The Dictatorship
US signs new health deals with 9 African countries
JOHANNESBURG (AP) — The U.S. government has signed health deals with at least nine African countries, part of its new approach to global health fundingwith agreements that reflect the Trump administration’s interests and priorities and are geared toward providing less aid and more mutual benefits.
The agreements signed so far, with KenyaNigeria and Rwanda among others, are the first under the new global health framework, which makes aid dependent on negotiations between the recipient country and the U.S.
Some of the countries that have signed deals either have been hit by U.S. aid cuts or have separate agreements with the Trump administration to accept and host third-country deporteesalthough officials have denied any linkage.
The Trump administration says the new “America First” global health funding agreements are meant to increase self-sufficiency and eliminate what it says are ideology and waste from international assistance. The deals replace a patchwork of previous health agreements under the now-dismantled United States Agency for International Development.
U.S. aid cuts have crippled health systems across the developing world, including in Africawhere many countries relied on the funding for crucial programs, including those responding to outbreaks of disease.
The new approach to global health aligns with President Donald Trump’s pattern of dealing with other nations transactionallyusing direct talks with foreign governments to promote his agenda abroad. It builds on his sharp turn from traditional U.S. foreign assistance, which supporters say furthered American interests by stabilizing other countries and economies and building alliances.
A different strategy
The deals mark a sharp departure from how the U.S. has provided health care funding over the years and mirrors the Trump administration’s interests.
South Africa, which has lost most of its U.S. funding — including $400 million in annual support — due in part to its disputes with the U.S., has not signed a health deal, despite having one of the world’s highest HIV prevalence rates.
Nigeria, Africa’s most populous country, reached a deal but with an emphasis on Christian-based health facilities, although it has a slight majority Muslim population. Rwanda and Uganda, which each have deportation deals with the U.S., have announced the health pacts.
Cameroon, Eswatini, Lesotho, Liberia and Mozambique also are among those that have signed health deals with the U.S.
According to the Center for Global Development, a Washington think tank, the deals “combine U.S. funding reductions, ambitious co-financing expectations, and a shift toward direct government-to-government assistance.”
The deals represent a reduction in total U.S. health spending for each country, the center said, with annual U.S. financial support down 49% compared with 2024.
A faith-based deal in Nigeria, a lifeline for several others
Under its deal, Nigeria, a major beneficiary of USAID funds, would get support that has a “strong emphasis” on Christian faith-based health care providers.
The U.S. provided approximately $2.3 billion in health assistance to Nigeria between 2021 and 2025, mostly through USAID, official data shows. The new five-year agreement will see U.S. support at over $2 billion, while Nigeria is expected to raise $2.9 billion to boost its health care programs.
The agreement “was negotiated in connection with reforms the Nigerian government has made to prioritize protecting Christian populations from violence and includes significant dedicated funding to support Christian health care facilities,” the State Department said in a statement.
The department said “the president and secretary of state retain the right to pause or terminate any programs which do not align with the national interest,” urging Nigeria to ensure “that it combats extremist religious violence against vulnerable Christian populations.”
For several other countries, the new deals could be a lifeline after U.S. aid cuts crippled their health care systems and left them racing to fill the gaps.
Under its deal, Mozambique will get U.S. support of over $1.8 billion for HIV and malaria programs. Lesotho, one of the poorest countries in the world, clinched a deal worth over $232 million.
In the tiny kingdom of Eswatini, the U.S. committed to provide up to $205 million to support public health data systems, disease surveillance and outbreak response, while the country agreed to increase domestic health expenditures by $37 million.
No deal for South Africa after disputes
South Africa is noticeably absent from the list of signatories following tensions with the Trump administration.
Trump has said he will cut all financial assistance to South Africa over his widely rejected claims that it is violently persecuting its Afrikaner white minority.
The dismantling of USAID resulted in the loss of over $436 million in yearly financing for HIV treatment and prevention in South Africa, putting the program and thousands of jobs in the health care industry at risk.
Health compacts with countries that signed deportation deals
At least four of the countries that have reached deals previously agreed to receive third-country deportees from the U.S., a controversial immigration policy that has been a trademark of the Trump administration.
The State Department has denied any linkage between the health care compacts and agreements regarding accepting third-country asylum seekers or third-country deportees from the United States. However, officials have said that political considerations unrelated to health issues may be part of the negotiations.
Rwanda, one of the countries with a deportation deal with the U.S., signed a $228 million health pact requiring the U.S. to support it with $158 million.
Uganda, another such country, signed a health deal worth nearly $2.3 billion in which the U.S. will provide up to $1.7 billion. Also Eswatini, which has started receiving flights with deported prisoners from the U.S.
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Associated Press writers Evelyne Musambi in Nairobi, Kenya, Dyepkazah Shibayan in Abuja, Nigeria, Mark Banchereau in Dakar, Senegal, and Matthew Lee in Washington contributed to this report.
As awards season progresses, celebrities continue to speak out against the Trump administration’s immigration crackdown — especially in Minneapolis. Though some stars have opted for a slight nod of resistance with pins that say “ICE out,” others have been more vocal in their stances.
Upon accepting the Grammy Award for Best Música Urbana Album on Sunday night, Bad Bunny got straight to the point.
“Before I say thanks to God, I’m going to say ICE out,” the Puerto Rican performer said as soon as he approached the podium with award in hand.
After a standing ovation and cheers from the crowd, he continued.
“We’re not savage, we’re not animals, we’re not aliens. We are humans and we are Americans.”
This is not the first time the artist has spoken out against the Trump administration’s rhetoric against immigrants in the United States. Last year, he announced he would no longer tour in the U.S., which drew criticism from some right-wing commentators.
Despite that pushback, Bad Bunny scored the headlining spot at this year’s Super Bowl and said he decided to “do just one date in the United States.”
The album Bad Bunny accepted the award for, “Debí Tirar Más Fotos,” also won Album of the Year, becoming the first primarily Spanish-language album to win the distinction in the ceremony’s 68-year history.
Kathleen Creedon is a platforms editor for MS NOW. She previously worked as a web producer for Vanity Fair.
Despite a brutal critical reception“Melania,” the documentary about the first lady released on January 30, outperformed expectations in its opening weekend.
“Melania” earned more than $7 million at the domestic U.S. box office, the highest opening for a non-concert documentary in decades. Most recently, the best-performing film in the same genre was Stephen Gray and Chris Radtke’s “After Death,” which opened at around $5 million domestically in 2023. With an opening box office of almost $24 million, Michael Moore’s 2004 film “Fahrenheit 9/11” remains the highest-grossing political documentary.
Critics, however, have been less kind to “Melania.” The documentary has received an aggregate rating of 10% among professional critic reviews on Rotten Tomatoes (which is owned by Versant, MS NOW’s parent company), and negative reviews from major news outlets abound. Writing for MS NOW, media critic Jen Cheney said the film is “so devoid of substance that it feels wrong to call it a documentary” and suggested “This thing is basically ‘Let Them Eat Cake: The Movie,’” invoking Marie Antoinette, the French queen beheaded during the revolution.
Still, the film about the model-turned-political figure found its audience. Media analytics company Comscore reported that roughly 72% of Melania’s audience during opening weekend were women, and 72% were over the age of 55. The majority of the movie-goers were also white.
Directed by Brett Ratner in his first film since he faced accusations of sexual abuse (allegations he has denied), “Melania” outperformed expectations out of the gate but has far to go before it becomes profitable: Amazon’s MGM Studios paid $40 million to license the film and another $35 million to promote it.
“We’re very encouraged by the strong start and positive audience response, with early box office for ‘Melania’ exceeding our expectation,” said Kevin Wilson, Amazon MGM Studios’ head of domestic theatrical distribution.
Erum Salam is a breaking news reporter and producer for MS NOW. She previously was a breaking news reporter for The Guardian.
The Dictatorship
British prime minister says Prince Andrew should testify to Congress over Epstein ties
British Prime Minister Keir Starmer called on Andrew Mountbatten-Windsor, the disgraced British royal formerly known as Prince Andrew, to testify before the U.S. Congress over his ties to the late convicted sex offender Jeffrey Epstein.
“Firstly, I have always approached this question with the victims of Epstein in mind. Epstein’s victims have to be the first priority. As for whether there should be an apology, that’s a matter for Andrew,” Starmer told press on Saturday during an official visit to Tokyo, Japan.
“But yes, in terms of testifying, I have always said anybody who has got information should be prepared to share that information in whatever form they are asked to do that. You can’t be victim-centered if you’re not prepared to do that.”
The statement comes after the Justice Department on Friday released more than 3 million pages of documents related to its investigation into Epstein as part of its mandate to fulfill the requirements of the Epstein Files Transparency Act.
Among the documents are photographs that show a barefoot Mountbatten-Windsor kneeling over and touching the stomach and waist of an unidentified female figure whose face has been redacted.
Also among the newly released documents, the Guardian identified email exchanges between him and Epstein dated 2010. In them, Epstein tells Mountbatten-Windsor, “I have a friend who I think you might enjoy having dinner with” and refers to a 26-year-old Russian woman. Andrew replied that he would be “delighted to see her” and told Epstein to give her his contact information.
Mountbatten-Windsor has been unable to distance himself from the scandal over his friendship with Epstein, the American financier who ran a sex-trafficking ring.
Amid ongoing revelations about his history with Epstein, Mountbatten-Windsor was stripped of his royal titles last year by his older brother, King Charles III. Andrew was also evicted from his home at Royal Lodge, a 30-room mansion located on the grounds of Windsor Castle.
Virginia Giuffreone of Epstein’s victims, sued Mountbatten-Windsor in 2021, claiming she was forced to have sex with him. The case was settled for an undisclosed amount in 2022with no admission of wrongdoing. Giuffre died by suicide last April. Mountbatten-Windsor has repeatedly denied the allegations against him. In a now-famous BBC Newsnight interviewhe claimed he was at a PizzaExpress in Woking with his daughter, Princess Beatrice, at the time of the alleged assault.
MS NOW is reviewing the documents released by the Justice Department in collaboration with journalists from NBC, AP, CNBC and CBS. Journalists from each newsroom worked together to examine the documents and share information about what is in them. Each outlet is responsible for its own independent news coverage of the documents.
Erum Salam is a breaking news reporter and producer for MS NOW. She previously was a breaking news reporter for The Guardian.
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