U.S. Food Aid (Part 10): To Monetize or Not to Monetize? A Review of Food Aid Monetization

July 30, 2026    by Mara Russell      Title II monetization has been highly controversial throughout its existence. Going back to the beginning of Public Law 480 in 1956, food aid was provided through a government-to-government program known as Title I in which recipient governments received large concessional loans of food aid, which were subsequently sold locally, to provide funding for government initiatives and inputs to local food industries.

In its recent Request for Information, the U.S. Department of Agriculture (USDA) asked for advice about the monetization of food aid, i.e. when donated bulk food aid is sold after being transported to a target country, typically sold at wholesale markets.

The early Title I program has not been funded formally for many years, but using the Food for Progress program, USDA sometimes provides government-to-government grants consisting of food aid which is subsequently monetized. In FY2013, the Government of Mauritania received commodities worth $5.16 million, in FY 2014, the Government of Guatemala monetized commodities worth $30.5 million, in FY2017 the Government of Jordon monetized commodities worth $18.7 million, and in FY2021, the Government of Sudan received 300,000 metric tons (MT) of Hard Red Winter Wheat worth $120 million. Venezuela is also listed as having received $12,674,433 in FY 2019 as a “Provisional award contingent upon initiation of a democratic transition in Venezuela”. However, until its elimination last year, Title II food aid programs were always led by USAID. Now Title II programs are being managed by USDA because of an inter-office mechanism that transferred them to the latter agency.

Title II programs are, by definition, managed by partner organizations, such as World Food Programme and not-for-profit International Non-Governmental Organizations. These latter organizations became very interested in using Title II monetization during the 1980s to cover the costs involved in delivering food aid while addressing the underlying causes of food insecurity. While the logistics of monetization were complex and often difficult to manage, funding from monetization enabled implementation of programs that would not have been possible otherwise. Throughout the 1990s into the early 2000s, Title II monetization enabled introduction of programs that aimed to improve food security using technical interventions in food production, nutrition, and water, sanitation and health (WASH) in non-emergency programs. Many of these programs used 100% monetization in which food aid commodities were exclusively monetized and not distributed.

This led to a shift in the types of commodities used in Title II programs. Initially, commodities were developed with recipients in mind. Grains were most often milled and highly fortified. For instance, Corn Soy Blend (which until 1990 included Non-Fat Dried Milk, and was called “Corn Soy Milk”), was fortified with a blend of vitamins and minerals as well as including protein-rich soy flour. Bags were manufactured to reduce the potential for loss, spoilage and infestation, and such shipments were containerized. Vegetable Oil came in small metal tins that could be easily carried by recipients. Yet, as monetization involved the sale of commodities to private sector food industry traders and food processing companies in developing countries, it was much easier to sell bulk commodities to these industries. These buyers were much more interested in doing their own value addition and selling these commodities to the private sector. There was reduced attention among NGOs in distributing commodities to poor and malnourished recipients, and more attention to generating resources through monetization, which, several NGOs admitted, diverted organizational resources away from addressing the needs of hungry people and the underlying causes of food insecurity. Instead, commodities such as bulk wheat, rice, corn and soybeans were sold without the need for bags, and bulk crude, degummed, soy oil was pumped directly from tanker ships into processing plants. Instead of value being added in the U.S., value was added in the recipient countries. Bags and tins were not required. Containerization was not necessary. And, while there were hefty costs associated with monetization, with 100% monetization, there were no longer requirements for significant funding for internal transport storage and handling. Unfortunately, as a result, by the mid-1990s, the demand for processed and packaged commodities declined so much that they made up less than half of the non-emergency commodities shipped by Title II, despite a Congressionally mandated minimum of 75% use of processed and packaged commodities. Producers of processed and packaged commodities lost revenue as a result, and some went out of business. Relevant U.S. commodity organizations advocated for bulk commodities for monetization to be reduced in line with the processed and packaged mandate. It also became apparent after a certain point that import of bulk commodities had a negative impact in some countries on farmers and market systems by creating unfair competition.

In addition, after several years, concerns were raised that the costs involved in the purchase and shipment of commodities to developing countries were not being adequately recovered through sales. Although cost recovery varied widely depending on the country, time of purchase in the U.S. and timing of the sale in the receiving county, the buyer, and the method used for sales, overall, cost recovery on monetization sales overall was less than 100%. The GAO reported in 2011 that during the three prior years, USAID cost recovery was 76% and USDA cost recovery was 58%. At the time, the high cost of ocean shipment, heightened by a 75% preference for U.S. flag ships that limited competition for these cargoes further increased ocean freight to make up a third of the overall costs, and made cost recovery much more difficult. This resulted in concerns that the full value of the taxpayer dollar was not delivered to recipients as intended by Title II programs. However, most international NGOs were more interested in being able to provide agriculture and other technical and training services that could enable people to grow out of poverty, or to teach mothers how to improve the nutrition of their children without imported food aid, or how to develop water systems without the need for food distribution. While specialized Title II commodities did not disappear, NGOs often favored using cash to address the underlying causes of food insecurity to prevent hunger and malnutrition rather than simply distributing commodities to people.  Monetization provided a source of cash that would not be available otherwise to implement programs that sought to address not only short-term needs, but also long-term causes, thus eventually resulting in self-sufficiency with a focus on building sustainability. In 2003, David Tschirley and Julie Howard of Michigan State University reported that the U.S. share of official development assistance had declined during the past forty years, and that it had fallen by half between the mid-1980s and mid-1990s and continued to fall. Moreover, U.S. funding for agriculture declined to only 4.1% of  foreign assistance.

While American INGOs continued to actively advocate for monetization, European NGOs voiced many concerns about it. These included the fact that as the U.S. accepted less than 100% of the cost of food and freight from monetization, this amounted to a subsidy that created an uneven playing field for other commercial exporters. These concerns were raised at the Doha Round of the World Trade Organization and created some confounding issues for U.S. trade negotiations in the early 2000s. Also, many American INGOs had federation members based in donor countries, including many in Europe. These European federation members raised some of the strongest objections to monetization, and organizations that monetized either had to agree to disagree with these European brother and sister agencies or go along with them and stop monetizing.

It was European INGOs, who were largely focused on providing food aid for humanitarian assistance, who raised some of the strongest concerns about food aid that should have been used to help feed hungry and malnourished people being sold to the private sector, which then turned a profit and sold the food in commercial markets. Also, some views changed among staff of American NGOs who were concerned about the growth of hunger and malnutrition, and the fact that food aid being sold to support their programs was not being used to feed increasing populations of people impacted by disasters, conflict and chronic hunger and malnutrition. In the late 1990s and early 2000s, the proportion of U.S. emergency food aid increased significantly in comparison with non-emergency food aid. This led U.S. NGOs to advocate strongly to establish a set aside “safe box” for non-emergency programs.

Added to this was growing evidence that monetization was likely resulting in negative market impacts,  including disincentives for local farmers and market actors. While NGOs implementing monetization were required to conduct market analyses to avoid these disincentives, there were concerns that these so-called “Bellmon Analyses” may not have been objective because the end-goal for the NGOs involved was to monetize and generate as much cash as possible.  Also, some NGOs began to import Title II commodities in consumer packaging and sell them to buyers outside of the large urban centers so that the commodities could reach people in rural areas, thus making these products more accessible to the people these programs were designed to support in Rwanda. However, there were also concerns about how  monetized commodities may create competition with local producers and vendors, which in turn resulted in dependency on these imported commodities.

As well, cost recovery can be very difficult to achieve. If something happens to a shipment or there are significant commodity losses, this can be a problem. If commodities are not sold by the time they are shipped, this can result in commodities going unsold, resulting in lower prices paid than projected. However, in some cases, the opposite was true if an auction methodology was used to sell commodities for which there was strong demand. Nonetheless, if commodity specifications fail to meet buyer expectations, this can also result in defaulted sales or lower prices. Commodity spoilage, theft or other loss can result in lost funding. Buyers have been known to collude to keep prices low, or to renege on contracts. Shipments carrying monetization cargoes have been known to catch fire or sink. Unsold commodities have been known to become unsafe for human consumption or be stolen. As noted above, NGOs that monetized often invested heavily in addressing monetization issues at the expense of fulfilling their mandates of meeting humanitarian among vulnerable populations.

In 2005, long-standing concerns about how to do food aid were explored in a book by Cornell University’s economist Chris Barrett and Dan Maxwell published Food Aid after Fifty Years: Recasting its Role. They recounted how the time needed for food aid to reach malnourished people, and the costs involved in commodity purchasing and ocean shipment were high, whereas, in theory, if food were purchased locally (or in a nearby country), the time needed to transport food could be reduced by six months or more. Also, commodity and transportation costs could be reduced.  There could be considerable benefits to local farmers and markets if instead of purchasing and shipping food from the U.S., food is purchased overseas, within the target region. Their book also proposed a global procurement system to obtain the  most competitive prices were being paid for food aid. Meanwhile, the World Food Programme uses similar processes to ensure the cost-effectiveness of many of its local, regional and international purchases.

In 2009, CARE changed its policy and took a stand against monetization, proclaiming that it would not monetize. In doing so, CARE  reported that it lost approximately $46 million per year by not monetizing. The INGO led an advocacy campaign against food aid monetization, and for increasing the use of cash to address underlying causes of food insecurity. It also advocated for the use of local and regional procurement, cash and vouchers for food assistance that would not only increase local food consumption and hence demand for local production and marketing, enabling people to have a choice about the food they consumed.

However, CARE made an exception by monetizing in Bangladesh. The Bangladeshi Government agreed to purchase Title II wheat for monetization and distribute this through the national food safety-net system, with the idea that people in need would receive this food. The GoB agreed to pay no less than an 80% cost recovery (usually around 82%) and continued to do so through 2020. This was incorporated into the CARE’s food aid policy, stating that it would not conduct “private sector” monetization. CARE also made an exception if it was working in a consortium with one or more organizations, it would use any cash resources that could be made available.

In the years that followed, some other NGOs shifted away from monetization. New other USAID initiatives began that provided cash to NGOs for agriculture, food security, food market growth and nutrition activities (Development Assistance funds). These were in response to an international “Food Price Crisis” that revealed vulnerability in global stocks that resulted in commodity price increases. These programs eventually came to be known as Feed the Future, which was signed into law in 2015. In 2014, funds from this program were first integrated into Title II and could be used in non-emergency programs. These funds were known as “Community Development Funds” or CDF and were finally available to be used in lieu of monetization. A total of $80 million per year was made available for this purpose and were in fact enshrined in Food for Peace legislation.  Moreover, while in the past, there was a 15% floor on the use of monetization in Title II programs, there is now a 15% (as of 2018) a ceiling, thus indicating a priority in the legislation to use cash and not monetization proceeds. When CDF funds became available, it became possible for organizations like CARE that do not monetize to implement these programs.

However, since the 2026 transfer of Food for Peace to USDA, it is not clear what funding will be available to provide technical and operational support to these programs. The Feed the Future program is no longer being implemented by the State Department and the recent Food for Peace Emergency Notice of Funding Opportunity stipulated that 50% of resources should be used for commodities and ocean freight, so other resources are needed to cover the costs of internal transport storage and handling to ensure the accountable, effective and secure management of food aid and to ensure that food aid quality is maintained until it is consumed. Funds will also be needed to cover the technical costs associated with addressing the underlying causes of food insecurity, such as increasing food production, building the capacity of people to earn sustainable incomes, adoption of critical health and nutrition behaviors, construction and maintenance of water and sanitation infrastructure, and ensuring communities are more able to address shocks and stresses that impact food security, and ensure that these outcomes outlast the end of these programs. It is not clear where these funds will come from without CDF, and thus monetization funds may be needed to support these programs to ensure that food aid is managed accountably, securely and food quality is maintained, and at the same time ensure that programs are effective in building and ensuring food security in the long run, thus avoiding dependency.

As international non-governmental organizations weigh whether to engage in food aid monetizations, a few questions are likely to be important in decision-making.  Since there are many potentially negative outcomes that could result from monetization, would it be an acceptable action in the short term? And, if so, how many years will these monetization programs continue? Will there be a future in which cash funds will cover the costs of internal transport  and other program costs? If so, when will that happen and what will it look like?

Will legislation that ensures the use of CDF be acted upon if Development Assistance funding becomes available for use in food security in the future? And, if so, when will that be and what will it look like? CARE and other INGOs advocated for at least a decade for cash funding for use in lieu of monetization. If INGOs such as CARE agree to monetize food aid under the current circumstances, will they continue to advocate effectively for availability and use of CDF funding? Moreover, American farmers and farmer associations that benefit from monetization will strongly push back on efforts to replace monetization funds with CDF or other cash. Will that make it more difficult to implement Food for Peace programs without monetization? As Food for Peace non-emergency programs are among the very few U.S. Government foreign assistance non-emergency food security and nutrition initiatives still operating since the elimination of USAID, would monetization be an acceptable short-term solution? Unfortunately, bringing cash back to these programs may take a long time and this could result in necessitating the use of large-scale monetization activities for years to come. Finally, not monetizing could be seen as not supporting farmers who have, in essence, ensured the continuation of the Food for Peace program.

Faced with a future in which monetization may need to happen, organizations may wish to consider options that support programmatic objectives. For instance, CARE and other U.S. INGOs implementing in Bangladesh negotiated an agreement with the Bangladeshi government in which it purchased wheat at a set rate of cost recovery (80% minimum) and then used the commodity in its food safety-net system. This may not work elsewhere, but it is a bit more predictable and at least ensures that poor people access this food. Other organizations have monetized food as a way of contributing to the manufacture of products that were ultimately distributed.

Land O’Lakes International Development monetized non-fat dried milk powder in several Asian countries, selling it to processors that developed nutritious, fortified, UHT milk snacks for distribution in schools. As mentioned above, monetization among small scale vendors outside of large urban centers could also ensure that monetization commodities create value for traders and households in rural areas. So, there may be options available to “mitigate” some of the downsides of monetization, by ensuring that the food used for monetization eventually provides food for those the program might target with food assistance. Unfortunately, as time and resources devoted to these options may add to the cost of monetization, it will ultimately reduce the ability of humanitarian organizations to fulfill their mandates of addressing the needs of food insecure populations.

Further Reading:

Gaibler, Floyd, Deputy Under Secretary, Farm and Foreign Agricultural Services, U.S. Department of Agriculture, The Impact of the World Trade Organization on Food Aid Policies, Presentation at the USDA and USAID Export Food Aid Conference, Kansas City, Missouri, April 25, 2006.

EveryCRSreport.com, International Food Aid Provisions of the 2008 Farm Bill, July 10, 2008, https://www.everycrsreport.com/reports/RS22900.html#_Toc346816996, accessed July 28, 2026.

Government Accountability Office (GAO), Funding Development Projects through the Purchase, Shipment, and Sale of U.S. Commodities Is Inefficient and Can Cause Adverse Market Impacts, GAO-11-636, June 2011, https://www.gao.gov/assets/gao-11-636.pdf, accessed July 28, 2026.

Harrell, Eben, CARE Turns Down U.S. Food Aid, Time, August 15, 2007, https://time.com/archive/6922467/care-turns-down-u-s-food-aid/, accessed July 28, 2026.

CARE USA, White Paper on Food Aid Policy, June 6, 2006, https://www.care.org/wp-content/uploads/2020/05/CARE20monetization20farm20bill20white20paper5B35D.pdf, accessed July 28, 2026.

Mara Russell has led food aid programming for decades.

 

 

U.S. Food Aid (Part 1): Reflections about Food Aid by Long-Term Practitioner

July 7, 2026    by Mara Russell     This is the first in a series of articles by Hunger Notes about the U.S. Food for Peace (FFP) Program.  “Food for Peace Title II Non-Emergency Programs: What are they and Why are they needed?”

In the United States, government-funded “Food for Peace” (FFP) programs  transitioned from USAID to the State Department when the former agency was dissolved  in 2025. Several months later, the Food for Peace program was transferred to the United States Department of Agriculture (USDA), a large federal agency that had not managed this program previously. Soon after this transition, $452 million in FFP resources was awarded directly to the U.N. World Food Programme (WFP) for food activities in the Democratic Republic of the Congo (DRC), El Salvador, Ethiopia, Guatemala, Haiti, Kenya and Rwanda.[i]

Then, as recently reported in Hunger Notes, in 2026, USDA released a “Notice of Funding Opportunity” for nonprofits (NGOs) for new Emergency Food for Peace programs, naming the same set of countries that were eligible for food assistance.  These upcoming programs are scheduled to be worth $357 million in total.[ii]  Since a total of $1.2 billion was appropriated by Congress for Food for Peace in FY26,[iii], USDA is now considering how to implement the rest of the funding for “development” or non-emergency food programs, referred to during the past seven years as Resilience Food Security Activities or “RFSAs.”[iv].

One critical variable that non-emergency programs have leveraged during recent cycles of USG funding is timeframe. These NGO-administered programs are generally five years in length, while emergency programs only last for a maximum of two years. Emergency programs are designed to address the impacts of acute (wasting) malnutrition and severe food insecurity. Resources in emergency programs are provided to address short- to medium- term impacts of a severe shock. This can be due to a natural disaster such as an earthquake, a severe storm, drought, or  severe conflict. The spread of an epidemic or pandemic disease can also result in such impacts, either due to a breakdown of production and markets, or due to people being at greater risk of malnutrition due to the impacts of a disease. Or shocks can result from a combination of several things.

On the other hand, non-emergency programs focus on preventing emergencies.   They address the underlying causes of hunger that tend to become more serious when conditions are such that food supplies become limited, or people lose access to food due to the types of shocks outlined above. These underlying causes, such as poverty, cultivation practices that result in poor yields, inadequate services or limited safety-nets that result in food insecurity and malnutrition, lack of income earning opportunities, poor access to water for agriculture and for drinking and inadequate sanitation that can cause water-borne disease- a significant underlying cause of acute and chronic malnutrition, lack of attention to the special nutrition needs of women of childbearing age, pregnant women and young children, and lack of capacity to prepare for potential shocks that impact food security and nutrition. These are complex issues that call for a combination of access to goods and services, while adopting of behaviors and practices within households.  Programs also ensure that the food consumed meets the standards of a healthy diet, prevent water-borne disease, and build resilience to unexpected shocks.

This takes time. There is a limit to what can be done in only one or two years. This is especially the case because according to the 2026 USDA Emergency funding opportunity, it takes between 45 and 90 days from the award of a program until food aid from the Food for Peace program can be exported from the United States, and then up to another 6 months for commodities to arrive in the country where they will be distributed.[v]

A second factor has to do with geography.  Emergency food aid programs are in countries and locations where there is an active ongoing shock, and large concentrations of people, including refugees and internally displaced people, living in a situation of extreme food and nutrition insecurity that should be addressed immediately.  Identification of these locations is guided by early warning systems or methodologies that classify people based on the degree to which they are currently food insecure or malnourished. The system that tends to be most respected internationally is the U.N.’s Integrated Phase Classification or IPC system. During its existence, USAID utilized this system, and now USDA is using it also as a way of designating where and among whom an emergency program should be implemented. In its recent funding request, USDA stated that a minimum of 20% of the population to be targeted with food aid should be living at IPC 3 or higher. The IPC classifies populations at levels 1 through 5 based on the severity of food insecurity as follows: 1 = None/Minimal, 2 = Stressed, 3 = Crisis, 4 = Emergency and 5 = Famine. The “shorthand” clarification used for those populations needing immediate assistance are those at IPC 3+.[vi]

However, non-emergency programs aim to reduce the likelihood that people living in a particular geographic area will experience conditions at or above IPC 3. Countries prioritized for these programs may already have sizeable populations at IPC 3+, but there may not be significant active shock conditions causing this situation. Sometimes, populations may be at IPC 3+ due to a shock that has previously increased food insecurity and malnutrition. For instance, after the Haiti earthquake in 2010, there were emergency programs that addressed food insecurity, malnutrition, reconstruction and access to food for the people impacted by this shock.  However, by 2013, many of the immediate impacts of the quake, such as food insecurity and displacement were initially addressed, but there was a need to address long-term root causes of malnutrition and vulnerability.  At that time USAID implemented a non-emergency program that sought to address these underlying causes and increase the ability of the country to cope with severe shocks.[vii]

Many countries where non-emergency programs are implemented experience cyclical shocks that recur on a periodic basis. They do not always exist in shock situations but may be impacted by droughts or floods during serious weather events, such as El Niño or La Niña events. During the El Niño event in 2023-2024, most of the harvest of the country of Zimbabwe was ruined due to inadequate and poorly timed rainfall.[viii]  However, on-going non-emergency programs continued to increase yields, increase incomes and reduce malnutrition, while emergency programs supported households and communities as necessary with additional food and other emergency assistance. Most of these countries also experience an annual “hunger season”, which tends to occur anywhere from 3-6 months prior to the next harvest when food stocks and cash earned from the prior harvest have been depleted.  Thus, while non-emergency programs are not implemented in contexts where active shocks occur, they may be targeted within fragile environments where hunger seasons make life very tenuous for people living in those geographies.

Another important element in these programs are the participants who are targeted. In emergency programs, large portions of the population are highly vulnerable due to the impacts of a disaster, such as an earthquake, a hurricane or other cyclonic storm, or severe conflict. In these cases, those targeted for assistance may have been displaced, or otherwise lost everything – including their health. In such emergency situations, it does not matter whether people were rich or poor prior to such shocks.

However, Title II non-emergency program participants tend to be those who are poorest, receive the fewest services, and are at greatest risk of malnutrition and food insecurity.  Often the focus is on those who have the least to fall back on when shocks occur and tend to be those most impacted by annual hunger seasons and other severe shocks.  A case in point is the Ethiopia Productive Safety-Net Program (PSNP), which has been supported by Title II non-emergency food aid since its inception in 2005.[ix] The PSNP targets people who are impacted by the annual hunger season through a Cash or Food for Assets (FFA) activity that creates a safety-net during the period of greatest vulnerability in normal years while developing assets that communities can use during good years and fall back on in bad years. The PSNP is supported by the Ethiopian government as well as several other donors. During normal years, a certain number of households are targeted for the program based on their chronic food insecurity and malnutrition. However, during years when poor crop yields and impacts increase the number of households needing food assistance, the number of households targeted increases to also address the needs of those who would not normally be included in the PSNP program.

In addition to selecting participants based on their food insecurity, there is a difference between how emergency and non-emergency programs select participants when it comes to malnutrition. In the case of emergency programs, care is taken to address the needs of people who are acutely malnourished, mainly children under 5 and pregnant and lactating women. In the case of emergency programs, acute malnutrition, in which the body loses weight rapidly, becomes a major risk. Moderate acute malnutrition exists when body weight for height among children under 5 falls below 2 standard deviations from the global mean, and severe acute malnutrition exists when this falls to 3 standard deviations below the mean.  If the rate of wasting malnutrition in a population reaches or exceeds 10%, this is deemed a humanitarian emergency requiring immediate rehabilitation using ready to use therapeutic and supplementary foods  that provide concentrations of fat, calories, protein and other nutrients all aimed at ensuring survival and rapid weight gain. Women of childbearing age, including those who are pregnant or breastfeeding as well as men also benefit from rehabilitation with RUTF or ready to use supplementary foods (RUSF), designed to also rehabilitate people in these conditions. These products are available via Title II.

However, in the case of non-emergency programs, participants are targeted based on the rate of “Stunting”, or chronic malnutrition, which exists when height-for-age among children under the age of 5 falls below 2 standard deviations under the global mean. The logic behind this is that there are milestones for linear growth that children need to reach before the age of 2 to avoid being developmentally disabled and to ensure a healthy life. Infants and young children under age 2 in this condition can recover from this and their linear growth can catch up to normal levels before they reach age 2.  However, after these children reach age 2, it becomes extremely difficult for their growth to catch up.  It is possible for a child to be both chronically and acutely malnourished (also known as “wasted”). It is also possible for stunted children not to be wasted and wasted children not to be stunted. However, there are certainly connections between these different types of malnutrition.  Nonetheless, stunting and wasting are indicative of different situations based on how and when they occur within the population. High levels of acute malnutrition indicate the existence of an acute shock as it does not take long for children to become acutely malnourished. This occurs when children are deprived of the food they need for a period of days or weeks (at most). However, it can take a long time for a child to become stunted. Children become stunted because they lack sufficient nutrients in their diet (both macro- and micro-nutrients) to fulfill their daily requirements. It takes months for a child to become stunted, and it also takes a long time for them to overcome this problem. If there are a lot of stunted children in the population, this indicate that the population is chronically food insecure and poor.

Thus, non-emergency Title II programs target populations with high chronic malnutrition rates among children under 5 as this is a clear red flag that there is a significant poverty and food insecurity problem within these populations. Targeting participants from these areas indicates that while there may not an active shock situation, there may still be a lot of food insecurity – which left unaddressed – could lead to more serious problems.  People living in these contexts are on the edge, and one missed harvest due to a storm or drought or earthquake or locust swarm or violent attack could result in them becoming part of the emergency case load of Title II programs.

Non-emergency Title II programs focus on ensuring that infants are exclusively breastfed until they are six months old, and that beyond that time their diets consist of the types of diverse foods that children of their age need to meet their linear growth milestones by age two. At the same, these programs  also address the underlying causes of chronic malnutrition. They train mothers to feed their children properly, including exclusive breastfeeding, take care to prevent water-borne disease through handwashing and use of clean water. At the same time, these programs recognize that mothers will be unable to feed their children the types of food they need if they are not able to produce or purchase it throughout the year. Raising these issues among all community members can build support and solidarity to ensure that children’s and women’s dietary needs are met. In addition, creation of clean water access and sanitation – including installation of accessible working water points and household latrines – support practices such as frequent handwashing with soap, and reduction of open defecation. These practices in turn reduce water-borne disease from hindering the absorption of the nutritious food being consumed. And, integrating these practices into people’s lives takes a long time, thus the longer timeframe of these programs is critical.

Non-emergency programs also provide a few more benefits that make them important to reduce the emergency caseload of Title II. They target countries and regions that are fragile and shock prone. They can detect changes in conditions,  both positive and negative, which can reduce time lags on responses. If the number of acutely malnourished children begins to escalate – this could easily occur within the areas where populations are most food insecure. If harvests begin to fail due to weather impacts, many farmers in the geography where the program is implemented (they may or may not be participants) will experience these conditions first.  The presence of an implementer (NGO) in these areas can ensure the monitoring of IPC levels, levels of acute malnutrition, impacts on harvests and prevalence of diseases – including those that are water-borne.

At the same time, these programs seek to enable participants to anticipate and cope better with the types of shocks that normally impact these geographic areas. Reviewing the history of the targeted population, it is possible to learn more about the major shocks that typically impact them, and they are sometimes cyclical. For instance, locust swarms may occur every so often in parts of East Africa. Working with communities likely to be impacted by these swarms during years when they don’t occur to prepare for when the locusts return will help participants to cope more effectively when this happens. There are now many agricultural technologies that enable farmers to adapt to drought. This could range from water-harvesting, to irrigation, to use of drought-adopted seeds, to reorienting productive systems through methods such as Resilient Design and Perma-gardening.[x]  The last two types of systems prevented farmers from losing their crops during the El Niño drought event in Zimbabwe mentioned above.[xi] It was a non-emergency Title II programs that provided training to farmers to enable them to maintain their crops in the face of this severe drought.

Finally, one of the key underlying causes of food insecurity is poverty.  Farmers may depend on their crops for food, but they need cash to fall back on when their crops fail, and they need to purchase food from markets. Also, for farmers to maintain their land and plant crops, they need cash for inputs and often to pay for land,  either as the owner or as a renter or lease holder.  It also costs money for children to attend school, and it costs money to get to markets, visit health centers, buy fertilizers and crop-protection products. Maintaining water points and latrines can also cost money because spare parts and their installation is not free. And when the program is over after five years of investment, ensuring that people not only achieve but also sustain their food security will mean that people have a secure source of cash and savings to fall back on.  Otherwise, closing the program will be commensurate to a shock for those who have benefitted from it.

A methodology that has proven itself over the years, and within the past nine years in Title II non-emergency programs has been the Graduation Approach.[xii]  Developed and initiated by BRAC in Bangladesh, this approach has been tested throughout the world in fragile contexts where large numbers of poor and food insecure people live.[xiii] The approach targets extremely poor people, provides them with food assistance safety-nets  and then links them to a savings and loan group where they meet others in their situation and obtain peer group support. At the same time, they are provided training in a livelihood opportunity for which there is demand within their context. This livelihood training could be agricultural (crops or livestock) or non-agricultural in nature and offers people the opportunity to become employed or operate their own business. After their training is complete, participants  receive small grants or assets (such as equipment or animals) that enable them to start their activities until they become viable. During this time, they continue to receive coaching and mentoring so that they can be successful within their chosen livelihood. They also receive training and support with respect to nutrition, water and sanitation and learn to anticipate and respond effectively to shocks. The Graduation Approach has been shown to ensure a high return on investment and results are sustained over time after the end of the program.[xiv]

Now that the program has moved to USDA, the leadership is reviewing the program and will likely make changes that will increase the cost  of food and ocean freight versus what is provided to those in need.[xv]  The recent Emergency Program set of funding opportunities stipulated that at least 50% of program budgets must be devoted to commodities and ocean freight.[xvi] This reduced the funding that could be provided to internal transportation storage and handling to distribute commodities. It also reduced the funds that could be provided for technical interventions such as monitoring of severe food insecurity and levels of acute malnutrition, training mothers about how to monitor and refer their children, and enabling technical interventions that will help people to recover from emergency situations. It is possible that the same 50% requirement may be put in place by USDA for future Non-Emergency Programs, and this could reduce the resources available to enable the sustainable improvement of food security and nutrition in extremely poor and fragile contexts as described above.

Changes in the legislation over the years made it possible to integrate international disaster assistance funds  with emergency Food for Peace programs enabling the use of cash, vouchers and local, regional and international procurement  to ensure that the right resources were available at the right time to address peoples’ needs. This prevented the need to wait 6 – 8  months for U.S. commodities to arrive in country to begin addressing acute malnutrition.  As noted above, the impact of acute malnutrition is rapid and if not addressed quickly will lead to death.

Similarly, U.S. legislative changes enabled the coordinated use of Development Assistance funds with non-emergency Food for Peace programs, which covered the cost of the complex interventions discussed above. These resources also provided the opportunity for programs to transition people away from dependence on U.S. food aid and foreign assistance.  While food aid has been important for non-emergency programs to build stability for those suffering chronic food insecurity, we will not ultimately accomplish Title II’s objectives if people remain dependent on food aid at the end of each program.

As global conditions worsened around the turn of the century, the need for emergency food aid programs increased around the world.  These needs began to reduce the funds available to pay for non-emergency programs. Thus, in the 2008 U.S. Farm Bill, a Non-Emergency “Safe Box” was integrated into Title II legislation to establish minimum funding to ensure that these programs could continue to be implemented. Currently $365 million is designated for the implementation of these programs.  $700 million of USG  funding from FY26 and FY27 allocations may be made available soon for these programs.[xvii]

While much remains unclear about the future of U.S. Title II non-emergency food aid programs, the need for activities that reduce and prevent high levels of acute and chronic food insecurity and malnutrition has not diminished,  and perhaps has increased, during the 18 months since the 2025 Executive Order to pause foreign assistance was announced.[xviii] It is also clear that addressing the underlying causes of food and nutrition insecurity is still important. Hopefully, USDA will hold true to this fundamental mandate of these programs. This will entail implementing these programs over a 5-year timeframe, in fragile geographies where shocks are frequent, among participants who are chronically poor and/or malnourished, while increasing peoples’ ability to cope with shocks, and producing outcomes that are sustainable.  If these are not the Title II mandate’s parameters for non-emergency programs, they run the risk of violating legislation..

Further Reading:

Food for Peace / U.S. Food Aid

Global Hunger, IPC, and Malnutrition

Country-specific articles relevant to your examples (Haiti, Ethiopia, Zimbabwe, DRC, etc.)

REFERENCES:

[i] Miolene, Elissa, USDA takes over Food for Peace with $452M World Food Programme deal, 29 January 2026.

[ii] U.S. Department of Agriculture, Food for Peace Notice of Funding Opportunity, Fiscal Year 2025, May 13, 2026

[iii] Miolene, Elissa, House locks Food for Peace into USDA with 50% commodity requirement,1 May 2026,

[iv]  These progras were known variously as Development Activity Programs (DAPs), Multi-Year Activity Programs (MYAPs), Development Food Assistance Programs (DFAPs), Development Food Security Activities (DFSAs) and Resilience Food Security Activities (RFSAs). There were differences between these programs, but those differences were not necessarily associated with the names given to them.

[v] U.S. Department of Agriculture, Food for Peace Notice of Funding Opportunity, Fiscal Year 2025, May 13, 2026, https://grants.gov/search-results-detail/362375.

[vi] Integrated Phase Classification, https://www.ipcinfo.org/ipcinfo-website/ipc-overview-and-classification-system/en/?__cf_chl_f_tk=vmmArOlbSf51oWrK_G0UqCVyP0w6jSuy9SVydqdsIlk-1783098737-1.0.1.1-XKb_PsSY1mVf1b2u8K3Udd85lbGsjDgfDcO0yyY9UrE,

[vii] https://borgenproject.org/kore-lavi-provides-food-security-in-haiti/; accessed July 3, 2026.

[viii] United Nations, UN News, Zimbabwe faces worsening food crisis due to El Niño droughts, 7 August 2024, https://news.un.org/en/story/2024/08/1152936.

[ix] IFPRI, Productive Safety-Net Program, https://essp.ifpri.info/productive-safety-net-program-psnp/, accessed July 3, 2026

[x] FANRPAN, Scaling up Resilience Design in Zimbabwe: Position Paper, https://fanrpan.org/wp-content/uploads/2025/01/Takunda_CareSlideDeck-1.pdf.

[xi] Chitsa, Tanaka, Growing Hope: Community gardens flourish amidst El Nino challenges, 27 August 2024, https://www.carezimbabwe.org/growing-hope-community-gardens-flourish-amidst-el-nino-challenges/.

[xii] AVSI, Graduating to Resilience, https://www.avsi.org/en/graduating-to-resilience

[xiii] BRAC, Graduation Out of Ultra Poverty, https://www.brac.net/solutions/development/ending-poverty/ultra-poor-graduation/

[xiv] Abrams, William, Joshua Goldstein, Larry Reed, Carine Roenen, and Jean Francois Tardif, The Business Case for Investing in Graduation, September 2017, ultra-poverty.org, https://www.ultra-poverty.org/blog-post/the-business-case-for-investing-in-graduation/#.

[xv] Miolene, Elissa, House locks Food for Peace into USDA with 50% commodity requirement, 1 May 2026,

[xvi] U.S. Department of Agriculture, Food for Peace Notice of Funding Opportunity, Fiscal Year 2025, May 13, 2026,

[xvii] Miolene, Elissa, US Dept of Agriculture to reboot Food for Peace’s ‘safe box’ programs,

[xviii] The White House, Reevaluating and Realigning United States Foreign Aid, January 20, 2025, https://www.whitehouse.gov/presidential-actions/2025/01/reevaluating-and-realigning-united-states-foreign-aid/.

Mara Russell is a career programmer of Food for Peace Title II food aid including leading Food Aid Management, and spearheading CARE’s food aid for decades.