U.S. and Rwanda Sign $228 Million Health Sector Agreement

In December 2025, the United States and Rwanda signed a five-year agreement worth $228 million to strengthen Rwanda’s health sector, marking the second such deal under the “America First Global Health Strategy”, following a similar agreement signed with Kenya.

Key Points

Bilateral Funding Commitment: The agreement involves a combined investment of $228 million, jointly contributed by the U.S. government and the Government of Rwanda.
Focus on Health System Strengthening: The deal outlines a shared vision to save lives, improve Rwanda’s national health capabilities, and contribute to global health security, according to the U.S. State Department.
America First Global Health Strategy: This pact is part of the US administration’s new approach to overseas aid, aiming to help partner countries become increasingly self-reliant in managing their health sectors.
Targeted Disease Control: Under the agreement, the U.S. will provide up to $158 million to support Rwanda’s programmes addressing HIV/AIDS, malaria, and other infectious diseases, while also enhancing disease surveillance and outbreak response.
Rwanda’s Growing Financial Commitment: As U.S. contributions reduce gradually, Rwanda plans to increase domestic health investments by $70 million, assuming greater financial responsibility over time.