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U.S. and Côte d'Ivoire Sign Five-Year Health Pact, Largest Yet Under 'America First' Strategy

The deal shifts U.S. health assistance toward country co-financing with tighter accountability under President Trump's approach.

Overview

  • The State Department says the United States will provide up to $487 million over five years, though earlier reports put the figure at about $480 million.
  • Ivorian commitments were described differently by each side, with the prime minister citing 163 billion CFA francs (about $292 million) by 2030 while U.S. officials list $450 million, including $125 million for frontline workers and essential commodities.
  • Funding is directed to early outbreak control by boosting surveillance and laboratory capacity, modernizing supply chains and data systems, and reinforcing frontline health services.
  • Officials and local reporting describe the agreement as the largest among more than a dozen bilateral health MOUs concluded so far under the new strategy.
  • The administration says it will pursue similar multi-year MOUs with dozens of countries as experts warn of oversight questions and risks to service continuity following deep USAID cuts and program restructuring.