The Trump administration has initiated its new ‘America First’ global health strategy by formalizing a major $2.5 billion, five-year health agreement with Kenya. Signed by Secretary of State Marco Rubio and Kenyan President William Ruto, this pact represents the first in an anticipated series of bilateral health funding agreements designed to align U.S. foreign assistance with the administration’s broader geopolitical objectives.
This new cooperation framework replaces previous multi-lateral health programs traditionally administered by the U.S. Agency for International Development (USAID), which was dismantled earlier this year. The move has drawn significant criticism from the global health community, as the closure of USAID resulted in the termination of hundreds of programs across the developing world, including initiatives focused on maternal and child healthcare, nutrition, and HIV/AIDS prevention.
The Kenya agreement allocates $1.7 billion from the U.S. government, with Kenya contributing the remaining $850 million. Funding will prioritize combating infectious diseases such as HIV/AIDS, malaria, and tuberculosis, with an emphasis on supporting faith-based medical providers. All clinics and hospitals within Kenya’s health insurance system will be eligible for funding, provided they comply with U.S. restrictions on abortion services. State Department officials Jeremy Lewin and Brad Smith confirmed the agreement includes protections against discrimination based on sexual orientation, gender identity, or profession.
In parallel with the health agreement, U.S. officials praised Kenya’s leadership in international stabilization efforts, particularly its role in combating powerful gangs in Haiti. The administration plans to extend similar health agreements to other African nations aligned with its foreign policy stance, though political differences with the Trump administration may exclude major players like Nigeria and South Africa.