Sixteen-year-old Idah Musimbi, who contracted HIV at birth and lives with her grandparents and cousins in Nairobi's Kawangware slum, takes her PEPFAR-supplied anti-retrovirals pills Wednesday, Aug. 16, 2023. A U.S. foreign aid program that officials say has saved 25 million lives in Africa and elsewhere is being threatened by some Republicans who fear program funding might go to organizations that promote abortion. (AP Photo/Brian Inganga)