The United States has approved a major five-year health support package for Nigeria worth about $2.1 billion, aimed at strengthening the country’s healthcare system. The agreement places strong emphasis on faith-based and community health providers, especially clinics and hospitals run by Christian organisations that currently serve millions of Nigerians across the country.

Under the deal, the US Department of State, working with Congress, will fund prevention and treatment programmes for HIV, tuberculosis, malaria, polio, and maternal and child health. In return, the Nigerian government has committed to increasing its own health spending by nearly $3 billion within the same five-year period, showing a shared responsibility approach.

US officials described the agreement as the largest co-investment under the America First Global Health Strategy so far. According to State Department spokesperson Thomas Pigott, the partnership aligns with Nigeria’s ongoing reforms and includes dedicated funding to support faith-based healthcare facilities. However, the US also noted that funding could be paused if programmes no longer align with American national interests.

Despite Nigeria’s listing as a Country of Particular Concern and its inclusion in recent US travel restrictions, the agreement went ahead. The initiative reflects Washington’s broader shift toward self-reliance, accountability, and targeted health outcomes, while encouraging Nigeria to continue efforts against extremist violence and improve protection for vulnerable communities.