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.

South African President Cyril Ramaphosa responded on Monday to US President Donald Trump’s threat to cut off aid over the alleged mistreatment of White farmers, denying Trump’s claim that authorities were “confiscating land.