Kenya-US $2.5bn Health Framework Set for July 2026 Rollout

Kenya is on course to become the first African nation to fully replace PEPFAR and USAID health funding through a sovereign bilateral agreement, with Health CS Aden Duale and US Ambassador David Burns confirming in June 2026 that a five-year, $2.5 billion Health Cooperation Framework is ready for implementation from July 1.

July 1 Confirmed, Outstanding Workstreams in Final Stage

CS Duale met a US government delegation led by Ambassador David Burns in June 2026 for a readiness review. Under the framework, up to $1.6 billion of the total $2.5 billion allocation is directed at HIV/AIDS, tuberculosis, and malaria. The framework runs for five years and is designed to be renewable. Outstanding tasks included finalising county transition roadmaps and establishing the staffing structure for a new Programme Management Unit (PMU) to oversee framework disbursement and reporting.

What Comes Next

By July 1, the PMU must be operational and initial disbursement mechanisms agreed with county governments. A joint monitoring committee comprising Ministry of Health representatives and US Embassy officials will conduct quarterly programme reviews, with the first formal assessment due in October 2026.