In December 2025, Nigeria signed a five-year health cooperation agreement with the United States, covering April 2026 to December 2030. It is one of 24 African countries to sign a similar agreement. Ghana and Zimbabwe declined, talks with Zambia stalled, and the agreements in Kenya and the DRC face court challenges.
This interactive explainer opens with a map of which countries signed, then moves through four chapters: the current status quo, what is changing, what Nigeria must deliver, and ten contested areas. It covers funding that shifts from US$2.08 billion in US support towards US$2.98 billion in new Nigerian spending, the handover of health workers and commodities, and the data, specimen-sharing and audit terms at the centre of the debate. Every figure is sourced, and data is current to September 30, 2026.