Trump has not always opposed such funding; between 2007 and the end of 2023, PEPFAR, or the U.S. President’s Emergency Plan for AIDS Relief, supported over 32.5 million circumcisions, including in Trump’s first term. The $20 million “Sesame Street” project Trump described referred to a USAID grant that sought to bring stability to Iraqi children after years of conflict with the Islamic State of Iraq and Syria. And his mention of a $47 million item for learning in Asia appeared to reference the program’s “potential” award amount, which includes potential future extensions of the contract, not the actual contract value of $22 million.