The U.S. gave it more than $6.5 billion in humanitarian assistance last year for wide-ranging projects like disease response, girls’ education and free school lunches.

Milicent Muyoma has been turned away twice from the clinic where she collects her HIV medication in Mathare, an informal settlement in Nairobi, Kenya.

The U.S. is likely to struggle to secure the continent’s vast mineral resources under the Trump administration.