Most of those things were improved with the help of USAID, with that gone and other countries either not picking up the slack or straight up cutting their funding as well we’re probably looking at the peak for most of those.

Aside from renewables and the ozone layer I expect most things you listed to backslide year after year for the foreseeable future.

https://www.forbes.com/sites/tylerroush/2026/07/01/musk-escalates-unproven-usaid-claims-in-fiery-posts-as-studies-link-doge-cuts-to-child-deaths/

https://theconversation.com/malawis-education-choices-in-the-wake-of-aid-cuts-284725