Zambia has delayed a $320m US health funding agreement after leaked details revealed Washington tied the package to access to mineral resources and data, raising concerns over sovereignty and strategic control.
The stalled agreement reflects a broader shift in US policy under President Donald Trump, where development aid to African countries is increasingly tied to economic interests, particularly access to critical minerals vital for global energy and technology supply chains.
Documents published this week by advocacy group Health Gap show the proposed deal includes a phased funding structure, beginning at $320m in 2025 and declining to $112m by 2030.
The funding is conditional on Zambia signing a separate confidential ‘Bilateral Compact’ by April 1. Failure to finalise this agreement would trigger suspension of the health support package.
The US embassy in Lusaka previously said the broader framework aims to unlock substantial grant funding in exchange for collaboration in Zambia’s mining sector and reforms to its business environment.
Health Gap, which has worked with Zambian activists opposing the terms, said the deal ‘explicitly’ links health assistance to access to Zambia’s ‘mineral wealth’. The organisation added that negotiations have been stalled since December.
