Claude fears he may soon die – either from starvation or violence – as he waits at a food distribution tent in a refugee camp in Burundi.

He is among thousands of Congolese refugees trapped between a brutal conflict across the border and severe reductions in international food assistance.

A former bouncer from Uvira, a town in the Democratic Republic of the Congo (DRC), Claude fled after violence erupted in the east, sparked by the rapid advance of the Rwanda-backed M23 group.

Armed groups “were shooting, killing each other, … raping women,” recalled the 25-year-old, who escaped across the border into Burundi in February.

In the overcrowded Musenyi camp, Claude now faces a different struggle as food rations dwindle.

Hunger has fuelled new tensions within the camp, prompting Claude to join volunteers who patrol the area to prevent theft of what supplies remain.

“When I arrived here, I was given 3.5kg [7.7lb] of rice per month. Now it’s a kilo [2.2lb]. The 3kg [6.6lb] of peas have dropped to 1.8kg [4lb]. What I get in tomato sauce lasts one day. Then it’s over,” said Claude, whose name has been changed for security reasons, as have the names of other refugees interviewed.

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Some of the most desperate resort to slashing neighbours’ tents in search of food, he added, while gangs “spread terror”.

“The reduction of assistance will lead to many crimes,” he warned.

Oscar Niyibizi, the camp’s deputy administrator, described the cut in food rations as a “major challenge” that could “cause security disruption”.

He urges refugees to cultivate land nearby but said external support remains desperately needed.

The administration of United States President Donald Trump slashed its aid budget by 80 percent, and other Western nations have also reduced donations. As a result, many NGOs and United Nations agencies have been forced to close or significantly scale back their programmes.

These cutbacks have come at a “very bad time” as fighting escalates in the DRC, according to Geoffrey Kirenga, head of mission for Save the Children in Burundi.

Burundi, one of the world’s poorest countries, has received more than 71,000 Congolese refugees since January while still hosting thousands from previous conflicts.

Established last year to accommodate 10,000 people, the Musenyi camp’s population is now nearly twice that number.

In addition to food shortages, the reduction in aid has led NGOs to discontinue support services for survivors of sexual violence, who are numerous in the camp, Kirenga said.

His gravest concern is that “deaths from hunger” may become inevitable.

The World Food Programme has halved rations since March and warned that without renewed US funding, all assistance could end by November.

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According to the UN, hundreds of Congolese refugees are compelled to risk returning across the border in search of food.