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Ghana rejects proposed US health aid deal, citing data concerns

Ghanaian authorities baulked at terms requiring the sharing of sensitive health data, the source added.

byAgency Report
April 28, 2026
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Ghana has rejected a bilateral health deal with the United States, the latest stumbling block to the Trump administration’s effort to overhaul foreign aid, a source ‌familiar with the negotiations said.

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Ghanaian authorities baulked at terms requiring the sharing of sensitive health data, the source added.

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The Trump administration in September announced a new “America First Global Health Strategy” that calls for poorer nations to play a bigger role in fighting HIV/AIDS, malaria, tuberculosis and polio in their countries and eventually transition from aid to self-reliance.

However, the US Agency for International Development was dismantled earlier this year.

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The spokespeople for Ghana’s foreign ministry and government did not respond to requests for comment.

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The US State Department said that it does not disclose details of bilateral negotiations.

“We continue to look for ways to strengthen the bilateral partnership between our two countries,” a spokesperson said.

According to government foreign assistance data, the US has disbursed $219 million in foreign assistance to ‌Ghana, ⁠including $96 million specifically for health, for 2024, the year before the Trump administration’s cuts to foreign aid.

The deal that the two sides started negotiating last November would have called for $109 million in US assistance for health over five years, the source said.

It was unclear how much Ghana would have been expected ⁠to pay.

“They were pretty normal dealings and negotiations in the beginning, and then increasingly there was a lot more pressure, especially at the end,” the source said.

ALSO READ: Nigerian govt sued over deal to share citizens’ health data with US

Washington then set 24 April as the deadline to conclude the negotiations, and ⁠Accra decided it could not agree to what was being proposed, the source said.

Ghana has communicated its position to the Trump administration, the source said.

As of Monday, the State Department had signed 32 deals under ⁠the “America First Global Health Strategy” representing $20.6 billion in funding, made up of $12.8 billion from the US and $7.8 billion in “co-investment from recipient countries”, the State Department spokesperson said.

Washington expects additional Memorandums of Understanding to be signed in the near future, the spokesperson said.

(Reuters/NAN)

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