Since the end of the civil war in 1992 through today, Mozambique ranks among the least developed countries in the world. The U.S., as the largest bilateral donor to Mozambique, provides over $445 million in assistance annually, and plays a leading role in donor efforts to assist Mozambique. The U.S. seeks to strengthen democracy, transparency, and inclusive governance in Mozambique. Healthcare, education, poverty reduction, and job creation remain high priorities, as does food security. U.S. assistance includes programs such as the Emergency Plan for AIDS Relief, the Basic Education Program, and the Malaria Initiative.