Minerals for aid: Are new US health deals ‘exploiting’ African countries?

Al Jazeera
April 1, 2026
3 min read

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The Bottom Line

Trump administration tied U.S. health aid to African countries to mineral access and health data, prompting rejection.

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The Trump administration has negotiated health agreements with Zimbabwe and Zambia that tie US aid to access to health data and mineral resources, prompting both countries to reject what they describe as unfavorable terms. African nations have increasingly become targets for resource-focused diplomacy as the US competes with China and Russia for influence on the continent and access to critical minerals needed for batteries and technology. Zimbabwe and Zambia argue the deals are structured to disproportionately benefit American interests while offering minimal returns to their own populations and economies. The pushback reflects growing scrutiny of how wealthy nations structure aid partnerships, particularly when health programs are linked to resource extraction or data-sharing arrangements that may not align with recipient countries' priorities. The dispute underscores tensions between development assistance and geopolitical competition for Africa's mineral wealth.

What's Being Done

Zimbabwe and Zambia have rejected the health aid agreements, citing unfavorable terms that disproportionately benefit American interests.

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