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U.S. and Nigeria Sign $5.1 Billion, Five-Year Health MOU Under America First Strategy

The five-year MOU requires Nigerian co-investment with performance conditions to move delivery into national systems.

Overview

  • Total funding equals roughly $2.1 billion from the United States and nearly $3 billion from Nigeria, according to the State Department.
  • The agreement prioritizes HIV/AIDS, tuberculosis, malaria, polio, and maternal and child health within a national, government-led delivery model.
  • About $200 million of U.S. funds will support more than 900 Christian faith-based clinics and hospitals, the U.S. Mission in Nigeria said.
  • Operational provisions include gradually shifting commodity procurement to Nigeria, transitioning U.S.-funded frontline workers to government payrolls, and scaling national health data systems.
  • U.S. support will be tied to performance metrics with incentives for exceeding targets, and authorities retain the option to pause or end assistance if national-interest conditions are not met.