Malawi, in turn, has committed to increasing its own health spending by $143.8 million over the same period. US officials say this shared financing model is designed to reduce long-term dependence on foreign aid and ensure that gains made during the agreement can be sustained after it ends.

A key focus of the deal is Malawi’s progress against HIV. The country is close to achieving the global 95-95-95 targets, which aim for 95% of people living with HIV to know their status, 95% of those diagnosed to receive treatment, and 95% of those on treatment to achieve viral suppression.

The agreement is meant to help Malawi maintain these gains through integrated health services that the government will eventually manage and fund itself.

“We’ll be involved. We’re sending some of our biggest and greatest companies over to the two countries, and we’re going to take out some of the rare earth and take out some of the assets and pay, and everybody’s going to make a lot of money,” he said.

The ceremony was held at the newly-renamed Donald J. Trump Institute of Peace , with a sign installed the day before. DRC President Felix Tshisekedi and Rwandan President Paul Kagame signed on behalf of their countries.

The agreement builds on a deal originally signed by the foreign ministers of each country in June. Both government s have previously accused each other of failing to uphold the terms of the agreement. Tensions between the DRC and Rwanda remain, with ongoing fighting between government forces and militants that Rwanda backs, Kinshasa claims, an allegation Kigali denies.

In addition to addressing the peace process, the agreement includes an economic component to increase trade between the two African nations and the United States .