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US and Kenya sign first of what are expected to be dozens of ‘America First’ global health deals

The $2.5 billion pact aims to combat infectious diseases and transition health worker funding to Kenya's government, with the U.S. providing $1.7 billion over five years.

  • On Dec 4, the United States and Kenya signed a five-year, $2.5 billion Health Cooperation Framework in Washington, the first bilateral deal under the Trump administration's foreign-aid overhaul.
  • Following the dismantling of USAID earlier this year, officials said the administration announced an 'America First Global Health Strategy,' aiming to shift aid to partner governments.
  • Under the framework, the U.S. government will contribute $1.7 billion and the Kenyan government will cover $850 million over five years, targeting HIV/AIDS, tuberculosis, malaria, maternal and child health, polio, and outbreak preparedness.
  • Privacy advocates warned the government-to-government model raised fears of U.S. access to sensitive health data, while Kenya's Cabinet Secretary for Health Aden Duale said only aggregated, de-identified data would be shared and that `Your health data is a national strategic asset`.
  • U.S. officials say the Kenya compact is a model and similar agreements with dozens of countries will be signed in the coming weeks, excluding some large African countries like Nigeria and South Africa.
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US signs health aid deal with Kenya in Trump first

The United States on Thursday signed a $2.5 billion health aid deal with Kenya, the first such bilateral agreement after President Donald Trump tore down the historic US aid agency and sidelined NGOs.

·Missoula, United States
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U.S. News broke the news in New York, United States on Thursday, December 4, 2025.
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