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In Sagaing, the impact of aid shortfalls can already be seen in troubling ways, according to relief agencies.

The city is already in a financial crisis, facing a budget shortfall of just under $1 billion.

Earlier this week, the UN announced it would cut aid to more than one million people in Myanmar from next month, citing global funding shortfalls.

She described the funding gap as a "major shortfall" that would have to be found within public service budgets.

Staffing shortfalls made widespread outages increasingly frequent and slower to resolve.