Overview
- Secretary of State Marco Rubio and President William Ruto signed a five-year pact worth about $2.5 billion, with the U.S. pledging roughly $1.6–$1.7 billion and Kenya committing $850 million.
- Funding will shift from non-governmental organizations to the Kenyan government, with faith-based and private providers eligible for reimbursement through the national insurance system.
- The compact prioritizes HIV/AIDS, malaria and tuberculosis, and family planning programs qualify only if they comply with U.S. abortion-related restrictions, with officials pledging no discrimination against LGBTQ people or sex workers.
- The United States will cover all frontline health workers and key commodities for the next fiscal year, with future support tied to meeting health performance metrics and a transition to domestic financing.
- U.S. officials expect additional bilateral health agreements with other African countries soon, while Nigeria and South Africa are not expected to participate, and Washington praised Kenya’s leadership role in the Haiti stabilization effort.