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U.S. Signs Health Deals with Nine African Nations

The U.S. will reduce annual health aid by 49% while requiring co-financing from nine African countries amid new government-to-government health agreements.

  • This past week, the United States government signed health compacts with nine African countries under a new framework reflecting President Donald Trump's shift toward mutual-benefit deals.
  • Replacing aid, the new compacts follow a major overhaul of U.S. assistance, with the administration saying they aim to boost self-sufficiency and cut aid by 49%.
  • Detailed pacts include specific five-year funding: Eswatini will get up to $205 million and $37 million in domestic spending, Mozambique over $1.8 billion, Uganda nearly $2.3 billion, and Nigeria over $2 billion.
  • Some governments view the compacts as a lifeline after U.S. aid cuts crippled health systems, while South Africa has not signed and lost about $400 million in annual support.
  • At least four signatories also have deportation agreements, and the State Department denied any linkage though officials said political considerations may be part; Nigeria's pact prioritizes Christian faith-based health providers despite a slight Muslim majority.
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US signs new health deals with 9 African countries that mirror Trump's priorities

The U.S. government has signed health deals with at least nine African countries. These new deals reflect the Trump administration's priorities and its focus on mutual benefits.

·United States
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In recent weeks, the United States has signed new health agreements with several African countries, including Kenya, Rwanda and Liberia. Presented as a break with the old aid model, these bilateral partnerships aim to strengthen national health systems by working directly with governments. A development assumed by Washington, in a context of withdrawal from traditional multilateral frameworks.

·Paris, France
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The Intercept broke the news in New York, United States on Monday, December 1, 2025.
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