Fatma Tanis

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.

Fatma Tanis, NPR News.

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.

Fatma Tanis, NPR News.

This year, there have been over 565,000 cases of cholera and more than 7,000 deaths.

The highest numbers are coming from Afghanistan, Sudan, and Yemen.

where conflict and climate-related disasters have intensified outbreaks.

But there may be some good news.

October's numbers show a 34% decrease in cases from September.

Cholera-related deaths also decreased.

And the WHO says there's a larger availability of cholera vaccines.