The U.S. Government defines defense, diplomacy, and development as the three pillars of U.S. foreign policy. U.S. development assistance has traditionally fallen under the remit of the U.S. Agency for International Development (USAID). However, with increasingly complex and interconnected global challenges, and the creation of specialized offices and agencies across the U.S. government, delivery of U.S. foreign assistance is now a tangled web that spreads across at least 50 different objectives, 20 government agencies and 50 offices.1