The five-year framework commits $1.6 billion from the U.S. and $850 million from Kenya to fight HIV/AIDS, tuberculosis, malaria, and more, while building supply chains and electronic records for lasting change. After 25 years of U.S. aid totaling $7 billion, this first pact under the America First Global Health Strategy skips NGOs for government-to-government funding. Kenyan President Ruto sees it advancing universal coverage, though some worry about data privacy and call for the full text to be released. Officials assure only de-identified data will be shared under Kenyan laws.
