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1 Introduction; 2 Aid, trade, and development: policy improvements less than advertised; 3 AIDS policy: substantial new program weakened by unilateralism and controversy; 4 Democracy and human rights: strong rhetoric, few deeds; 5 Conflict and peacekeeping: limited efforts, low priorities; 6 Threats to security: caution needed in the US response; 7 Beyond the Bush administration: toward a fairer and more just Africa policy; Notes; Index.

House-passed appropriations for Foreign Operations, Labor/Health and Human Services, and Agriculture would provide a total of just over $3.2 billion for international HIV/AIDS, tuberculosis, and malaria programs, compared with an Administration request of just under $3.2 billion.

This report discusses the issue of U.S. economic assistance to sub-Saharan Africa, highlighting the importance of continued assistance in light of U.S. national security and also various U.S.-led efforts to promote reform among African citizens themselves. U.S. assistance finds its way to Africa through a variety of channels, including the USAID-administered DA program, food aid programs, and indirect aid provided through international financial institutions and the United Nations.

This report details and analyzes U.S. foreign aid to Africa, particularly in the Sub-Saharan region. Moreover, the report tends to focus on the overall lack of development even though Africa has been getting the aid. The debate hinges on whether or not development is in African control, citing issues such as the HIV/AIDS pandemic and corrupt governments.