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The concern is highlighted in the Global Fund’s 2026 Results Report, which says 2025 brought “abrupt and far-reaching cuts in international funding” that severely affected lifesaving health programmes across the world.
Speaking during a Radio Generation interview on Wednesday, Oluga said Kenya has for years relied heavily on bilateral and multilateral partners to finance programmes covering HIV, tuberculosis, malaria, maternal health and other services. He said donor financing had become increasingly uncertain since 2016 as traditional development partners began prioritising domestic challenges
The decision follows a period of strained relations between United States and South Africa, which have worsened since the start of the administration of Donald Trump.
Principal Secretary for Medical Services Dr Ouma Oluga says Kenya must move from vertical HIV programmes to integrated, people-centred care as it targets ending AIDS by 2030, while strengthening health systems and domestic financing.
US Secretary of State Marco Rubio noted that Kenya is the first of 50 countries expected to sign similar bilateral agreements, highlighting Washington’s renewed focus on global health cooperation.