US signs four landmark global health MOUs with Madagascar, Sierra Leone, Botswana, and Ethiopia.

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The State Department web page titled "Advancing the America First Global Health Strategy Through Landmark Bilateral Global Health MOUs" is currently inaccessible. The page returns a technical error message — "We’re sorry, this site is currently experiencing technical difficulties" and "Exception: forbidden" — so the press release content could not be retrieved. Readers should try again later or contact the Department for the release or an alternative source.

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Reuters reports that on December 22–24, 2025, the United States signed four new global health memorandums of understanding (MOUs) with Madagascar, Sierra Leone, Botswana, and Ethiopia, totaling nearly $2.3 billion in funding, according to the State Department. The articles note that the MOUs are intended to strengthen health systems and include clear benchmarks and consequences for nonperformance. This corroborates the claim that the United States signed four landmark global health MOUs with the four specified countries within the stated timeframe.

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Update · Dec 25, 2025, 02:16 AMTrue
Reuters reports that on December 22–24, 2025, the United States signed four new global health memorandums of understanding (MOUs) with Madagascar, Sierra Leone, Botswana, and Ethiopia, totaling nearly $2.3 billion in funding, according to the State Department. The articles note that the MOUs are intended to strengthen health systems and include clear benchmarks and consequences for nonperformance. This corroborates the claim that the United States signed four landmark global health MOUs with the four specified countries within the stated timeframe.
Update · Dec 24, 2025, 07:32 AMTrue
Credible reporting confirms that on December 23, 2025, the United States signed four global health memorandums of understanding with Madagascar, Sierra Leone, Botswana, and Ethiopia. Reuters notes the MOUs total nearly $2.3 billion in funding, with about $1.4 billion from the U.S. and over $900 million co-invested by recipient countries, and that the agreements include benchmarks and consequences for nonperformance. These elements support the core claim that four MOUs were signed with the named countries and involve substantial funding and performance terms. Verdict: True — the key facts (four MOUs with the named countries and the funding scale) are corroborated by credible reporting.
- https://www.reuters.com/business/healthcare-pharmaceuticals/us-signs-health-agreements-with-african-nations-warns-against-nonperformance-2025-12-24/
- https://www.usnews.com/news/top-news/articles/2025-12-23/us-signs-health-agreements-with-african-nations-warns-against-nonperformance
Original article · Dec 24, 2025
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