The health agreements proposed by U.S. President Donald Trump are increasingly controversial on the African continent. According to Le Monde, several nations, notably Zimbabwe and Ghana, have suspended negotiations due to requirements deemed unacceptable by Washington.

These deals aim to establish medical aid that, according to the Trump administration, should be conditioned on African governments' commitment to restrict access to abortion. This approach has provoked strong reactions among African leaders and human rights organizations.

In April 2023, during a conference in Lusaka, Zambian President Hakainde Hichilema expressed his outrage at these conditions. He stated that Zambia could never accept such restrictions, emphasizing that each country must make its own decisions regarding reproductive health without external interference.

The U.S. Assistant Secretary of State for African Affairs had previously promised a new partnership with the continent during a visit to Ghana in 2018. However, this partnership appears to have been quickly overshadowed by the restrictive policies of the Trump administration.

Sources indicate that these practices are not isolated and are part of a broader trend where the United States seeks to strengthen its influence in Africa while imposing conditions that may harm women's rights. Criticism is intensifying as many countries are already facing significant public health challenges.