Sometimes the cuts don’t directly target girls, but when families are stressed it is girls who pay the highest price. She fled in February to Uganda, where cuts in health services have left her struggling to get care. “But when the food aid got cut off, he said I had to marry.” So three weeks before I arrived, she married. As I’ve noted many times, there are reasons of self-interest to be alarmed about Trump’s aid cuts. In one health center, I came across a 14-year-old girl, Shamim, who was pregnant, expecting in October, and as a result had dropped out of school.