US Signs Health Cooperation MOU with Tajikistan under America First Strategy

State Dept Press Releases

Published April 6th, 2026

Detected April 7th, 2026

Summary

The U.S. Department of State announced the signing of a bilateral health cooperation MOU with Tajikistan on April 6, 2026, under the America First Global Health Strategy. The $78 million agreement provides $38 million in U.S. assistance over five years to support Tajikistan's efforts to combat HIV/AIDS and tuberculosis while strengthening disease surveillance and outbreak response capabilities.

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What changed

The United States signed a bilateral health cooperation MOU with Tajikistan, marking the first such agreement in the South and Central Asia region. The MOU provides $38 million in U.S. funding over five years to combat HIV/AIDS and tuberculosis, including Multi-Drug-Resistant tuberculosis, while building national disease surveillance and outbreak response capabilities. Tajikistan commits to increasing domestic health expenditures by $40 million over the same period, demonstrating self-reliance goals.

This MOU is part of a broader America First Global Health Strategy, with 29 total bilateral health MOUs signed representing over $20.6 billion in new health funding. The agreement primarily affects U.S. and Tajikistan government health agencies implementing global health security programs and disease prevention initiatives in the region.

What to do next

Monitor for implementation updates
Review program eligibility for U.S. health assistance
Track disease surveillance requirements under the MOU

Source document (simplified)

Home Office of the Spokesperson Press Releases Broadening the Trump Administration’s America First Global Health Engagement In South and Central Asia

Broadening the Trump Administration’s America First Global Health Engagement In South and Central Asia

Press Statement

Thomas "Tommy" Pigott, Principal Deputy Spokesperson

April 7, 2026

On April 6, the United States signed a bilateral health cooperation Memorandum of Understanding (MOU) with the Republic of Tajikistan under the Trump Administration’s America First Global Health Strategy (AFGHS). This breakthrough MOU marks the first bilateral health cooperation signed in the South and Central Asia region and aims to protect Americans from infectious disease threats while strengthening U.S.-Tajikistan relations.

Through the MOU worth $78 million and working with Congress, the Department of State intends to provide $38 million over the next five years to support Tajikistan’s efforts to combat HIV/AIDS and tuberculosis, while bolstering disease surveillance and outbreak response. The Government of Tajikistan commits to increasing its own domestic health expenditures by $40 million over the course of the five-year MOU, demonstrating Tajikistan’s commitment to greater self-reliance in its health system.

With support from the U.S. Government, Tajikistan aims to build a national system capable of detecting, reporting, and responding to infectious disease outbreaks within specified timelines, integrating all disease surveillance and laboratory systems. The MOU will strengthen global health security programs and support HIV and tuberculosis prevention, including Multi-Drug-Resistant tuberculosis.

Investing in Tajikistan’s health response strengthens America’s global leadership and advances our economic interests. A healthier Tajikistan means a more stable Central Asian region, which benefits American businesses operating in the area and protects supply chains critical to U.S. prosperity. U.S. support for health programs demonstrates American values and enhances our diplomatic influence in a strategically important region.

America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent more than $20.6 billion in new health funding including more than $12.8 billion in U.S. assistance alongside $7.8 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of April 7, the State Department has signed 29 bilateral global health MOUs with Angola, Botswana, Burkina Faso, Burundi, Cambodia, Cameroon, Côte d’Ivoire, the Democratic Republic of the Congo, the Dominican Republic, El Salvador, Eswatini, Ethiopia, Guatemala, Guinea, Honduras, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, Rwanda, Senegal, Sierra Leone, Tajikistan, and Uganda.