Overview
- The five-year memorandum commits up to $487 million in U.S. assistance, with Côte d’Ivoire pledging $450 million, including $125 million to assume payroll and essential health commodities.
- U.S. officials say the deal prioritizes early outbreak detection through stronger surveillance, laboratories, data systems, and modernized health supply chains.
- The pact also targets HIV, malaria, maternal and child health, and global health security, according to details described at the Abidjan signing.
- The administration frames the model as replacing USAID’s previous arrangements with performance-focused bilateral agreements that emphasize accountability and self-reliance.
- Analysts warn the rapid transition risks service continuity and oversight, with concerns about transactional pressures and partners’ capacity to meet commitments.