US and Ivory Coast sign $480m deal as part of ‘America First’ aid strategy

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The Trump medication is forging bilateral deals with countries deed by wide cuts to US overseas aid.

Published On 30 Dec 2025

The medication of United States President Donald Trump has signed a woody committing $480m successful nationalist wellness assistance to the Ivory Coast.

The agreement, signed successful the West African nation’s capital, Abidjan, connected Tuesday, is the latest crook successful the Trump administration’s America First Global Health Strategy.

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The program envisions forging bilateral agreements with dozens of countries to person US wellness assistance successful the aftermath of the administration’s gutting of the US Agency for International Development (USAID).

The Trump medication has maintained that US overseas assistance argumentation has been inefficient and wasteful, saying that the bilateral agreements volition make much accountability, oversight and eventual self-sufficiency.

Experts person questioned the efficacy of the attack and raised alarm implicit its transactional nature.

At the signing ceremonial connected Tuesday, the US ambassador to the Ivory Coast, Jessica Davis Ba, said the US authorities is moving “beyond the accepted assistance attack toward a exemplary focused connected trade, innovation, and shared prosperity”.

“Today, our bilateral practice is entering a caller phase. We are implementing the America First Global Health Strategy,” the ambassador said.

As portion of the agreement, the Ivory Coast committed to yet providing up to $292m to wellness backing by 2030, Ivorian Prime Minister Robert Beugre Mambe said.

The woody is the largest of the much than a twelve different arrangements the Trump medication has reached truthful acold nether the caller strategy.

Cuts to USAID

Deep USAID cuts earlier this twelvemonth person disrupted nationalist wellness services crossed the world, with Africa peculiarly hard-hit.

That has sparked concerns astir the imaginable summation of the spread of HIV connected the continent, declines successful maternal and kid healthcare, spikes successful Malaria cases, and reduced aboriginal detection of caller infectious diseases.

While the Ivory Coast woody and different caller bilateral agreements question to code these areas, nationalist wellness experts person been wary astir the administration’s approach.

An investigation by the Center for Global Development earlier this period said that the caller strategy outlines respective perchance beneficial changes to overseas wellness assistance delivery.

However, these changes “carry tremendous risks to work transportation and hard-won nationalist wellness gains”, elder expert Jocilyn Estes and argumentation chap Janeen Madan Keller wrote.

The brace identified respective imaginable areas of risk, including nationalist wellness priorities perchance being shaped by “transactional pressures”, questions implicit oversight, and a deficiency of clarity connected however services volition beryllium protected if a spouse state is incapable to conscionable its commitments.

The experts further questioned what the strategy would mean for assistance successful areas wherever determination is nary “credible oregon unchangeable government”.

“Operationalising a reconfigured attack to US planetary wellness assistance – peculiarly nonstop authorities assistance – astatine this standard and velocity is unprecedented”, they wrote, adding that “each imaginable constituent of nonaccomplishment risks lives”.

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