Zambia: Is the US trading HIV treatment for minerals?
Briefly

Zambia: Is the US trading HIV treatment for minerals?
"Between 2010 and 2025, new HIV infections in Zambia dropped from 63,000 to 30,000, according to the United Nations. However, the southern African nation is reportedly reluctant to sign a new deal with the US, which is demanding greater access to Zambia's critical minerals."
"The US State Department said it sought to partner 'with select countries' to 'transition from a foreign assistance paradigm to an investment and growth paradigm.' Details on many remain undisclosed, but the State Department said MOUs represented over $20.6 billion in new health funding to fight HIV/AIDS, malaria, tuberculosis and other infectious diseases."
"After dismantling USAID last year, the Trump administration has sought to replace decades of aid with bilateral deals, called Memorandums of Understanding (MOUs), as part of the America First Global Health Strategy."
Approximately 1.3 million people in Zambia live with HIV, relying heavily on the US PEPFAR program for treatment. New HIV infections have decreased significantly from 63,000 in 2010 to 30,000 in 2025. However, Zambia is hesitant to sign a new deal with the US, which demands greater access to its minerals. The US has proposed bilateral deals, known as Memorandums of Understanding (MOUs), to replace traditional aid, offering over $20.6 billion in health funding. Zimbabwe and Zambia are resisting these pressures from the US government.
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