US Signs $228 Million Deal With Rwanda for Health in New Aid Model

U.S. President Donald Trump shakes hands with Rwandan President Paul Kagame during a peace agreement signing ceremony between the Democratic Republic of Congo and Rwanda at the Donald J. Trump Institute of Peace on December 04, 2025 in Washington, DC. As part of his campaign to portray himself as a peacemaker, Trump invited Kagame and Democratic Republic of Congo President Felix Tshisekedi to Washington to sign a peace and economic accord which aims to end decades of conflict between the Rwandan and Congolese governments, militias, rebel groups and other warring factions. The peace deal was initially signed in June of 2025 but Rwandan troops remain in the DRC and fighting continues. Chip Somodevilla/Getty ImagesKIGALI, Dec 6—The United States and Rwanda have signed a five-year deal for the provision of $228 million for the health sector in the East African nation, the State Department said, the second such pact under the Trump administration’s new approach to overseas aid.Kenya became the first country this week to strike a deal with Washington under “America First Global Health Strategy”, which was unveiled in September by the administration and seeks to improve target countries’ self-reliance in managing their health sectors.