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Most of Obama’s high-profile efforts have been washouts. Launched in 2009, the Global Health Initiative was supposed to broaden U.S. health investments beyond single diseases to cover health systems. But it has largely been abandoned because of overreach and a distinct lack of political support. The Global Climate Change Initiative, which sought to expand renewable energy in Africa, was announced in 2010 but has made little progress. Small, lesser-known U.S. agencies such as the Overseas Private Investment Corporation and the Export-Import Bank have boosted their project portfolios in Africa, but they have been toiling largely behind the scenes and on the margins of government attention.