US accused of ‘shameless exploitation’ over proposed Zambian health aid deal

The Guardian - World NewsEN 5 min read 75% complete by Andrew GreenFebruary 25, 2026 at 02:00 PM
US accused of ‘shameless exploitation’ over proposed Zambian health aid deal

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A leaked draft of a proposed US health financing agreement with Zambia, worth over $1 billion, is drawing criticism for allegedly exploitative terms. The agreement requires Zambia to provide the US with access to its health data for 10 years and links health funding to a separate arrangement potentially opening Zambia's mining industry to US interests. Critics argue the terms are worse than those in similar agreements with other African nations and accuse the US of using health services as leverage. The agreement requires Zambia to hire 40,000 health workers and contribute $400 million to its health sector over five years. Zimbabwe recently halted similar health agreement talks with the US due to data sharing concerns.

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