The United States and Ivory Coast signed a health deal Tuesday requiring the U.S. to commit $480 million to the West African nation’s health sector as part of “America First” global health funding pacts that mirror the Trump administration’s foreign policy. It is the latest agreement the U.S. has entered with more than a dozen African countries, most of them hit by U.S. aid cuts, including Ivory Coast.

The United States and Ivory Coast signed a health deal Tuesday requiring the U.S. to commit $480 million to the West African nation’s health sector as part of “America First” global health funding pacts that mirror the Trump administration’s foreign policy. It is the latest agreement the U.S. has entered with more than a dozen African countries, most of them hit by U.S. aid cuts, including Ivory Coast.