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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States and the Government of the Kingdom of Eswatini signed a five-year Memorandum of Understanding (MOU) on global health cooperation that includes strategic investments to strengthen national health efforts, leverage American technology, and facilitate the long-term sustainability of Eswatini's health system. The Department of State, working with Congress, intends to provide up to $205 million to improve public health data systems, modernize disease surveillance and outbreak response technology, provide access to HIV antiretroviral medications, and scale up access to highly effective HIV prevention interventions. Eswatini will continue to demonstrate its commitment to invest in strategic, catalytic, and innovative healthcare solutions by increasing domestic health expenditures by $37 million during the length of the $242 million MOU. These efforts also include the recently announced delivery of American-made lenacapavir, a breakthrough drug in HIV prevention. The signing places Eswatini on a clear path to achieving the long-term goal of an effective, sustainable, and efficient health system while underscoring a mutual commitment to safeguarding health gains, protecting American and Eswatini citizens alike. The United States will continue to sign multi-year Bilateral Agreements on Global Health Cooperation with dozens of countries receiving U.S. health assistance in the coming weeks to advance the America First Global Health Strategy.
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Friday, December 12, 2025
Supporting Breakthrough Health Advancements in Eswatini Under the America First Global Health Strategy
Wednesday, December 10, 2025
Strengthening Health Ties with Uganda and Lesotho under the America First Global Health Strategy
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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States signed five-year bilateral health cooperation Memorandum of Understanding (MOU) with the governments of Uganda and Lesotho to advance the American First Global Health Strategy and build resilient, self-reliant, and durable health systems in both countries. In Kampala, the United States and Uganda signed a five-year, nearly $2.3 billion bilateral health cooperation agreement that signifies the importance of the relationship between the two countries. As part of the agreement, the United States plans to invest up to $1.7 billion to combat HIV/AIDS, tuberculosis (TB), malaria and other infectious diseases across Uganda while helping strengthen Uganda's health system. As part of the agreement, the Government of Uganda pledged to co-invest over $500 million in line with the National Development Plan IV and Uganda's Vision 2040. The agreement will further Uganda's national health digitalization effort, as well as provide support for faith-based health care providers and for health care services to the Ugandan military, which is assisting with a number of key operations in the region. In Lesotho, the United States and Lesotho signed a five-year, $364 million bilateral health MOU. Through this agreement, the State Department, working with Congress, intends to provide up to $232 million over the next five years to support Lesotho's efforts to combat HIV/AIDS, while bolstering the health workforce, data systems, and disease surveillance and outbreak response. As part of the MOU, the Government of Lesotho intends to invest $132 million in its domestic HIV/AIDS response. From internet connectivity for health clinics to advanced robotics delivery of life-saving medical products, the $364 million MOU opens the door to innovations that mutually advance health care and the local economy. The United States will continue to sign multi-year Bilateral Agreements on Global Health Cooperation with dozens of countries receiving U.S. health assistance in the coming weeks to advance the America First Global Health Strategy.
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Tuesday, December 9, 2025
Leveraging Momentum of the America First Global Health Strategy with the Signing of the United States–Liberia Bilateral Health Cooperation Memorandum of Understanding
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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States and Liberia have achieved a historic milestone in advancing the America First Global Health Strategy by signing a five-year, bilateral health cooperation Memorandum of Understanding (MOU). Over the next five years and working with Congress, the United States intends to provide up to $125 million in health assistance to Liberia, supporting critical areas such as HIV/AIDS, malaria, maternal and child health, and global health security. In turn, Liberia will commit to increase its domestic health expenditures by almost $51 million to gradually assume greater financial and operational responsibility for its domestic health systems. This $176 million bilateral MOU will accelerate Liberia's transition toward self-reliance and sustainability, ultimately saving U.S. taxpayers' dollars and securing long-term health outcomes. Liberia has demonstrated remarkable progress over the past decade, including significant strides toward the 95-95-95 goals for controlling the HIV epidemic, reducing malaria incidence by over 30 percent, and strengthening laboratory capacity and disease surveillance. These achievements represent Liberia's resilience and resolve, positioning the nation to assume full ownership of its health systems and to overcome the redundancies and inefficiencies that are inherent in NGOs models. The United States will continue to sign multi-year Bilateral Agreements on Global Health Cooperation with dozens of countries receiving U.S. health assistance in the coming weeks to advance the America First Global Health Strategy.
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Joint Statement by the International Contact Group for the Great Lakes (ICG) on the Escalation in South Kivu
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U.S. DEPARTMENT of STATE
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Office of the Spokesperson The Governments of the United States of America, Belgium, Denmark, the European Union, France, Germany, the Netherlands, Sweden, Switzerland, and the United Kingdom, as members of the International Contact Group for the Great Lakes (ICG), chaired by Germany, issued the following statement on the alarming escalation in South Kivu: Begin text. The ICG expresses its profound concern regarding the renewed outbreak of violence in the eastern Democratic Republic of the Congo (DRC) and the new offensive of the March 23 Movement (M23), supported by Rwanda, around Uvira (South Kivu) close to Burundi which has a destabilizing potential for the whole region. The ICG expresses particular concern at the increased use of both attack and suicide drones in the conflict. This represents a significant escalation in the fighting and poses an acute risk to civilian populations. The ICG urges the M23 and the Rwanda Defence Force (RDF) to immediately halt their offensive operations in eastern DRC, in particular in South Kivu, and calls on the RDF to withdraw from eastern DRC and on M23 to return to its positions and uphold it commitments of the Declaration of Principles that was signed in Doha on 19 July 2025. The ICG calls on all parties to honour their obligations to protect civilians, adhere to UNSC resolution 2773, including full respect of territorial integrity, to uphold their commitments under the Washington Accords of 4 December 2025 and immediately deescalate the situation. We urge all parties to avoid escalatory or provocative speech and actions that gravely endanger civilian populations and risk irreparably undermining the significant progress achieved with the Framework Agreement signed in Doha on 15 November 2025 by the Government of the DRC and M23. The ICG further calls on all actors involved to urgently and unequivocally recommit to the ceasefire and to ensure full, safe and unimpeded, humanitarian access so that critical assistance can reach those in need. End text.
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Sanctioning a Transnational Network Fueling the Conflict in Sudan
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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson On November 19, President Trump detailed the horrific atrocities occurring in Sudan. The United States will use its power and influence to halt them. Today, the U.S. government has sanctioned four individuals and four entities for their role in fueling the civil war in Sudan and its devastating consequences. These individuals and entities belong to a transnational network — composed primarily of Colombian nationals and companies — that recruits former Colombian military personnel to fight for the Sudanese paramilitary Rapid Support Forces (RSF) and trains fighters, including children. Today's sanctions disrupt an important source of external support to the RSF, degrading its ability to use skilled Colombian fighters to prosecute violence against civilians. As President Trump has said, Sudan is suffering from the worst humanitarian crisis in the world. Since the outbreak of conflict on April 15, 2023, the RSF and its allied militias have attacked civilians, systematically killing men and boys — even infants — and have deliberately targeted women and girls with rape. The RSF, with the support of Colombian fighters, captured the North Darfur capital, El Fasher, on October 26 after laying siege to the city for 18 months, and then carried out mass killings of civilians, ethnically targeted torture, and sexual violence. Today's sanctions target the individuals and entities that have supported the RSF in perpetrating these atrocities, including those providing tactical and technical expertise and training. To prevent the civil war in Sudan from destabilizing the region and making the country a safe haven for those who threaten U.S. interests, the United States is committed to implementing the principles outlined in the September 12 Joint Statement on Restoring Peace and Security in Sudan. That statement calls for a three-month humanitarian truce followed by a permanent ceasefire and a transparent transition process aimed at establishing an independent, civilian-led government. The United States will coordinate with countries in the region to end these atrocities and stabilize Sudan and again calls on external actors to stop providing military and financial support to the belligerents. Today's action is being taken pursuant to the authorities under Executive Order (E.O.) 14098. For more information on today's action, please see the Department of the Treasury's press release.
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Supporting Breakthrough Health Advancements in Eswatini Under the America First Global Health Strategy
U.S. DEPARTMENT of STATE You are subscribed to Africa. Here is new content for thi...
