The United States and Rwanda have signed a $228 million agreement aimed at strengthening Rwanda’s health sector while promoting long-term financial self-reliance.
Rwanda signs $228 agreement with US under Washington's new aid model
Rwanda's President Paul Kagame speaks during a signing ceremony with President Donald Trump at the U.S. Institute of Peace, Thursday, Dec. 4, 2025, in Washington.
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The deal was announced late on Friday, hours after Rwandan leader Paul Kagame and the DRC’s Felix Tshisekedi reaffirmed their commitment to a US-brokered peace plan for eastern Congo.
Under the new health agreement, the US will allocate $158 million to help Rwanda combat infectious diseases including HIV and malaria. It will also help strengthen surveillance and outbreak preparedness.
Kigali will increase its domestic health investment by $70 million as evidence of its commitment, the US State Department said.
Earlier this week, Kenya became the first nation to strike a deal under the America First Global Health Strategy. This new US approach to overseas aid aims to improve countries’ self-reliance in managing their health sectors.