Major bilateral health MOUs have been signed with nine countries under the America First Global Health Strategy, representing more than $8 billion in direct U.S. investment and more than $5 billion in co-investment by recipient countries.

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1. Update · Dec 23, 2025, 11:12 PMTrue
   State Department releases confirm that under the America First Global Health Strategy, the United States has signed major bilateral health MOUs with Kenya, Rwanda, Liberia, Uganda, Lesotho, Eswatini, Mozambique, Cameroon, and Nigeria — nine countries. The MOUs are described as representing more than $8 billion in direct U.S. investment and more than $5 billion in co-investment by recipient governments. Independent reporting from Reuters and AP corroborates the nine-country set and related deals, reinforcing the official figures and scope. The combination of official primary sources and major outlets supports the claim; there is no credible evidence contradicting it.
   • https://www.state.gov/releases/office-of-the-spokesperson/2025/12/delivering-on-president-trumps-commitment-america-first-global-health-strategy-and-bilateral-health-mous/
   • https://www.state.gov/releases/restoring-americas-global-health-leadership/
   • https://www.state.gov/releases/office-of-the-spokesperson/2025/12/continuing-to-deliver-on-the-america-first-global-health-strategy-with-the-signing-of-the-united-states-rwanda-bilateral-health-cooperation-memorandum-of-understanding
   • https://www.reuters.com/business/healthcare-pharmaceuticals/us-signs-pact-with-kenya-under-america-first-global-health-plan-2025-12-04/
   • https://apnews.com/article/us-africa-health-agreements-nigeria-kenya-trump-60ff22d1bc58009962dadd9f5ce53131
2. Update · Dec 23, 2025, 04:15 PMTrue
   The U.S. Department of State states that under the America First Global Health Strategy, major bilateral health MOUs have been signed with nine countries: Kenya, Rwanda, Liberia, Uganda, Lesotho, Eswatini, Mozambique, Cameroon, and Nigeria. The same materials report that these MOUs represent more than $8 billion in direct U.S. investment and more than $5 billion in co-investment by recipient countries. The evidence comes from official State Department publications and allied embassy communications; there is no credible public source challenging these points. Verdict: True — the statement is supported by official primary sources.
   • https://www.state.gov/releases/office-of-the-spokesperson/2025/12/delivering-on-president-trumps-commitment-america-first-global-health-strategy-and-bilateral-health-mous/
   • https://www.state.gov/america-first-global-health-strategy
   • https://cm.usembassy.gov/u-s-and-cameroon-sign-landmark-five-year-health-memorandum-of-understanding-under-the-america-first-global-health-strategy/
   • https://www.state.gov/releases/office-of-the-spokesperson/2025/12/restoring-americas-global-health-leadership
3. Original article · Dec 22, 2025
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