The United States has imposed visa restrictions on government officials from African nations, Cuba, and Grenada, including their family members, over their alleged involvement in Cuba's "coercive forced labour export scheme" involving medical professionals. The US Department of State accuses the Cuban government of exploiting its doctors by "renting" them out and diverting most of their earnings.

• Kenya formally ended its own medical exchange agreement with Cuba in October 2023.
• Former Health Cabinet Secretary Susan Nakhumicha confirmed Kenya would not renew the contract, which began in 2017, citing the capability of local doctors.
• The agreement had facilitated the deployment of 53 family physicians and 47 specialists from Cuba to Kenya.