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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States signed bilateral health cooperation Memoranda of Understanding (MOUs) with the Republic of Guatemala, the Republic of Guinea, and the Republic of El Salvador, advancing the Trump Administration's America First Global Health Strategy across two continents. These MOUs establish frameworks for sustainable, country-led health systems while strengthening disease detection and response capabilities that protect both partner nations and American communities from emerging health threats. In Guatemala, the Department of State, working with Congress, intends to provide nearly $60 million, while Guatemala will invest $1.6 million in new domestic expenditures through this MOU. The MOU also establishes a robust surveillance, laboratory, and outbreak response system capable of detecting infectious disease outbreaks within seven days, notifying international authorities within one day, and implementing response actions within seven days—protecting both Guatemalan and American populations from regional health threats. The United States and the Republic of Guinea signed a five-year $142 million bilateral health cooperation MOU that establishes a clear transition toward Guinea's independent health system management by 2030. The Department of State, working with Congress, intends to provide over $91 million to support HIV/AIDS, malaria, maternal and child health, polio eradication, and global health security programming, while Guinea commits to co-invest over $51 million. The partnership prioritizes strengthening Guinea's laboratory networks with biosafety and biosecurity management aligned with international standards by 2027, enhanced malaria surveillance through laboratory quality control and epidemiological investigations, and explicit skills transfer to national collaborators for sustainable capacity. In the Republic of El Salvador, the Department of State, working with Congress, intends to provide up to nearly $31.9 million over the next five years to support El Salvador's efforts to combat HIV/AIDS and bolster disease surveillance and outbreak response capabilities. El Salvador commits to increasing its domestic health expenditures by over $19.7 million, demonstrating its commitment to greater national ownership of its health system. As part of the nearly $31.9 million U.S. investment, $7.9 million will be allocated to Global Health Security initiatives. This includes strengthening disease surveillance capabilities and ensuring El Salvador has the tools to quickly respond to and contain outbreak threats before they spread. America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent more than $20.2 billion in new health funding including more than $12.5 billion in U.S. assistance alongside $7.7 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of February 27, the State Department has signed 24 bilateral global health MOUs with Botswana, Burundi, Burkina Faso, Cameroon, Côte d'Ivoire, the Democratic Republic of the Congo, the Dominican Republic, El Salvador, Eswatini, Ethiopia, Guatemala, Guinea, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, Rwanda, Sierra Leone, and Uganda.
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Friday, February 27, 2026
Pursuing Sustainable Health Outcomes Under the Trump Administration’s America First Global Health Strategy in the Republic of Guatemala, the Republic of Guinea, and the Republic of El Salvador
Bolstering Infectious Disease Outbreak Prevention and Response in Niger and the Dominican Republic Through 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 On February 26, the United States signed bilateral health cooperation Memoranda of Understanding (MOUs) with the Dominican Republic and the Republic of Niger, reinforcing U.S. leadership in global health while advancing country ownership under the Trump Administration's America First Global Health Strategy. In the Dominican Republic, the United States signed a five-year bilateral health cooperation MOU. Under the MOU, working with Congress, the Department of State intends to provide up to $46.7 million to support the Dominican Republic's efforts to combat HIV/AIDS and other health threats. The Government of the Dominican Republic commits to increasing its own domestic health expenditures by $14.1 million over the course of the five-year MOU. The $60.8 million MOU with the Dominican Republic includes over $6 million in global health security funding to establish a 7-1-7 surveillance system capable of detecting infectious disease outbreaks within seven days, notifying the U.S. government within one day, and initiating response within seven days. By 2028, the Dominican Republic will assume full responsibility for all health commodities, frontline healthcare workers, and laboratory systems, with U.S. support focused on surveillance and new health innovations. In Niger, the United States signed a five-year, $179.3 million bilateral health cooperation MOU. Under the MOU, working with Congress, the Department of State intends to provide up to $107.4 million to support Niger's efforts to combat malaria, strengthen maternal and child health, and bolster disease surveillance and outbreak response. The Government of Niger commits to increasing its own domestic health expenditures by $71.9 million over the course of the five-year MOU. The MOU with the Republic of Niger includes $5 million in global health security funding and work to establish a comprehensive digital health ecosystem, including an integrated suite of six health information systems covering electronic medical records, laboratory management, pharmacy management, surveillance and outbreak response, commodity inventory, and a national data warehouse. These MOUs, together worth over $240 million in U.S. taxpayer dollars and recipient nation co-investments, protects Americans by strengthening infectious disease surveillance and response systems in the Dominican Republic and Niger, essential for detecting and containing infectious disease outbreaks before they reach U.S. shores. By requiring substantial co-investment from both countries and transitioning them toward national ownership, these MOUs deliver greater value for American taxpayers while maintaining critical health security partnerships. America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent nearly $20 billion in new health funding including more than $12.4 billion in U.S. assistance alongside $7.6 billion in co-investment from recipient countries, building on decades of progress in improving health security and fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of February 27, the State Department has signed 21 bilateral global health MOUs with Botswana, Burkina Faso, Burundi, Cameroon, Côte d'Ivoire, the Democratic Republic of the Congo, the Dominican Republic, Eswatini, Ethiopia, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, Rwanda, Sierra Leone, and Uganda.
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Thursday, February 26, 2026
Fostering Health Sovereignty in the Democratic Republic of the Congo Through 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 and the Government of the Democratic Republic of the Congo (DRC) signed a five-year bilateral health cooperation Memorandum of Understanding (MOU) that advances the America First Global Health Strategy while protecting Americans and Congolese from infectious disease threats. Under the MOU, working with Congress, the Department of State intends to provide up to $900 million over the next five years to support the DRC's efforts to combat HIV/AIDS, tuberculosis, malaria, maternal and child deaths, and other infectious diseases, while bolstering disease surveillance and outbreak response. The Government of the DRC commits to increasing its own domestic health expenditures by $300 million over the course of the five-year MOU, assuming greater self-reliance in its own health system. This $1.2 billion MOU safeguards Americans by strengthening the DRC's capacity to detect and contain infectious disease outbreaks before they spread internationally. The MOU includes global health security funding to establish a national integrated surveillance and outbreak response system, including a high-quality laboratory network capable of detecting and investigating infectious disease outbreaks within seven days. Under this system, relevant authorities, including the United States and other partners, will coordinate epidemic preparedness and rapid response measures to contain outbreaks and prevent their spread to neighboring areas. The MOU focuses on strengthening frontline health workers through the professionalization of Community Health Workers (CHWs) with integrated training and sustainable remuneration, while modernizing data and disease surveillance systems with enhanced electronic medical records and interoperable platforms. Additionally, the MOU will accelerate the introduction and scale-up of health innovations, including rapid diagnostic tools for neonatal sepsis, and expand integrated delivery of essential health services for HIV, tuberculosis, malaria, polio, and maternal and child health. By building the DRC's capacity to independently manage these health priorities, the United States will reduce long-term dependency on American assistance while ensuring infectious disease threats are detected and contained before they can reach American shores. America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent nearly $19.8 billion in new health funding including more than $12.2 billion in U.S. assistance alongside $7.5 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of February 26, the State Department has signed 19 bilateral global health MOUs with Botswana, Burkina Faso, Burundi, Cameroon, Cote d'Ivoire, the Democratic Republic of the Congo, Eswatini, Ethiopia, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Nigeria, Panama, Rwanda, Sierra Leone, and Uganda.
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Wednesday, February 25, 2026
Fortifying Health Systems and Countering Infectious Disease Threats Through the America First Global Health Strategy in Burkina Faso
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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States and Burkina Faso signed a five-year bilateral health cooperation Memorandum of Understanding (MOU) that reinforces regional health security in the Sahel while advancing Burkina Faso's capacity to independently manage infectious disease threats before they reach our shores. This MOU reflects the Trump Administration's commitment to protecting American health security while building resilient, locally led health systems abroad, as outlined in the America First Global Health Strategy. Through this MOU, working with Congress, the Department of State intends to provide up to $147 million over the next five years to support Burkina Faso's efforts to combat HIV/AIDS, malaria, and other infectious diseases, while bolstering disease surveillance and outbreak response capabilities. Burkina Faso commits to increasing its domestic health expenditures by $107 million, demonstrating significant national ownership of its health system. The MOU allocates approximately $12 million to global health security initiatives that strengthen community health systems, improve and digitize data reporting, and build laboratory capacity to detect potential pathogens. This MOU strengthens the region's capacity to detect and respond to infectious disease threats before they spread regionally or reach the United States. It integrates longstanding malaria and maternal-child health programs with enhanced community health systems, while emphasizing continued support for frontline community health workers who serve as the foundation of sustainable, locally led health services. By the end of the MOU period, Burkina Faso will integrate U.S.-funded frontline health care and laboratory workers into its national health workforce, building a resilient, country-owned health system that protects both Burkinabé and American populations from health security threats. America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent over $18.56 billion in new health funding including more than $11.33 billion in U.S. assistance alongside $7.23 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of February 25, the State Department has signed 17 bilateral global health MOUs with Botswana, Burkina Faso, Burundi, Cameroon, Cote d'Ivoire, Eswatini, Ethiopia, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Nigeria, Rwanda, Sierra Leone, and Uganda.
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Thursday, February 19, 2026
Targeting Paramilitary Commanders Committing Atrocities in Sudan
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U.S. DEPARTMENT of STATE
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Thomas "Tommy" Pigott, Principal Deputy Spokesperson Today, the United States is sanctioning Elfateh Abdullah Idris Adam, Gedo Hamdan Ahmed Mohamed, and Tijani Ibrahim Moussa Mohamed of the Rapid Support Forces (RSF), a paramilitary group whose members have committed genocide in Sudan. The RSF has perpetrated atrocities during the almost three-year conflict in Sudan. The RSF and allied militias engaged in a campaign of widespread killings, torture, and sexual violence in El Fasher, the capital of North Darfur, during the months-long siege and subsequent capture of the city in October 2025, targeting civilians based on their ethnicity and tribal identity. The RSF also prevented food and other humanitarian assistance from entering the city, leading to famine and disease. In addition, the Department of State is designating Elfateh Abdullah Idris Adam under Section 7031(c) for gross violations of human rights. Idris brazenly filmed his atrocities, including executing unarmed civilians in El Fasher. As a result, Idris and his immediate family members are ineligible for entry into the United States. The Trump Administration seeks a lasting peace in Sudan and an end to the world's worst humanitarian crisis. We call on the belligerents to accept the U.S.-brokered humanitarian truce without preconditions. Today's actions are being taken pursuant to the authorities under Executive Order (E.O.) 14098 and pursuant to Section 7031(c) of the National Security, Department of State, and Related Programs Appropriations Act, 2026 (Div. F, P.L. 119-75). For more information on today's E.O 14098 action, please see the Department of the Treasury's press release.
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Pursuing Sustainable Health Outcomes Under the Trump Administration’s America First Global Health Strategy in the Republic of Guatemala, the Republic of Guinea, and the Republic of El Salvador
U.S. DEPARTMENT of STATE You are subscribed to Africa. Here is new content for thi...
