The changes introduced by the administration of American president Donald Trump in the health cooperation policy with Africa are causing debates about their implications for the continent’s health systems and international cooperation.
After dissolving the United States Agency for International Development (USAID), leaving the World Health Organization (WHO), and reducing foreign aid for health, the Trump administration is finalizing a new series of bilateral agreements that will frame the next phase of US international health engagement.
In this context of shrinking aid, the United States has signed a series of bilateral health agreements with African countries since the end of 2025. Presented as a transition to more “responsible” and “sustainable” partnerships, these memoranda of understanding are part of the new strategy “America First Global Health.”
According to data reported by several African and international media outlets, at least 17 African countries have already signed these agreements. The consolidated list includes Kenya, Nigeria, Rwanda, Uganda, Liberia, Lesotho, Eswatini, Mozambique, Cameroon, Ivory Coast, Burkina Faso, Niger, Democratic Republic of Congo, Madagascar, Sierra Leone, Botswana, and Ethiopia. Other sources mention a total of up to 19, 20, or 22 countries, depending on updates and potential inclusion of states like Burundi, Malawi, Guinea, Senegal, or Angola. However, Zambia and Zimbabwe are reported to have refused or withdrawn their participation, citing excessive conditions.
Context: The Trump administration’s changes to health cooperation with Africa have raised concerns about the impact on the continent’s health systems and international partnerships.
Fact Check: The content mentions the year 2025, which may be a typo as it may refer to the year 2025.
Fact Check: The content mentions the year 2025, which may be a typo as it may refer to the year 2025.
