U.S. and Eswatini Sign $242 Million Health Cooperation Agreement to Strengthen Sustainable Healthcare Systems.
Mbabane, Eswatini:
The United States and the Government of the Kingdom of Eswatini have signed a five-year Memorandum of Understanding (MOU) on global health cooperation, marking a major step forward in strengthening Eswatini’s national health system and advancing shared public health priorities under the America First Global Health Strategy.
The agreement outlines strategic investments aimed at improving public health outcomes, leveraging American innovation and technology, and ensuring the long-term sustainability of Eswatini’s healthcare system. Under the MOU, the U.S. Department of State, working in coordination with the U.S. Congress, intends to provide up to $205 million in health assistance over five years.
These investments will focus on modernizing public health data systems, strengthening disease surveillance and outbreak response technologies, expanding access to HIV antiretroviral treatment, and scaling up highly effective HIV prevention interventions. A key component of the cooperation includes the recently announced delivery of American-made lenacapavir, a breakthrough medication for HIV prevention, underscoring the role of U.S. innovation in global health advancement.
As part of the agreement, the Government of Eswatini reaffirmed its commitment to health sector sustainability by pledging to increase domestic health expenditures by $37 million over the life of the MOU. This contribution brings the total value of the partnership to $242 million and reflects Eswatini’s dedication to investing in strategic, catalytic, and innovative healthcare solutions for its citizens.
Officials from both governments emphasized that the agreement places Eswatini on a clear path toward achieving a more effective, efficient, and sustainable health system. The partnership also highlights a shared commitment to safeguarding hard-won health gains, strengthening health security, and protecting the wellbeing of both American and Eswatini citizens.
The signing with Eswatini is part of a broader U.S. effort to formalize long-term health partnerships worldwide. The United States announced it will continue signing multi-year Bilateral Agreements on Global Health Cooperation with dozens of countries receiving U.S. health assistance in the coming weeks, further advancing the goals of the America First Global Health Strategy.
This agreement reinforces the enduring partnership between the United States and Eswatini and reflects a mutual commitment to addressing global health challenges through innovation, shared responsibility, and sustainable investment.
