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US Criticises Zambia Over Failure To Engage On $1bn Health Deal

"Instead ​of continuing to languish without engagement, the actual funding under our Health MOU should have started this month," Gonzales said in remarks on Thursday ​as he prepares to quit the office.

May 1, 2026
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By Enyichukwu Enemanna

The United States has criticised Zambia for failing to engage on a new health aid agreement worth over $1 billion in U.S. funding, stating that ​repeated outreach from Washington were ignored till April 30 when deadline for the deal expired.

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The outgoing U.S. ambassador to Zambia, Michael Gonzales said the failure to finalise the memorandum of understanding (MOU) had left funding continuing on an ad hoc basis, without a coherent implementation plan ​for programmes covering HIV, malaria, maternal and child health and disease preparedness.

“Instead ​of continuing to languish without engagement, the actual funding under our Health MOU should have started this month,” Gonzales said in remarks on Thursday ​as he prepares to quit the office.

Health advocates have warned that the deal ​links the money to mining access in Zambia and poses data-sharing risks.

But Gonzales rejected what he called “disgusting and patently false” allegations that Washington was threatening to withhold life-saving healthcare support “unless we get critical minerals.”

Zambia’s ​presidential spokesperson Clayson Hamasaka said the government would engage with Washington through diplomatic ​channels.

“We appreciate the support we have received from the U.S. and other countries…If there are any ‌concerns, we are open to dialogue but that should be done through laid down diplomatic channels,” Hamasaka said in response to Gonzales’ remarks.

The now stalled $1 billion deal has become a flashpoint after Washington earlier cut aid over the diversion of donated medicines, which highlights governance ​concerns in Zambia’s health ​system.

The agreement also requires about $340 million in co-financing from the Zambian government over the same period.

Gonzales said ​Washington had faced “effectively zero substantive engagement” from Zambian officials since ​January, with calls going unanswered and meetings cancelled, preventing meaningful negotiations on future cooperation.

The agreement was due for signing in November but stalled after revised drafts were circulated.

Gonzales said the U.S. ​would continue to honour its long-standing commitment to ​the Zambian people, including providing antiretroviral drugs and preventing mother-to-child HIV transmission.

He however warned that large-scale aid would ​depend on concrete reforms.

Tags: President Hakainde Hichilema
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