哈拉雷（津巴布韦）—— 美国大使馆周五表示，由于双方就美国提出的援助协议谈判失败（津巴布韦部分拒绝了该协议，主要原因是美国要求津巴布韦共享敏感的卫生数据），美国将在9月底停止对津巴布韦卫生项目的资助。
Farai Mutsaka HARARE, Zimbabwe — The United States will end funding for Zimbabwe’s health programs at the end of September following the collapse of negotiations over a U.S.-proposed deal that Zimbabwe rejected in part over a requirement to share sensitive health data, the U.S. Embassy said Friday.
美国驻哈拉雷大使馆的一位发言人证实了这一决定，并公布了美国大使帕梅拉·特雷蒙特在本周一场名为“超越援助”（Beyond Assistance）的活动中发表的讲话内容。特雷蒙特指出，美国停止资助卫生项目的原因是“津巴布韦拒绝签署双边卫生合作协议”。她还表示，美国今后将与津巴布韦的关系从主要侧重于卫生和人道主义援助，转变为更加注重经济、贸易和投资方面的合作。津巴布韦是首批受到美国新政策影响的国家之一——美国现在将卫生援助与双边协议挂钩。
An embassy spokesperson in Harare confirmed the decision and released remarks delivered this week by U.S. Ambassador Pamela Tremont at an event titled “Beyond assistance.” Tremont said the end of U.S.-supported health programs followed “Zimbabwe’s decision to decline a bilateral health MOU.” She added that the U.S. will now shift its relations with Zimbabwe “from one largely focused on health and humanitarian assistance, to one built on broader economic, trade and investment opportunities.” Zimbabwe is among the first countries to face the consequences of Washington’s new approach to tie health aid to bilateral country-to-country agreements.
这一决定给该国抗击艾滋病等疾病的各项工作带来了不确定性；在津巴布韦，由于资源短缺，患者常常需要自己携带绷带等基本医疗用品，并自行购买药品。
The withdrawal casts uncertainty over programs to combat HIV and other diseases in a country where shortages often force patients to bring basic supplies such as bandages to clinics and buy their own medicines.
几十年来，美国一直是津巴布韦最大的卫生援助提供者，支持了该国的艾滋病预防与治疗、结核病和疟疾防治项目、临床医疗服务、实验室体系建设、卫生工作者培训以及各类社区卫生项目。
For decades, the U.S. has been Zimbabwe’s largest health donor, supporting HIV prevention and treatment, tuberculosis and malaria programs, clinical care, laboratory systems, health workers, medical supplies and community-based programs.
津巴布韦官员对国际援助的减少表示担忧，称随着美国及其他西方国家的援助减少，该国将优先考虑通过国内渠道筹集资金。不过，一些卫生领域的倡导者质疑津巴布韦财政困难的重负是否能够承受这些新增的开支。
Zimbabwean officials have raised concerns over diminishing international aid, saying the country would prioritize raising funds domestically as assistance from the U.S. and other Western countries dries up. Some health advocates, however, question whether Zimbabwe’s financially troubled government can absorb the costs.
“由于美国下达的停工命令以及美国国际开发署（USAID）终止相关援助计划，津巴布韦在抗击疟疾、结核病和艾滋病方面的医疗项目受到了严重冲击，当地民众已经承受了巨大痛苦，”国际倡导组织 Health GAP 的执行主任 Asia Russell 表示。“这一致命的决定将引发一场公共卫生灾难，”她补充道。
“Zimbabweans have already been suffering gravely as a result of abrupt disruptions to lifesaving malaria, tuberculosis, and HIV programs caused by the U.S. stop work orders and USAID award terminations in 2025,” said Asia Russell, executive director of Health GAP, an international advocacy group. “This deadly decision will trigger a public health catastrophe,” she added. The dispute dates to February, when both countries announced the collapse of talks on a bilateral deal proposed under U.S. President Donald Trump’s “America First” approach to foreign aid.
这场争端始于 2025 年 2 月，当时两国宣布谈判破裂；该双边协议原本是根据美国总统唐纳德·特朗普的“美国优先”外交政策提出的。
Zimbabwe government spokesperson Nick Mangwana said the proposal contained conditions the country could not accept, citing concerns over data sharing, fairness, sovereignty and Washington’s shift away from global health institutions.
津巴布韦政府发言人 Nick Mangwana 表示，该协议包含了一些该国无法接受的条件，主要涉及数据共享、公平性以及美国逐渐疏远全球卫生机构的趋势等问题。据当地媒体报道，纳米比亚也因对数据共享和生物样本共享条款的担忧而拒绝了与美国的双边协议。今年 9 月初，美国宣布将逐步削减对纳米比亚艾滋病防治项目的资金支持。两国政府在 9 月份表示，美国将在 2027 财年继续向纳米比亚提供 4500 万美元的艾滋病防治资金，之后转为提供“技术支持”，但并未将数据共享问题作为削减资金的原因。
According to Mangwana, the proposal was tied to “comprehensive access to Zimbabwe’s sensitive health data, including virus samples and epidemiological information from our citizens.” Namibia also rejected a bilateral agreement with the U.S. because of concerns about provisions for sharing health data and biological specimens, local media reported. In early September, the U.S. said it would start phasing out its financial support for Namibia’s HIV response programs. The U.S. will provide Namibia with $45 million for its HIV response in fiscal 2027 before shifting to “technical cooperation,” the two governments said in September, but did not cite the health data fallout as the reason for the development.
近几个月来，非洲各国政府越来越多地呼吁“卫生主权”，即希望减少对外国援助的依赖，以自主管理和资助本国的卫生系统。非洲疾病控制与预防中心（Africa CDC）指出，非洲正面临“前所未有的融资危机”——过去五年里，流向非洲的官方发展援助资金减少了一半。
African governments have in recent months increasingly called for “health sovereignty,” reflecting efforts to finance and manage their health systems with less reliance on foreign aid. Africa CDC has described the continent as facing “an unprecedented financing crisis,” saying official development assistance to Africa has halved over the last five years.
根据特朗普政府的新方法，华盛顿一直在逐个国家谈判卫生协议，称这将减少对捐助方的依赖并增加国内筹资。追踪这些协议的美国卫生政策研究机构凯泽家庭基金会（KFF）的数据显示，迄今已有35个国家签署了此类协议，其中大多数在非洲。
Under the Trump administration’s new approach, Washington has been negotiating country-by-country health agreements that it says will reduce donor dependency and increase domestic financing. So far, 35 countries have signed such agreements, the majority in Africa, according to KFF, a U.S. health-policy research organization tracking the deals.
至少有四个非洲国家——加纳、赞比亚、南非和津巴布韦——公开抵制或未能达成新的美双边卫生协议，而肯尼亚的协议则面临法律挑战。关于非洲与发展的更多信息：美联社有关非洲全球健康与发展报道的资金支持来自于盖茨基金会。美联社对所有内容负全资责任。请访问 AP.org 查看美联社与慈善机构合作的标准、支持者名单及资助报道领域。
At least four African countries — Ghana, Zambia, South Africa and Zimbabwe — have publicly resisted or failed to conclude new U.S. bilateral health agreements, while Kenya’s agreement has faced a legal challenge. For more on Africa and development: The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org .