Kenya has sealed a groundbreaking Health Cooperation Framework Agreement with the United States, securing $1.6 billion (Ksh207 billion) over five years to bolster its healthcare system. This marks Kenya as the first nation to enter such a partnership, witnessed by President William Ruto.

• $1.6 billion (Ksh207 billion) committed by the Trump administration over five years, to be channeled directly through government institutions.
• The agreement was signed by Prime Cabinet Secretary Musalia Mudavadi and U.S. Secretary of State Marco Rubio on Thursday, December 4.
• This investment aims to align Kenya's healthcare systems with national priorities like BETA, universal health coverage, and Vision 2030, while also strengthening diplomatic ties and establishing Kenya as a regional health hub.

Kenya has secured a USD 1 billion (Ksh129 billion) debt-for-food swap deal with the United States to boost food security and reduce its debt burden. This agreement was reached after President William Ruto met with CEO Ben Black of the U.S. International Development Finance Corporation (DFC) in Washington, D.C.

• The DFC will acquire a portion of Kenya’s high-interest commercial debt, allowing repayment under more favorable, lower-interest conditions.
• Savings from reduced interest payments will be channeled into critical food security initiatives, including agricultural infrastructure and climate-smart farming.
• President Ruto stated, “This is a smart and sustainable approach,” and welcomed the DFC’s willingness to expand its engagement with Kenya.
• Additionally, the DFC is interested in supporting Kenya’s proposed National Infrastructure Fund and upgrades to roads, ports, and the Jomo Kenyatta International Airport.
• A DFC representative will be stationed in Nairobi starting January 2026 to enhance collaboration.

President William Ruto announced that the United States International Development Finance Corporation (DFC) has approved a Sh162 billion (approximately $1 billion) debt-for-food-security swap with Kenya, aiming to replace expensive existing loans with more affordable financing.

• The swap will ease Kenya’s repayment burden by replacing costly debt with lower-cost, long-term financing.
• The DFC, led by Chief Executive Officer Ben Black, also expressed interest in expanding its portfolio in Kenya across key sectors including food security, infrastructure, energy, and ICT.
• A DFC representative will be based in Nairobi starting January 2026.
• President Ruto was in Washington, D.C., for the signing of the DRC–Rwanda Peace Agreement, at the invitation of U.S. President Donald Trump.