美国与9个非洲国家签署了新的保健协议,将资金削减近一半,并推动共同供资,与“美国第一”的优先事项保持一致。 The U.S. signed new health deals with nine African nations, cutting funding by nearly half and boosting co-financing, aligning with 'America First' priorities.

美国根据与特朗普政府“美国第一”优先事项相一致的经修订的全球卫生框架,与九个非洲国家签署了新的保健协定。 The U.S. has signed new health agreements with nine African nations under a revised global health framework aligned with the Trump administration’s “America First” priorities. 这些交易取代了前美援署的方案,强调政府与政府之间的直接谈判,减少了美国的资金——平均减少49%,而2024年是49%——并增加了受援国的共同融资。 The deals, replacing former USAID programs, emphasize direct government-to-government negotiations, reduced U.S. funding—down 49% on average compared to 2024—and increased co-financing by recipient countries. 尼日利亚协定价值超过20亿美元,其重点是基督教领导的保健设施,而卢旺达和乌干达等国也签署了协定,其中一些协定与同美国南非的递解出境协定一起,没有达成协议,据说是因为外交关系紧张。 Nigeria’s agreement, worth over $2 billion, includes a focus on Christian-led health facilities, while countries like Rwanda and Uganda have also signed, some alongside deportation agreements with the U.S. South Africa did not secure a deal, reportedly due to diplomatic tensions. 这一转变减少了意识形态和官僚主义开支,目的是促进自给自足,尽管批评者警告说,脆弱地区的卫生系统受到削弱。 The shift reduces ideological and bureaucratic spending, aiming to promote self-sufficiency, though critics warn of weakened health systems in vulnerable regions.