Maternal Dispatches with Hollie McKay

Maternal Dispatches with Hollie McKay

Trump’s $1.6 Billion Kenya Bet: A New Aid Model Built After USAID Was Destroyed

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Hollie McKay
Feb 02, 2026
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The Trump administration just inked a $1.6 billion deal to fund Kenya’s health system directly; bypassing American non-government organizations in the biggest shift in U.S. foreign aid in decades. The problem? USAID was gutted months ago, taking with it the expertise, institutional memory, and oversight architecture required to make such a model work.

Here is what is really going on.

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