Nigeria and US Sign Health MoU for Domestic Financing
Nigeria and the United States have partnered for over two decades to address significant public health challenges through initiatives like PEPFAR and the President’s Malaria Initiative. Recognizing the need for national sovereignty in health financing, President Bola Ahmed Tinubu launched the Nigeria Health Sector Renewal Investment Initiative and the Health Sector Renewal Compact in December 2023.
This initiative aims to align resources and reduce fragmentation in health services. The health Memorandum of Understanding (MoU) signed on 19 December 2025 outlines a transition from external funding to increased domestic financing, covering April 2026 to December 2030.
The MoU specifies that the United States will provide nearly $2 billion over five years, while Nigeria will contribute nearly $3 billion, focusing on priorities such as HIV, tuberculosis, malaria, and maternal and child health. This shift emphasizes the strengthening of Nigerian institutions and the use of domestic resources for health services.
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