United States, Tanzania Sign $3.1 Billion Health Partnership to Strengthen Disease Control and Build Self-Reliant Healthcare System.
Washington, D.C.:
The United States and Tanzania have signed a five-year bilateral Global Health Memorandum of Understanding (MOU) aimed at strengthening Tanzania’s healthcare system, combating infectious diseases, and advancing long-term health security through a new partnership model focused on self-reliance and shared investment.
The agreement, signed under the Trump Administration’s America First Global Health Strategy, marks a significant shift from the traditional donor-recipient approach toward a co-investment framework in which both countries will jointly finance and strengthen Tanzania’s healthcare infrastructure.
Under the MOU, the United States intends to provide more than $1.3 billion in health assistance over the next five years, while the Government of Tanzania plans to increase its domestic healthcare spending by approximately $1.8 billion, bringing the total investment under the agreement to $3.1 billion.
Strengthening Tanzania’s Health System
The partnership will focus on developing a durable and sustainable healthcare system capable of independently addressing infectious diseases and future public health emergencies.
Through the agreement, both nations will jointly invest in expanding hospitals, strengthening laboratory networks, and training healthcare professionals across Tanzania. The United States will also support Tanzania’s national health priorities by providing access to American expertise in pharmaceuticals, medical innovation, health technology, and disease surveillance.
Officials said the initiative is designed to help Tanzania gradually transition toward financing, managing, and sustaining its own healthcare system while improving its ability to detect, prevent, and respond to infectious disease outbreaks.
Continued Focus on Major Diseases
The five-year partnership aims to sustain national progress in controlling several major infectious diseases, including:
HIV/AIDS
Malaria
Tuberculosis
Polio
In addition, the agreement supports maternal and child health programs to meet the needs of Tanzania’s growing population and improve long-term health outcomes.
Shift Toward Self-Reliance
According to U.S. officials, the memorandum reflects the core vision of the America First Global Health Strategy, which emphasizes building national capacity rather than long-term dependence on foreign aid.
The strategy seeks to transform global health partnerships by promoting:
Shared investment instead of one-sided assistance;
Greater domestic financing by partner countries;
Sustainable healthcare systems;
Long-term economic and institutional resilience.
Officials described the agreement as representing a transition “from aid to trade, from dependence to self-reliance, and from short-term support to long-term sustainability.”
Part of a Broader Global Health Initiative
The Tanzania agreement is the latest in a growing series of bilateral global health partnerships under the America First Global Health Strategy.
As of July 1, the U.S. Department of State has signed 34 bilateral Global Health Memoranda of Understanding with countries across Africa, Asia, Central America, the Caribbean, and the Pacific.
Collectively, these agreements represent more than $24 billion in planned health funding, including over $14.3 billion in U.S. assistance and more than $9.6 billion in co-investments from partner countries.
The initiative builds on decades of international efforts to combat HIV/AIDS, malaria, tuberculosis, and other infectious diseases while encouraging countries to assume greater leadership in financing and managing their own public health systems.
Officials from both governments said the partnership with Tanzania represents a long-term commitment to improving health security, strengthening national resilience, and protecting communities against current and emerging public health threats.
