Gov’t Finally Publishes $1.6 billion Kenya-US Health Deal
The government has made available the full text of the recently signed Cooperative Framework on Health between Kenya and the United States.
The Ministry of Health announced that the Framework, which formalises long-term collaboration across major health sectors, has been made publicly available in accordance with Article 35 of the Constitution.
According to a statement from the Ministry, the document’s release underscores the government’s commitment to transparency and accountability in health partnership administration.
Cooperation Framework between the Government of The Republic of Kenya and The Government of the United States of America. – https://t.co/t7eRFyfGGT pic.twitter.com/k4Ciij32SY
— Hon. Aden Duale, EGH (@HonAdenDuale) December 8, 2025
“Kenya and the United States have signed a Cooperative Framework on Health, marking a new chapter in strengthening collaboration across priority health areas,” the statement read.
“In line with Article 35 on Access to Information, the full document is now publicly available for all citizens.”
The Government of the Republic of Kenya signed a Cooperative Framework on Health as well as a Data Sharing Agreement on 4th December 2025 with the Government of the United States of America.
— Hon. Aden Duale, EGH (@HonAdenDuale) December 8, 2025
In compliance with Article 35 of the Constitution on Access to Information and in the… pic.twitter.com/bjkDf8AQv8
On December 4, Kenya and the United States signed the Health Cooperation Framework, making Kenya the first country to sign a government-to-government agreement with the United States.
The agreement states that the United States will spend directly in government health facilities rather than non-governmental organizations (NGOs).
The US will commit $1.6 billion (Sh208 billion) to Kenya over the next five years under the new framework.
The funds will be distributed directly to government institutions, eliminating the need for third-party engagement to ensure they reach their intended recipients.
President William Ruto witnessed the signing of the Kenya-US Health Cooperation Framework in Washington, D.C., which was signed by Prime Cabinet Secretary Musalia Mudavadi and Secretary of State Marco Rubio.
Ruto stated that the agreement will support Kenya’s attempts to achieve universal health coverage, modernize hospital equipment, supply Social Health Authority services, and improve disease surveillance and emergency preparation.
“The framework we sign today adds momentum to my administration’s universal health coverage that is focused on the supply of modern equipment to our hospitals, efficient and timely delivery of health commodities to our facilities, enhancement of our health workforce, and health insurance for all, and leaving no Kenyan behind,” he said.
Secretary Rubio stated that the US chose Kenya because of its stable and strong institutions in both government and the health sector.
.@SecRubio: “We are not going to spend billions of dollars funding the NGO industrial complex while close and important partners like Kenya … either have no role to play or have very little influence over how healthcare money is being spent.” pic.twitter.com/F0rgJEGUHj
— Department of State (@StateDept) December 4, 2025
He noted that the $1.6 billion will not only support medicine but also domestic health infrastructure, ensuring a health system that is self-sustaining.
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Under the old model, he explained, much of the money went to the operating costs of NGOs, leaving only a small share for the host country, patients, and other intended programmes.
“We are not going to spend millions of dollars funding the NGO industrial complex while close and important partners like Kenya have very little influence on how healthcare money is spent,” Rubio said.
“Bottom line – if you want to help a country, work with that country, not with a third party that imposes things on that country.”
Gov’t Finally Publishes $1.6 billion Kenya-US Health Deal
