The United States (US) signed global health Memorandums of Understanding (MOUs) with four African countries, just before Christmas.
The countries are Madagascar, Sierra Leone, Botswana, and Ethiopia.
The MoUs cost $2.3 billion, but the US has committed almost $1.4 billion, with recipient countries co-investing more than $900 million of their own resources.
Thomas Pigott, Principal Deputy Spokesperson of the US, said in a statement, priority programs in Ethiopia, are HIV/AIDS, tuberculosis, malaria, polio eradication, maternal and child health, as well as support for the Marburg response.
In Botswana, there is a commitment of $106 million with the Government contributing more than $380 million of its own resources, towards the HIV epidemic control beyond 95-95-95 targets.
Similarly in Sierra Leone, more than $30 million in 2026, will go towards strengthening disease surveillance, laboratory capacity, health workforce and data systems.
The agreement extends to efforts to lower malaria deaths by 75% and improving HIV diagnoses by ensuring that 98% of people know their HIV status, by 2030.
In Madagascar, the focus is on malaria, maternal and child health.
Picture of the MoU with Ethiopian authorities.