The United States and the Federal Republic of Nigeria have signed a historic five-year, $5.1 billion bilateral health cooperation Memorandum of Understanding (MOU) to advance the America First Global Health Strategy.
Under the agreement, the United States will provide $2.1 billion in support, while Nigeria commits $3.0 billion in new domestic health spending over the next five years.
This marks the largest co-investment by any country to date under the Strategy, underscoring Nigeria’s pivotal role in global health security.
Key Highlights of the MOU
- Total Value: $5.1 billion over five years
- U.S. Contribution: $2.1 billion
- Nigeria’s Investment: $3.0 billion in domestic health spending
- Faith-Based Support: $200 million dedicated to more than 900 Christian faith-based healthcare facilities
- Focus Areas: HIV, tuberculosis, malaria, maternal and child health
Christian faith-based clinics, which represent about 10% of healthcare providers in Nigeria, serve more than 30% of the country’s 230 million people, often in underserved and rural areas.
The dedicated funding will expand access to integrated health services, strengthening frontline care where it is most needed.
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Addressing Urgent Health Challenges
Nigeria faces one of the highest maternal and child mortality rates globally and accounts for 30% of the world’s malaria burden.
By bolstering Nigeria’s healthcare system, the MOU aims to save lives, reduce disease transmission, and enhance resilience against future health threats.
Strategic Impact
Officials emphasized that the agreement not only strengthens Nigeria’s health infrastructure but also advances U.S. interests by making America “safer, stronger, and more prosperous.”
The partnership reflects a growing recognition that global health security is directly tied to national security.
This landmark agreement is expected to deepen bilateral ties, protect lives in both nations, and set a new standard for international health cooperation.
