“Sometimes people who are struggling ask me for food. I feel so anxious about what is going to happen tomorrow,” the 40-year-old said.

LIVELIHOOD THREATENED

“If people stop buying supplies from me, I might lose my shop.”

Naw Wah Nay Paw, at her shop in Mae La camp on July 31. PHOTO: JANELLE LING

US President Donald Trump’s move in January to cut nearly US$9 billion (S$11.6 billion) in foreign humanitarian aid has resulted in critical shortfalls in food and healthcare services across the globe.

Those affected include The Border Consortium (TBC), which has provided monthly food assistance since the 1980s. While it initially stopped issuing food credits for most refugees along the Thailand-Myanmar border on July 31, it announced a month later that it would temporarily resume support in October.

However, current funds allow TBC to run food aid only until the end of 2025.

A refugee shopping with two children at a provision shop in Umpiem Mai camp on Aug 1. PHOTO: JANELLE LING

Only the 7,000 “most vulnerable” refugees – those without income or other financial support – across nine camps will continue receiving 400 baht (S$16) in credits, along with basic rations such as rice, cooking oil and yellow beans.

The remaining 101,000 refugees, categorised as self-reliant, standard or vulnerable, are left to fend for themselves. With no credits, they will be able to pay for food only in cash in 2026.

Refugees leaving a convenience store after buying rice and snacks in Umpiem Mai camp on Aug 1. PHOTO: JANELLE LING

Mounting cuts

As hostel prefect, Saw Ru Ghay buys food for 58 students in his Mae La dormitory. Most are among the camp’s most vulnerable and still receive about 400 baht in monthly food credits.

Saw Ru Ghay, a final-year college student, at the school hall of Shalom Arts and Leadership College in Mae La camp on Aug 5. PHOTO: TARYN NG

The 20-year-old pools these credits to buy 15 sacks of rice, with each 50kg sack feeding the students for two days.

With aid guaranteed only through December, the college student saves what he can, but his balance is running low. He said camp leaders have not indicated how long food aid will continue in 2026.

“It is not enough for us, but it is enough to buy rice. For the curry, we just try to afford it by ourselves,” he told The Straits Times.

In March, TBC said it would reduce food aid for all but the most vulnerable, affecting more than 80 per cent of refugees in the nine camps.

A church volunteer preparing beef stew for a worship service of 200 at Haeramon Church in Mae La camp on July 31. Such generous portions are rare — the meal is a special treat funded by a church member who recently resettled in the US and wished to celebrate their birthday with the community. PHOTO: JANELLE LING

Among those affected is Naw Blai Paw, 62, who has eight mouths to feed in her family. She earns a small income working at a clothing shop in the camp, but says it is hardly enough.

Clothing shop workers Naw Blai Paw (left), 62, and Naw Seh Paw, 60, pictured on July 31. The sisters live in a household of eight. Since the food cuts, they have been seeing fewer customers. PHOTO: JANELLE LING

Business has slowed since the cuts. She now sees one customer every few days, compared with three a day previously.

“We still have some rice at home, but by the end of the month we will not have food,” she said. When asked what her family would do then, she merely shrugged.

TBC declined to comment, citing ongoing discussions with the Thai government and donors.

Hunger and learning

Educators fear the camps’ children will be most affected by the halt in food support.

“When the children go to school hungry, how can they learn? The issues are intertwined,” said Dr Andrew Wai Phyo Kyaw, a researcher at Nelson Mandela Centre.

Students leaving No. 1 High School in Mae La camp on July 31. PHOTO: TARYN NG
A boy playing with a water gun outside a convenience store in Umpiem Mai camp on Aug 1. PHOTO: JANELLE LING
A teddy bear sitting under the sun in a refugee’s backyard at Mae La camp on July 31. PHOTO: JANELLE LING

With food support halted, parents are more likely to send children outside the camps to work illegally rather than to school, according to Saw Harold Lum, Mae La’s education coordinator.

“I feel bad for the kids’ future,” he said.

GRIM FUTURE

“It’s been 40 years, and they still have no legal status. There’s no solution for them.”

Students getting ready to leave their classes at No.1 High School in Mae La camp on July 31. PHOTO: TARYN NG

Thailand’s refugee camps for Myanmar nationals, especially the Karen, were established from the late 1980s to shelter those fleeing decades of armed conflict and persecution.

However, with no legal status, most refugees remain confined to these border settlements, now dotted with bamboo huts as well as schools, clinics and small shops.

Madam Aye Aye Thwe (in yellow) outside a bamboo house shared by her family of 10 in Mae La camp on July 31. Most refugees live in bamboo stilt houses. PHOTO: JANELLE LING

The Karen Refugee Committee (KRC) chairman, Saw Robert Htwe, whose organisation represents refugees, said his five decades of experience did not prepare him for the scale of the US Agency for International Development cuts.

Karen Refugee Committee chairman, Saw Robert Htwe, pictured at his home in Mae Sot on July 27. PHOTO: TARYN NG

“What can I do? I worry about education, I worry about healthcare, and I worry about camp management,” he said.

Since June, his organisation has supplied each of its 1,400 camp staff – including educators, healthcare workers and camp committee members – with 5kg of rice a month.

But it is still not enough, Saw Robert Htwe said, and the support will end in December.

“Many of the teachers told me, ‘If we can’t get the support for food, we cannot continue teaching.’”

Healthcare on the brink

In Umpiem Mai, where 11,000 refugees live, the camp’s hospital has become a ghost town since the International Rescue Committee (IRC) shut down its operations in the camps on July 31.

The Umpiem Mai camp hospital pharmacy pictured on Aug 1 – the first day after the International Rescue Committee’s exit left the hospital short of manpower. PHOTO: JANELLE LING

The humanitarian aid group, which relies heavily on US funding, has provided healthcare services to refugees in Thai camps since the first arrivals in 1984. But recent aid cuts forced it to halt operations, slash staff and suspend crucial programmes, leaving camp clinics to run with only local refugee workers.

Only those with critical illnesses or requiring emergency care can continue staying in the inpatient department.

Empty hospital beds in Umpiem Mai camp’s inpatient department pictured on Aug 1. PHOTO: JANELLE LING

“We have to run our hospital for our community, but we have no fresh supplies,” hospital director Zaw Tigh said.

With IRC’s exit, nurses without pharmacy training, such as 29-year-old Susannah, who goes by one name, have been reassigned to ration the remaining medical supplies.

Hospital staff taking stock in the Umpiem Mai camp’s pharmacy storeroom. Since the International Red Cross’ exit on July 31, the team has been rationing medical supplies, which stood at three months’ worth on Aug 1. PHOTO: JANELLE LING

“Patients come to ask for their medication every day, but we don’t have it,” she said.

IRC did not respond to queries.

Finally, a lifeline

In a rare bright spot, refugees have been able to work legally outside the camps since October.

In late August, the Thai government lifted a decade-long ban on working rights for long-term refugees from Myanmar.

With a sack of gathered plants and firewood beside her, an elderly refugee in Mae La camp taking a break from foraging on a mountaintop on Aug 5. PHOTO: TARYN NG

Saw Bweh Say, KRC general secretary, said the group has pushed for legal employment for refugees over the past five decades.

“Our needs are only growing, so we were very happy when Thailand gave us permission to work outside in their country,” he said.

A hand-painted wooden sign at Shalom Arts and Leadership College in Mae La camp, pictured on Aug 5. PHOTO: JANELLE LING

This decision could fill a migrant labour shortage in Thailand after armed border conflict with Cambodia in July triggered an exodus of Cambodian workers.

Since the announcement, Thai sugarcane factory owners facing manpower issues have been visiting the camps to recruit about 30,000 workers, Saw Bweh Say said.

Across the nine camps, there are 42,000 refugees of working age, and so far 12,000 have applied to work outside, he added.

Not without challenges

Nonetheless, refugees continue to face many challenges. Some fear being far from family, language barriers and trafficking risks from unreliable brokers, Saw Bweh Say said.

Mr Chawaratt Chawarangkul, Asia-Pacific manager of the non-profit International Detention Coalition and adviser to the Thai Parliament, wrote in a LinkedIn post: “Granting the right to work is truly about respecting the human dignity of refugees... The right to work empowers refugees with genuine self-agency – the ability to shape their own lives.”

A student refugee walking home with a traditional Karen bag slung across her body in Mae La camp on Aug 5. PHOTO: JANELLE LING

Noting that critics say Thailand’s move was a temporary response to labour shortages or cuts in humanitarian aid, he argued that the policy decision was likely weighed against alternatives such as forced repatriation and limited short-term assistance.

He stressed the need for support policies that allow refugees to pursue jobs matching their skills, rather than just low-skilled labour, help them adjust to life outside the camps, and address transport and banking needs so they can send money to their families.

MAXIMISING POTENTIAL

“It can’t just be that the only available job is cutting sugarcane, so everyone has to cut sugarcane. That doesn’t match their potential.”

Students in class in No. 1 High School in Mae La camp on July 31. PHOTO: JANELLE LING

“Many refugees have far more skills. In the camps, there are doctors, nurses, teachers, interpreters, and even athletes… Their capacity goes well beyond low-skilled labour.”

Saw Poe Ni, a high school teacher from Mae La camp, however, will not venture outside the camp for work, having grown accustomed to life there.

Saw Poe Ni, a high school teacher, holding doughnuts he bakes and sells for extra income, at Mae La camp on July 31. He is the oldest of six siblings and has been teaching for the past decade. PHOTO: TARYN NG

“This is news we’ve been waiting for more than 10 years, so I’m happy for all of us,” the 31-year-old said. “But for me, it is enough to serve my Karen community.”

Young refugees playing Chinlone — a traditional Myanmar sport — in Umpiem Mai camp on Aug 1. The hand-woven rattan ball is central to this non-competitive game, where players work together to keep it from touching the ground. PHOTO: JANELLE LING

Taryn Ng and Janelle Ling are final-year communication studies students at Nanyang Technological University’s Wee Kim Wee School of Communication and Information. This report is part of the school’s Going Overseas For Advanced Reporting, or Go-Far, module.