President Donald Trump’s “America first” approach means decimation globally—and particularly in Africa.

After taking office, the president quickly hollowed out the U.S. Agency for International Development, which is the main foreign aid organization in the government. In July, USAID officially shut its doors.

“We’re not cutting foreign aid. We’re just realigning it toward this administration’s values,” said one State Department spokesperson. But that’s mostly a lie. The administration is clawing back billions.

At home, this has meant thousands of employees out of work, while those left standing have been taken in by the State Department. But elsewhere in the world?

Earlier this week, a federal appeals court allowed the Trump administration to kill $6 billion for HIV/AIDS programs and $

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