthy gestation. He makes the key point that notwithstanding the complexity of famine and the multiple factors underlying it, the principal indicators are few and manageable. In other words, famine may be caused by different processes, but there are fewer cases, but the data for recognizing famine are fewer. The dilemma facing early warning is that it is very difficult, perhaps impossible to be definitive, clear and compelling about something that does not yet exist. Ambiguity is inherent in famine prediction.

This means that political decision making will come into play. Early warning does not eliminate the role of politics. Both political early warning and administrative early warning have better track records in inducing early decision making and response than early warning systems that are purely technical.

Writing about the famine codes in India, Field dissects detection and response with responsibility of the same individuals who typically were district level officials.

Contributor William Torrey reflects on community famine surveillance in Sudan, which is very timely in 2025.  Torrey dives into Darfur, including about participation by locals in Al-Fasher who were also involved in relief work, early warning, and famine response.

In his chapter about Oxfam America’s disaster response, Joel Charney mentions that honest reflection and self-evaluation are not exactly hallmarks of the voluntary agency community.  “According to their own public relations pieces, it seems that the agencies always do well regardless of the grave mistakes in judgment that journalists and other independent investigators continually uncover.”  He reviews the 1978 famine in Cambodia.

Mary B. Anderson and Peter Woodrow draw on their extensive case studies of disasters in many countries for key lessons, such as how disaster victims have important capacities which are not destroyed in disaster and therefore should be built on.  They argue that outside aid to these victims must be provided in ways that recognize and support these capacities.

In his chapter, Jack Shepard summarizes his research into American assistance to Ethiopia during the 1981-1985 famine period.  He recounts hos U.S. food aid became an important part of foreign policy in the 1970s and 1980s at a time of increasing American food production and increasing malnutrition around the world.  Shepherd recounts the evolution of aid policies including destabilizing Marxist regimes.  “Nowhere is the Reagan policy more clear than in its treatment of Catholic Relief Services (CRS), the official relief and development agency of the American Roman Catholic Community.  From 1982 through 1984 the administration deliberately delayed its response to emergency food aid requests for Ethiopia by CRS.”  In time, US food aid ramped up largely cross-border through Sudan into Tigray and Eritrea (fighting against the government of Ethiopia).

The most distinctive chapter was by Peter Cutler:  “Responses to Famine and Why They Are Allowed to Happen.”   Among Cutler’s observations is that rural famine victims are likely to become a political issue only if their case is taken up by influential urban elites, such as university students or the press.  He catalogs various contradictions in our aid system.

For instance, NGOs are in a contradictory position with regard to famine control.  On the one hand, their field staff are among the best informed of all actors operating in a famine zone, yet at the same time they are the least likely to challenge the system or influence governments. This is because NGOs are highly vulnerable. Cutler concludes the professional relief and development agencies will avoid the risks of challenging donors and the host governments when famine breaks out among unpopular groups of victims.

Publisher:  Kumarian Press, West Hartford Connecticut.  ISBN:  1-56549-019-3

Hunger Notes Co-sponsors Basic Education Roundtable

World Hunger Education Service (WHES) is co-hosting a roundtable of experts on June 12, 2025, a Thursday, to discuss American experiences and capabilities for supporting basic education overseas, including recommendations for how U.S. official foreign aid could re-incorporate early grade education, literacy, numeracy and inclusion again.

In 2025, aid to basic education through USAID and the Department of State’s Bureau for Population, Refugees and Migration were almost entirely terminated by the Administration, despite Congressional appropriations for education.

WHES joins with other groups including the nonprofit networks such as the Basic Education Coalition, the Global Campaign for Education/U.S., the University of Massachusetts Amherst  Center for International Education, and George Washington University in holding this June 12 roundtable online.

It includes experts from American NGOs working around the world, research institutes, associations, foundations, commervial providers, UNHCR, USAID, and other organizations.  It will discuss what unique or distinctive comparative advantages does the U.S. have in technical, financial or other assistance to basic education in lower-income countries?  It will cover how NGOs have been assisting curricula, IT technology solutions, teachers, administrators, PTAs, textbooks, and education management systems.

It will also look at lessons from past U.S. support via the McGovern-Dole program which provides school feeding to encourage attendance by girls in primary schools in dozens of countries (which were also cancelled in 2025 by the government).

Part of the discussion will look at inclusion of children with disabilities, and education in emergencies and conflicts, which had been a priority for both USAID and the Department of State, until this year.

This is one of a series of comparable roundtable meetings of experts, including discussions about food/nutrition, health/migration, environmental conservation, global health, technology, the roles of faith-based organizations, and the roles of Universities.

Questions and interest can be directed to ForeignAidRoundtable@gmail.com, and/or WorldhungerEd@gmail.com

 

2nd Annual International Food Aid Showcase, June 10 in Washington, D.C.

George Washington University (GW), in Washington, D.C. will host a gathering of NGO and food experts on June 10, 2025, to share lessons about overseas food aid and look ahead.  It is co-sponsored by Counterpart International (an international NGO), the Alliance to End Hunger, and GW’s Global Food Institute.   It will be held at the Milken Institute School of Public Health in Northwest D.C.

The day will include representatives from commodity associations, researchers in nutrition innovations and a gallery walk of tables and presentations.  This year’s showcase will convene a diverse group of stakeholders to exchange knowledge, spark collaboration, and explore the future of global food assistance.  The event comes at a time when American food assistance is undergoing turbulent change, with most food projects through NGOs and WFP cancelled.

Online access to this event will be available.

For more information see Counterpart International’s site:  https://www.counterpart.org/events/

To register, see:  https://docs.google.com/forms/d/e/1FAIpQLScRsZuFRNu0dm2o7ES1kxyQfw9QJXcFgJ0qGAvEQyh5M_eVMA/viewform

Why the Destruction of USAID Increases Hunger and Harms America

March 21, 2025

The United States Agency for International Development (USAID), the agency created by Congress in 1961 to lead America’s development and humanitarian assistance, has been decimated by President Trump’s January 21 Executive Order freezing U.S. foreign assistance.

Why should Americans care? For several reasons. First, USAID, until it was decimated, was the world’s largest provider of food aid, nutritional, health, and humanitarian assistance, saving millions of lives of women and children around the world. While many Americans believe that foreign aid takes a large share of federal spending, in fact this assistance accounts for less than 1% of government spending.

Cancellation of this aid has direct and immediate impact on vulnerable people in low- and middle-income countries. Nicholas Enrich, the acting assistant administrator for global health at USAID, who was placed on administrative leave on March 2 for documenting the failure of the Trump administration to follow through on its pledge to allow waivers for lifesaving foreign aid, has written that the consequences of halting $7.7 billion in funding for lifesaving global health programs will lead to the following each year:

  • 5–17.9 million cases of malaria, with an additional 71,000–166,000 deaths;
  • a 28-32% increase in tuberculosis globally;
  • an additional 200,000 paralytic polio cases;
  • more than 28,000 cases of Ebola, Marburg, or related diseases;
  • 17 million pregnant women without access to life-saving services when faced with delivery complications;
  • 11 million newborns not receiving critical postnatal care;
  • 1 million children not treated for severe acute malnutrition.

USAID’s failure to implement lifesaving humanitarian assistance under the waiver is the result of political leadership at USAID, the Department of State, and DOGE, who have created and continue to create intentional and/or unintentional obstacles that have wholly prevented implementation,” wrote Enrich on Feb. 28. “This will no doubt result in preventable death, destabilization, and threats to national security on a massive scale.”

Second, the decimation of USAID hurts American businesses, faith-based organizations, and farmers. USAID had a well-established strategy to prioritize contracts for American small businesses like Rhode Island-based Edesia which manufacturers a lifesaving paste for severely malnourished babies. Cancellation of Edesia’s contract not only harmed this business of 150 employees but also the farmers across 25 states, the U.S. ocean liners Edesia paid to ship hundreds of metric tons of its Plumpy’Nut therapeutic paste, and finally, to the international organizations that distributed it to children staving off death.

Third, this assistance, proudly branded by USAID as “From the American People”, created good will towards the United States and its citizens. It also contributed to America’s and global health security by fighting infectious diseases and strengthening local capacity to detect and fight scourges like Ebola, Mpox, and Avian flu which continue to be threats to the United States. Wholesale cancellation of support for infectious disease and research on how to prevent and mitigate pandemics makes Americans less safe and more vulnerable.

Presidential Advisor Elon Musk bragged on X on February 3 that “We spent the weekend feeding USAID into the wood chipper. Could have gone to some great parties. Did that instead.” Under the direction of Musk’s Department of Government Efficiency, USAID’s headquarters in Washington, DC was closed, over 4,000 USAID staff terminated, and another 4,765 direct hires placed on administrative leave.

By early February, USAID contractors and implementing partners, including those providing humanitarian assistance and emergency food relief like Catholic Relief Services and Lutheran World Relief, began receiving stop-work orders. Some of these contractors and implementing partners then received communication that the stop-work orders were lifted, but then in many cases were contacted again to say the stop-work orders were still in effect.

Effectively gutting the USAID workforce means that actions to issue waivers for lifesaving programs, as the Trump Administration claimed it was doing, or to support the continuance of “approved” programs, are not happening. USAID’s payment system is not accessible. As a result, most contractors and implementing partners have not been paid for work they did before the freeze, and many have been forced to lay off and furlough staff or even cease operations.

While U.S. Secretary of State Marco Rubio, now the acting administrator of USAID, has repeatedly said he has issued a blanket waiver for lifesaving programs, including food and medical aid, no staff at implementing partners or USAID means promises of such waivers are cruel hoaxes. In early March, Rubio announced that 5,200 USAID programs had been terminated and that about 1000 USAID programs would be continued but administered by the State Department.

In addition to stopping the delivery of food and humanitarian assistance, the Trump Administration also ended the USAID-funded Famine Early Warning Systems Network (FEWS NET) which monitored drought, crop production, food prices, and other indicators in order to forecast food insecurity in more than 30 countries. FEWS NET was created following the 1984 famine in Ethiopia, which killed an estimated 400,000 to 1 million people – and caught the world off guard. President Ronald Reagan then challenged USAID to create a system to provide early warning and inform international relief efforts in an evidence-based way. Managed by contractor Chemonics International, FEWS NET employed researchers in the United States and around the world to provide eight-month projections of where food crises will likely emerge. Now, its work to prevent hunger in Sudan, South Sudan, Somalia, Yemen, Ethiopia, Afghanistan, and many other countries has been stopped. Amid the aid freeze, FEWS NET has no funding to pay staff in Washington or those working on the ground. The wealth of data that underpinned global analysis of food security – used by researchers around the world and paid for by the American people – has been pulled offline.

Aside from the immediate damage to health and health security that the decimation of USAID poses, the assault on USAID has also removed access to the world’s largest public repository of development assistance documentation, the USAID Development Experience Clearinghouse. A public good paid for by American taxpayers, the Clearinghouse and its thousands of resources are now unavailable. It is clear from the draconian cuts to USAID programs and staff that it is not a priority for the Trump Administration to make development knowledge and information available.

In Memoriam: The US Famine Early Warning System, Known as FEWS, as well as SERVIR

The program which many experts considered to be the most effective at stopping famines and starvation and arguably the single most valuable aid program of all time, has ended its 40 year run of success, as the White House shut it down, alongside hundreds of other global initiatives, without review, discussion or debate.  The “Famine Early Warning System” aka “FEWS” was created to address the longstanding problem that U.S. food aid, which takes months to plan, procure and ship across oceans, kept arriving too late to save lives where there was famine.

FEWS has prevented the deaths of an estimated 10 million children from famine during its tenure.  FEWS played an important role in the decline in famine deaths seen in the last century.

The United States Agency for International Development (USAID) created FEWS following the late famine relief efforts of the mid 1980s when famine hit Ethiopia, Sudan and the Sahel.  In those famines, US food aid saved many lives, but could have saved more, and prevented mass forced migration (the uprooting of refugees) if food aid had reached those in need at earlier stages of crisis.  The President of Tufts University (in Massachusetts), Dr. Jean Mayer, a nutritionist, proposed a new famine early warning initiative to the head of USAID at the time, and the new program was born.  In the decades since, US food aid became dramatically more effective at addressing emergency food needs in a timely way, in the process saving millions of lives.

From its inception, FEWS cleverly combined data from a range of different sources about local crop production in countries from Somalia to Mali, from Afghanistan to Haiti.  FEWS obtained and compared data from satellite imagery of fields under cultivation, ground visitations, rainfall, local retail prices, surveys of malnutrition, and distress sales by households (an early indicator of intention to migrate).  Its methods elegantly blended insights from markets, biology, climate, and remote sensing.  FEWS brought together contributions from other parts of the government:  including NASA, U.S. Geological Survey (USGS), NOAA, and the U.S. Department of Agriculture.  Various universities including the University of California/Santa Barbara and the University of Maryland also provided critical satellite monitoring and analysis, all under USAID management, backed by networks of field analysts and scientists.  The first American group leading FEWS was Tulane University School of Tropical Medicine.

Graduate courses in Geographic Information Systems (GIS) taught about FEWS as a case study of a successful application of layering information in multi-colored maps to target food aid where it was needed most.  Courses in schools of public health taught about FEWS as well.  Humanitarian aid became a science.

USAID renamed the program “FEWS NET” and funded it to avoid appearance of conflict of interest to inflate food needs through funding appeals.  The cost of FEWS NET has been a small fraction of the value of the humanitarian food aid that USAID distributes. As FEWS matured and became a global network, FEWS NET, it provided ongoing, real-time reporting about a several dozen countries spanning continents and became a mainstay of USAID, being renewed continuously.  FEWS provided guidance not only to US food aid, but food from other donor countries including Canada, Japan, Europe and Australia.  To emphasize this collaboration with other contributing nations, in 2000, the initiative was renamed to Famine Early Warning Systems Network (FEWS NET) to emphasize the importance of collaboration with international and local information systems.

FEWS NET integrated varied data to build the most-likely scenarios to project food insecurity conditions in designated countries four and eight months in advance, indicating where timely humanitarian food aid might save lives and livelihoods.  FEWS NET’s analysis have answered the who, what, where, when and why. FEWS NET also reviews livestock conditions, markets and herder mobility (and fisheries, where important), along with crop conditions.  In recent decades, conflict became the biggest driver of food insecurity due to broken market links, shrinking livelihood options, death or injury of main breadwinners, and population displacement, leading to aid dependence.

No other public source has provided this kind of independent and globally consistent food insecurity intelligence.  FEWS NET briefings to all branches of the US Government, UN and NGO community are well respected and eagerly sought.  FEWS NET also reviewed livestock conditions, markets and herder mobility (and fisheries, where important), along with crop conditions.  In recent decades, conflict became the biggest driver of food insecurity due to broken market links, shrinking livelihood options, death or injury of main breadwinners, and population displacement, leading to aid dependence.

Famines will continue to occur, but prevention and early mitigation and response will be hampered now in the absence of FEWS.

In addition to the termination of FEWS, the USG also terminated other early warning projects, such as SERVIR.  The SERVIR program was a joint initiative of NASA and USAID that leveraged satellite-based Earth observation data to support climate resilience, disaster preparedness, and prevention in poorer countries. Established in 2005, SERVIR’s mission is to “connect space to village,” making NASA’s Earth data accessible for locally-driven environmental and development solutions. SERVIR tracked food security, water resources, weather, land use, and natural hazards.  SERVIR partnered with regional organizations in Amazonia, Eastern and Southern Africa, Hindu Kush Himalaya, Mekong, West Africa, and Central America.

Other sources about the demise of FEWS:   New Humanitarian about Data Streams;  and National Public Radio’s piece.

About Servir, see:     https://nasawatch.com/trumpspace/usaid-erasure-impact-nasa-halts-servir-solicitations/ https://ntrs.nasa.gov/api/citations/20210022715/downloads/Anderson2021_Getting-ahead-of-disaster-impacts-EO-CB_20211015.pdf

WHES Undertakes Research about Attacks Against Food & Nutrition in Humanitarian Aid

This month, toward the end of 2024, World Hunger Education Service  launched a broad  study about the patterns, trends and extent of violent attacks and threats against aid programs delivering food and nutrition solutions in famines, crises, war zones, and for displaced populations.  The results will be published here, in Hunger Notes.  This is an independent study that is at WHES’s initiative.

In recent years, there has been a growth in attention to and professional publications about attacks on health care in fragile states and conflicts, which include missiles, drones, shooting, targeted assassination, roadblocks, air strikes, mortar fire, kidnapping and siege.  All of these are prohibited by the Geneva Conventions.

There has been no corresponding attention to attacks on food assistance or nutrition programs, which this new study hopes to fill in.

WHES’s Lead Researcher, Eline de Looijier, is seeking inputs from a wide range of UN agencies, non-governmental organizations, donors, journalists,  researchers and observers who can help her document not only the extent of attacks on food/nutrition, but also how aid agencies adapt to threats and risks of attacks and seek to mitigate these risks.

WHES is an independent nonprofit and respects the confidentiality of people contributing to this study.  WHES thanks all those who are able to share their thoughts.  Please send inputs to Eline at:  Eline de Looijer <elinejdelooijer@gmail.com>

“Love and Liberation” Captures Voices of Local Aid Workers in Famine Zone

Lauren Carruth’s important 2021 book, Love and Liberation – Humanitarian Work in Ethiopia’s Somali Region (Ithaca, NY: Cornell University Press) fills a gap in the literature about aid programs by listening to the perspectives of those personnel delivering aid on the front-lines who are not expatriates, but locals, who, by the way, represent the majority of staff for all aid agencies everywhere.  In doing so she discusses alternate ways of understanding crises, what “localization” actually means, inequalities in local labor hierarchies.

Carruth, a Professor at American University in Washington, DC, explores the reasons why the eastern region of Ethiopia is repeatedly beset by food crises that have compelled substantial amounts of food and health assistance by the World Food Programme, Save the Children, UNICEF and other aid organizations for decades.  This cyclical nature of the relief industry plays out in other countries as well.  An anthropologist, Dr. Carruth suggests a typology for places and peoples who suffer repeat or perpetual food insecurity.

The author’s interviews cover not only the conditions driving food insecurity, but the emotional lives of the local aid workers who are passionate about their work and emotional about the problems they see firsthand.  As she says “Drivers, logistics managers, translators, data collectors, researchers and field monitors and the like were all necessary to aid operations because, essentially, they make projects happen.”   She compares the expectations and experiences of locals working with the UN, with Non-governmental Organizations, and the Ethiopian government.  The book returns often to this theme:  “the global humanitarian industry depends on ample supplies of cheap, temporary, flexible and expendable labor from the localities where it intervenes — ironically to proffer a narrative of improving the lives of locals.”  She gives voices to the 95% of humanitarian personnel who are from the countries and communities in crisis.

Dr. Carruth’s focus is the Somali region in the northeast of Ethiopia, not the also-disaster-prone central and northern regions of Ethiopia or the recent warzone in Tigray.  The northeast region, past Jijiga is arid lowlands where many populations are pastoral herders, moving around, posing challenges for aid agencies to reach.  Drivers of conflict, the author explains, include both drought and inter-communal conflict.  The research for this book occurred during a confluence of these hazards:  “By July 2018, as I was conducting research for this book, there were over one million persons internally displaced in eastern Ethiopia, newly settled into makeshift camps and informal settlements near Jijiga and Dire Dawa and all along the Oromia-Somali regional boundaries.”

An example of the type of work the book draws on are mobile health and nutrition teams.  “Mobile teams have been active in the [East Ethiopian] Somali Region since 2005 during a measles and polio outbreak.  Most mobile teams are designed to provide vaccinations, a few essential medications, water treatment equipment referrals to higher medical facilities, supplies of ready-to-eat fortified BP-5 biscuits and therapeutic Plumpy’Nut peanut paste…  Typically communities qualify for mobile team visits based on local rates of acute malnutrition in children under five years or reported outbreaks of infectious disease in the local population… but ..most humanitarian relief targeted the lives and health of young children and their mothers and not the entire community.”

While describing the “affable characters” whom the author finds in the local humanitarian outreach, Dr. Carruth also documents the reciprocal exchange networks  by which the population copes, including trade over long distances.  For instance:

  •        “The decentralization of relief work with its focus on training and hiring ever more local staff and deploying them throughout the region — often on mobile dynamic projects — requires hospitality on the part of hosting family members, friends and recipient communities.  Hospitality is therefore necessary to accomplish the logistics and travel humanitarian interventions require.”
  •    Local staff are compensated in a range of ways.  For instance, “Food for work, training workshops in midwifery and similar interventions organized through governmental and UN relief programs are almost free gifts and …humanitarian handouts.”

Carruth does an admirable job describing the tensions between short-term relief (band aids) and longer-term systemic problems.  So many locals in Ethiopia have been saturated with surveys by NGOs who also promise assistance that doesn’t come.

She describes how local aid workers who are indispensable feel, nevertheless, that they are invisible. “The humanitarian industry continues to rely on the willingness of locals to accept temporary, precarious and flexible contracts, informal labor arrangements and small salaries and per diems [reimbursements] for less money than either Amharic-speaking Ethiopians or expatriates occasionally flying into the Somali [eastern] Region.  The informality of the aid work so often performed by locals and the popularity of tropes about the heroic local aid worker also leave unquestioned the consideration in which their labor takes place, and leave unquestioned the fact that it is often performed in unacceptable conditions with no benefits and no legal rights or recourse for workers’ emotional well-being, abuse, exploitation or injury.”

At 169 pages this book is readable, timely and relevant to anyone interested in how actual humanitarian work unfolds, telling a very neglected part of the story.

To follow the author’s research, see:  https://laurencarruth.com/

For further information about food insecurity in eastern Ethiopia, see:

https://fews.net/east-africa/ethiopia

https://unsdg.un.org/latest/stories/over-3-million-people-impacted-worst-drought-40-years-ethiopias-somali-region

 

reviewed by Steven Hansch, WHES board