Overview
- The Rwanda memorandum sets five-year funding of $228 million, with up to $158 million from the U.S. and $70 million from Rwanda, focused on HIV/AIDS, malaria, and disease surveillance.
- Rwanda is slated to assume full control of its HIV/AIDS response by year four, with the partnership moving delivery away from parallel NGO systems and toward national ownership.
- Kenya signed the first framework on Dec. 4 for $2.5 billion over five years, including more than $1.6 billion in U.S. support and an $850 million Kenyan pledge.
- State Department fact sheets say Washington will cover 100% of frontline health workers and commodities for the next fiscal year, then transition procurement and payrolls as countries increase spending.
- Officials say dozens more multi-year agreements are planned, with countries like Nigeria and South Africa not expected early due to political differences, and with expanded roles for faith-based providers and U.S. firms such as Zipline and Ginkgo Bioworks.