Zambia has rejected a major health funding package from the administration of U.S. President Donald Trump, citing concerns about access to sensitive national data.
Reports say the proposed deal was worth more than $1 billion. It aimed to support programmes targeting HIV, malaria, and maternal healthcare. However, Zambian officials objected to certain conditions in the agreement.
One key concern involved a data-sharing clause. The provision would have granted the United States access to Zambia’s health data for a long period. Authorities feared this could weaken national control over citizens’ medical records.
Civil society groups also raised alarms. They warned that such terms could undermine Zambia’s sovereignty and data protection efforts.
The Trump administration has reshaped global health aid in recent years. It now favors bilateral agreements that align with U.S. strategic and economic goals. Many of these deals include strict conditions.
Zambia’s decision reflects a wider shift across Africa. Several countries now question aid agreements tied to sensitive data or economic concessions. For example, Zimbabwe recently rejected a similar U.S. health funding proposal over data concerns.
Despite the financial benefits, Zambian leaders say national interest comes first. They insist that protecting citizens’ privacy remains a priority.
The move highlights growing debate across Africa. Governments want foreign support, but they also demand respect for sovereignty and data protection laws.
