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The package includes some military aid to Egypt and Israel and funding for initiatives aimed at supporting democracy and health programs around the world.
It comes after a year of major cuts to foreign aid spending, largely supported by Republicans in Congress.
The bill does not include funding for programs that support gender diversity and equity in climate issues, but it does include $9.4 billion for global health programs aimed at curbing diseases.
and supporting maternal and child health, mostly maintaining funding levels from previous years.
Foreign aid experts who spoke to NPR say the package is expected to be signed if and when it lands on the president's desk.
But the administration could decide not to spend the funds as it did last year.
The deal is intended to support Malawi's efforts to combat HIV-AIDS, malaria and shore up its disease surveillance and outbreak response.
This agreement is an example of how the Trump administration is doing foreign aid, since it dismantled the U.S.
Agency for International Development last year.
Instead of working with NGOs or the United Nations, the administration is cutting deals directly with countries, mostly in Africa.
The State Department says the goal is to invest in the health ministries of low-income countries
and to create opportunities for American businesses.
The recipient countries are also required to pitch in.
Malawi is expected to spend nearly $150 million as part of this deal.
But some global health experts have cautioned that the financial burden might be too much for countries with struggling economies.
The deal is intended to support Malawi's efforts to combat HIV-AIDS, malaria and shore up its disease surveillance and outbreak response.
This agreement is an example of how the Trump administration is doing foreign aid, since it dismantled the U.S.
Agency for International Development last year.