- US Commits $2.1bn as Nigeria Pledges $3bn in Landmark Health Agreement
- The funding will target priority areas including HIV, tuberculosis, malaria, polio, as well as maternal and child health care
- The agreement was signed despite Nigeria’s designation by the United States as a Country of Particular Concern
The United States has signed a 5 year bilateral agreement with Nigeria aimed at strengthening the country’s health system, with a notable emphasis on supporting Christian faith based health care providers.
Eko Hot Blog reports that Under the agreement, the U.S. Department of State, working with Congress, will commit nearly $2.1 billion to expand essential preventive and curative health services across Nigeria.
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The funding will target priority areas including HIV, tuberculosis, malaria, polio, as well as maternal and child health care.
In return, the Nigerian government is expected to significantly scale up its domestic investment in the health sector, increasing public health spending by nearly $3 billion over the 5 year duration of the Memorandum of Understanding.
Speaking on the agreement, State Department spokesperson Thomas Pigott described the MOU as the largest co investment made by any country under the America First Global Health Strategy to date.
Pigott said the agreement was negotiated within the framework of Nigeria’s ongoing reforms to protect Christian communities from violence, noting that the deal includes dedicated funding to strengthen Christian health care facilities across the country.
According to U.S. officials, the investment is designed to complement the work of Nigeria’s estimated 900 faith based clinics and hospitals, which currently provide health services to millions of citizens, while also reinforcing the nation’s broader health infrastructure.
The U.S. government, however, emphasized that the President and Secretary of State retain the authority to pause or terminate any program under the agreement if it is deemed inconsistent with U.S. national interests.
“The Trump Administration expects Nigeria to continue making measurable progress in combating extremist religious violence, particularly against vulnerable Christian populations,” Pigott said.
The agreement was signed despite Nigeria’s designation by the United States as a Country of Particular Concern and its recent inclusion on a U.S. travel ban list, a decision President Donald Trump linked to terrorism concerns and visa overstay rates.
The America First Global Health Strategy, released in September 2025, applies to dozens of countries worldwide and represents a shift in U.S. health assistance toward self reliance, data security, and targeted disease response, with a focus on HIV, TB, malaria, and maternal and child health outcomes.
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