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    • News
    • The Future of Global Health

    Rapid US health deals spark concerns over lack of public consultation

    Many are concerned that the State Department is signing these agreements with countries too fast and without public participation.

    By Sara Jerving // 10 December 2025

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    The US signs first bilateral health deal with Kenya for $1.6 billion
    Will African nations lose their leverage in an ‘America First’ health plan?
    Will African nations lose their leverage in an ‘America First’ health plan?
    State Dept taps African faith groups for bilateral health deal consults
    State Dept taps African faith groups for bilateral health deal consults

    The United States is on a rapid-fire quest to sign dozens of new bilateral health agreements with countries in the coming weeks. In the past week, it’s inked deals with Kenya, Rwanda, Liberia, and Uganda.

    This is part of the new “America First” global health strategy that prioritizes direct agreements with governments as opposed to funneling money through nongovernmental organizations. It also aims to leverage faith-based organizations and the private sector.

    But concerns around this process are mounting. Forty-six civil society organizations published a letter to African government leaders on Wednesday expressing wide-ranging concerns around the deals in areas such as data sovereignty — and stating the terms are dictated by the U.S. and not by African interests. They wrote that the agreements have a “rushed timeline and extremely limited inclusion of civil society.”

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    More reading:

    ► Kenya limits US access to disease outbreak data in new bilateral deal

    ► Will African nations lose their leverage in an ‘America First’ health plan?

    ► State Dept taps African faith groups for bilateral health deal consults

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    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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    Related Stories

    The Future of Global HealthRelated Stories - US template for bilateral health deals bypasses WHO pandemic negotiations

    US template for bilateral health deals bypasses WHO pandemic negotiations

    The Future of Global HealthRelated Stories - The US signs first bilateral health deal with Kenya for $1.6 billion

    The US signs first bilateral health deal with Kenya for $1.6 billion

    The Future of Global HealthRelated Stories - Will African nations lose their leverage in an ‘America First’ health plan?

    Will African nations lose their leverage in an ‘America First’ health plan?

    The Future of Global healthRelated Stories - State Dept taps African faith groups for bilateral health deal consults

    State Dept taps African faith groups for bilateral health deal consults

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