The Ministry of Finance and Economic Planning announced the development on Friday, saying the new agreement, signed by Yusuf Murangwa and U.S. representatives, provides a framework for advancing cooperation and supporting Rwanda’s health sector priorities.
“Building on the five-year Health Cooperation MoU signed between Rwanda and the United States in December 2025, the two countries have signed a Strategic Objective Agreement (SOAG) to translate their shared commitments into action,” the ministry said in a post on X.
The SOAG builds on a $228 million bilateral health cooperation agreement under the US administration’s America First Global Health Strategy. The partnership provides for up to $158 million in US support over five years, while Rwanda committed $70 million from its domestic health budget.
The broader agreement focuses on strengthening Rwanda’s health system, combating HIV/AIDS, malaria and other infectious diseases, and improving disease surveillance and outbreak response.
It also places emphasis on greater national ownership of healthcare delivery and a gradual shift toward Rwanda assuming increased responsibility for financing and managing key health programmes.
Under the partnership, Rwanda is expected to take full control of its HIV/AIDS response by the fourth year, as US financial support declines.
The cooperation also includes investments in health infrastructure, next-generation HIV treatments and the use of artificial intelligence in healthcare.
The December 2025 agreement further provided for initiatives involving US companies, including support for advanced medical delivery infrastructure through Zipline and disease outbreak surveillance through Ginkgo Bioworks.
The signing of the SOAG marks a further step in implementing the commitments made under the five-year partnership and provides an operational framework for advancing the two countries’ health cooperation.


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