Half a century after the United States led a global expansion of international efforts to combat infectious disease and promote family planning, the Trump administration has embarked on a historic retrenchment that many fear threatens the health of millions and jeopardizes America’s standing in the world.

Since taking office, President Trump has proposed dramatic cuts to the U.S. Agency for International Development, which has historically spearheaded U.S. efforts to improve women’s and children’s health.

The White House is urging reductions this year to major international heath initiatives, including the President’s Emergency Plan for AIDS Relief, or PEPFAR, which provides life-saving medicines to millions of AIDS patients in developing nations.

The Trump administration has imposed tough new restrictions on U.S. support for aid organizations that provide family planning and other health services.

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