Thursday, January 15, 2026

America’s New ‘Trade for Aid’ Global Health Paradigm

Good news! Why should US foreign aid be without conditions and contingencies?

"As the U.S. negotiates new international aid deals with African governments, a new framework is taking shape—with funding linked directly to trade and geopolitical goals. 
 
The basics: The U.S. has pledged ~$16 billion and signed 14 deals with countries in recent weeks as part of the new “America First” aid strategy. Agreements in the works include:  
A $1.5 billion deal with Zambia that is reportedly contingent on mining access
A $2.1 billion deal with Nigeria—made with the condition that the country increase its own health spending and promote Christian faith-based health care providers.  
Rerouted funds: The new deals also cut out UN agencies and NGOs, sending money directly to governments.  
 
And still: Overall U.S. aid remains ~50% below 2024 levels. ..."

Global Health NOW: U.S. Aid Cuts Threaten Progress Against AIDS Orphanhood; and America’s New ‘Trade for Aid’ Global Health Paradigm

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