The State Department outlined a new plan Thursday to move from global health aid to fostering the self-reliance of countries the U.S. has supported in prior years.

The U.S. will focus on working directly with nations, requiring them to co-invest in global health initiatives in order to tackle diseases such as tuberculosis, polio and HIV/AIDS as part of a new strategy from President Trump’s administration.

As part of co-investments, recipient governments will have to meet “performance benchmarks” in order for more U.S. foreign health assistance to be released, according to the State Department.

The U.S. is looking to complete bilateral deals with countries getting the majority of the health foreign aid by the end of this year, with the goal of ushering in the new agreements by April 2026

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