‘Coercive’ Trump-led US health deals could cause global abortion access to collapse, charities warn

Special Report: Leading NGOs fear the deals in Africa – offering financial assistance in exchange for things like mining rights and access to health data – are worded vaguely enough for the US to impose restrictions on reproductive rights

Rachel Schraer Global Health Correspondent
Friday 16 January 2026

'Coercive' health agreements between the US and poorer countries could block them from spending their own tax money on things Donald Trump’s administration disagrees with, leading NGOs warn – risking already-fragile access to legal abortion collapsing.

After a complete freeze on foreign aid spending when Trump took office, the US is now in the process of striking new funding agreements with African governments. These promise aid money in exchange for certain conditions – from mining rights and access to valuable patient data, to agreements to spend national health budgets on priorities dictated by America. The deals replace a patchwork of previous health agreements under the United States Agency for International Development (USAID), which has been dismantled during Trump’s first year back in the White House.

Continued: https://www.the-independent.com/news/world/americas/us-politics/trump-abortion-health-aid-africa-b2900590.html


Trump Wants to Make African Countries Share Abortion Data to Get AIDS Funding

An aid agreement template would require countries to share vast amounts of health data, including on abortion, to receive funds to combat HIV and other infectious diseases.

Jessica Washington
December 1 2025

The Trump administration plans to condition global health assistance on foreign countries sharing significant amounts of health data with the United States, including on abortion, according to a template for an aid agreement obtained by The Intercept.

The template agreement, which references the President’s Emergency Plan for AIDS Relief, or PEPFAR — but also applies funding to fight malaria, tuberculosis, and other pathogens — would require countries that receive global health assistance to share a broad range of health care and pathogen data for the next 25 years.)

Continued: https://archive.is/ig9Q6
(https://theintercept.com/2025/12/01/pepfar-hiv-abortion-health-data-trump/)