US Signs Health Deals With Kenya, Rwanda Under New Aid Model: What to Know

The deals are aimed at encouraging both nations to assume more financial responsibility as the United States gradually reduces its support over the years.

U.S. Secretary of State Marco Rubio speaks with Kenyan President William Ruto (L) as they arrive for a Health Framework of Cooperation signing ceremony at the U.S. State Department in Washington on Dec. 4, 2025. Allison Robbert/AFP via Getty Images

The United States recently signed two five-year deals with Kenya and Rwanda—worth $2.5 billion and $228 million, respectively—to bolster the two East African nations’ health care systems in the first two agreements signed within U.S. President Donald Trump’s new overhaul of foreign aid.

Part of the Trump administration’s “America First Global Health Strategy,” which it launched in September, the two deals are intended to combat infectious disease in Rwanda and Kenya while the U.S. government slowly transitions away from direct funding to promote “self-reliance” in both countries.