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Zambia to sign $1.5 billion US health pact after resolving differences over data-sharing

By Thomson Reuters Oct 6, 2026 | 3:59 AM

LUSAKA, Oct 6 (Reuters) – Zambia’s government will sign an agreement allowing it to receive $1.5 billion in health funding from the United States after resolving concerns over ​Washington’s request for medical data, its health minister said ‌on Tuesday.

Earlier this year negotiations stalled over Zambia’s concerns over data privacy and a US attempt to tie the funding to access to critical minerals.

Below are more comments by Health Minister Roma Chilengi at a ‌press ​conference:

• “The government is pleased to announce ⁠that it will sign ⁠the agreement … on Thursday,” Chilengi said

• The minister said the agreement would see the US provide $1.5 billion in health funding over five years, while Zambia would spend $2.1 billion

• The ​US is a major funder of HIV/AIDS, malaria and public health programmes in the Southern African copper-producing nation

• Zambia ⁠and other African nations have had ⁠reservations over requests that they share sweeping medical ​data with the US as a condition to receive funds

• ​Chilengi said data-sharing would be limited to providing information ‌required to monitor and evaluate US-funded health programmes. A clause had been removed that would have required Zambia to share patient medical specimens with the US if requested

• On whether ⁠the US funding was conditional on mining access, he said “there is no mention of critical minerals” in the health pact

• Chilengi said ⁠he was also ‌not aware of a separate critical minerals ⁠agreement being negotiated with the US

• African countries ​including ‌Kenya, Tanzania and Uganda have signed similar ​US health pacts, ⁠which are part of the Trump administration’s changed approach to foreign aid under which poorer countries are meant to transition from aid to self-reliance. Ghana and Zimbabwe rejected deals over data-sharing demands

(Reporting by Chris MfulaWriting by Anathi MadubelaEditing by Alexander Winning ​and Peter Graff)