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FULL LIST: African Countries That Signed Trump’s Controversial Bilateral Health Deals

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Accra, Ghana – March 3, 2026 – The United States under President Donald Trump has dramatically reshaped its global health engagement in Africa, replacing large multilateral aid programmes with stricter, performance-based bilateral agreements that require partner countries to increase domestic health spending and meet specific benchmarks in return for multi-year funding.

At least 17 African nations have now signed onto these deals, which focus on HIV/AIDS, malaria, tuberculosis, maternal and child health, disease surveillance, and epidemic preparedness.

U.S. officials describe the model as a pathway to greater accountability, national ownership, and reduced long-term aid dependency. Critics, including public health advocates and some Africa CDC voices, warn that the conditions—particularly extensive data/pathogen-sharing clauses and co-financing requirements—could strain already stretched budgets, erode sovereignty, and shift financial risk onto African governments.

Here is the current list of confirmed signatories, based on reporting from Reuters, AP News, Business Insider Africa, and U.S. State Department announcements:

Kenya – First to sign (December 2025), securing over $1.6 billion with commitments to significantly boost domestic health spending.

Rwanda – Fast-tracked participation focused on infectious disease control and health system strengthening.

Liberia – Post-Ebola emphasis on epidemic preparedness and co-financing adjustments.

Uganda – Package reportedly worth up to $1.7 billion over five years, requiring roughly $500 million in domestic contributions.

Lesotho – Targets HIV treatment stability in a high-prevalence setting.

Eswatini – Aims to secure predictable funding for one of the world’s highest HIV burdens.

Mozambique – Focus on malaria, HIV, and fragile health infrastructure.

Cameroon – Expansion into Central Africa with emphasis on malaria and maternal mortality.

Nigeria – Notable for emphasis on faith-based health providers, sparking inclusivity debates.

Madagascar – Targets infectious disease control and system support.

Sierra Leone – Post-Ebola resilience and maternal health priorities.

Botswana – Transition from donor dependence toward domestic ownership.

Ethiopia – Large-scale implementation amid post-conflict health system rebuilding.

Côte d’Ivoire – Approximately $480 million to support HIV, malaria, and maternal health.

Burkina Faso – $147 million U.S. assistance over five years with focus on primary care and surveillance in the Sahel.

Republic of Niger – $107 million U.S. funding matched by $71 million domestic commitment, emphasizing surveillance and maternal/child health.

Democratic Republic of Congo – Major package ($900 million U.S. + $300 million domestic over 2026–2031) targeting HIV, TB, malaria, polio, and emergency preparedness.

The agreements represent one of the most significant restructurings of U.S. health aid in Africa in decades, moving away from traditional channels like USAID and the Global Fund toward transactional, bilateral compacts with clear performance metrics. While Washington frames this as a push for sustainability, concerns remain about data sovereignty, fiscal pressure on low-resource governments, and the potential exclusion of certain community providers under some clauses.

Implementation will be closely watched across the continent, as success or failure could influence future U.S.-Africa health cooperation and Africa’s broader push for health self-reliance.

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Global Update

Oil Prices Fall By Over 10% as Iran Declares Strait of Hormuz Open

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New York, USA – Global oil prices suffered their sharpest single-day drop in months on Friday, April 17, 2026, after Iranian Foreign Minister Seyed Abbas Araghchi declared the Strait of Hormuz “completely open,” significantly easing fears of prolonged supply disruptions triggered by the Iran conflict.

U.S. West Texas Intermediate crude for May delivery fell 10.6% to settle at $84.63 per barrel, while international benchmark Brent crude for June delivery tumbled 9.9% to $89.50 per barrel.

The dramatic sell-off followed Araghchi’s statement on X, which came shortly after U.S. President Donald Trump indicated that the war in Iran, which erupted on February 28, “should be ending pretty soon.”

The comments coincided with a 10-day ceasefire between Israel and Lebanon that took effect on Thursday evening. Trump announced plans to host Israeli Prime Minister Benjamin Netanyahu and Lebanese President Joseph Aoun at the White House for what he called the first meaningful talks between the two countries since 1983.

The U.S. State Department said both sides were working toward lasting peace, including mutual recognition of sovereignty, improved border security, and addressing threats from non-state armed groups.

Analysts at ING noted that while the physical oil market remains tight — with roughly 13 million barrels per day of supply still disrupted — diplomatic progress has provided substantial relief to traders. However, they cautioned that a breakdown in broader U.S.-Iran peace talks remains a major upside risk for prices, given the significant gap in demands between the two sides.

The developments mark a potential turning point in the energy crisis that has gripped global markets since late February, when Iranian restrictions on the Strait of Hormuz — a chokepoint responsible for about 20% of the world’s oil and gas exports — sent prices soaring.

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Ghana News

Ghana to Open New Embassy in Singapore in Bid To Strengthen Trade Ties with Asia

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Accra, Ghana – The Government of Ghana has formally initiated high-level diplomatic engagements with Singapore to establish a permanent embassy in the Asian financial and technology hub, marking a strategic expansion of its global diplomatic presence.

The announcement follows a working visit by a Ghanaian delegation led by Deputy Minister of Foreign Affairs James Gyakye Quayson to Singapore from April 10 to 15, 2026.

During discussions with Singapore’s Minister of State for Foreign Affairs and Social and Family Development, Zhulkarnain Abdul Rahim, Ghana officially conveyed its intention to open a resident mission.

The proposed embassy aims to enhance consular services for Ghanaian nationals, facilitate trade and investment flows, and deepen institutional cooperation in technology, capacity building, and economic development.

This move forms part of a broader foreign policy drive by the Ministry of Foreign Affairs to establish new diplomatic missions and permanent chanceries in strategic locations, while reducing heavy reliance on rented premises that currently cost the state around $15 million annually.

Earlier commitments outlined at the 2025 Conference of Heads of Mission include opening missions in Massachusetts (USA), Dublin (Ireland), Lisbon (Portugal), and Singapore by 2026. Recent developments under this agenda include the opening of a new chancery in Ethiopia in February and planned missions in Brazil, Trinidad and Tobago, Serbia, and Hungary.

Singaporean authorities welcomed the proposal and expressed strong commitment to expanding bilateral ties with Ghana. Officials from both sides see the new mission as a platform to boost South-South cooperation and tap into Asia’s dynamic economic opportunities.

The establishment of the embassy is expected to be completed within the government’s 2026 diplomatic expansion timeline.

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From the Diaspora

Ghana High Commissioner Assures UK Scholarship Students of Structured Payment Plan to Clear £32 Million Debt

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London, United Kingdom – Ghana’s High Commissioner to the United Kingdom, Zita Sabah Benson, has reassured Ghanaian students on government scholarships that a structured payment plan is being implemented to settle outstanding tuition fees and stipends, following the recent release of first-quarter funds by the Ghana Scholarships Secretariat.

The assurance was given during a meeting with student representatives on April 16, 2026, after the Secretariat disbursed funds aimed at addressing an estimated £32 million debt. The timely release helped avert a planned protest scheduled for April 17.

Students had earlier threatened to demonstrate over prolonged delays, with some reporting unpaid stipends for periods ranging from 15 to 40 months. Many faced financial hardship, including warnings from universities and potential immigration issues due to unpaid tuition and missing renewal letters.

High Commissioner Benson clarified that the fund release was part of the Secretariat’s regular quarterly schedule and not a reaction to the protest threat. She emphasised the government’s commitment to establishing a more predictable and sustainable payment mechanism to prevent future disruptions.

The Ghana Mission in the UK has also begun engaging with individuals, churches, and Ghanaian organisations to provide interim support for affected students while discussions continue with authorities in Accra for a lasting resolution.

Students had raised concerns about new scholarships being awarded to beneficiaries in countries such as Canada, the United States, Germany, and China, while longstanding obligations to UK-based scholars remained unresolved.

The High Commissioner’s intervention is seen as a positive step toward restoring confidence and ensuring Ghanaian scholars can focus on their studies without financial distress.

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