91 million lives were saved over the last two decades. The vast majority of that wasn't "international development" fluff; it was basic survival. We’re talking about stopping tuberculosis, malaria, and starvation.
Framing this as getting rid of unwanted "cultural programs" is a convenient way to ignore the fact that we pulled the plug on the life support system for 30 million children.
More like "if we can't be partners we'll find your enemies and fund them instead." or, "we'll partner with your next of kin who may be more sympathetic [or suggestive] to our concerns."
That occurred a long time ago with the destruction of USAID and arbitrary firing of large numbers of federal workers.