Tanzania has become the latest African country to join the United States’ new co-investment health model, signing a five-year $3.1 billion partnership that signals Washington’s shift from traditional foreign aid to shared financing, even as similar agreements face scrutiny over data sovereignty and access to strategic resources.
The United States and Tanzania have signed a five-year $3.1 billion health cooperation agreement, making Tanzania the latest African country to embrace Washington’s new approach to global health partnerships that replaces traditional aid with joint investment and greater domestic financing.
Under the agreement, signed in Dar es Salaam on Wednesday, the U.S. intends to invest more than $1.3 billion, while Tanzania has committed to contribute over $1.8 billion to strengthen its health system between now and 2031.
The combined investment will support disease surveillance, laboratory systems, digital health infrastructure and emergency preparedness.
The deal forms part of President Donald Trump’s America First Global Health Strategy, which is reshaping U.S. engagement with developing countries after the dismantling of many traditional foreign aid programmes.
