Ghana has rejected a proposed health compact with the United States that would have provided an estimated $109 million in US health funding over five years, with President John Dramani Mahama saying the agreement raised serious concerns over health data, financing obligations, and Ghana’s regulatory authority.

The decision places Ghana among a few African countries that have pushed back against new US health agreements introduced as Washington restructures its foreign assistance following the dismantling of USAID. Zimbabwe has also rejected a similar agreement, while Zambia has raised concerns over provisions in its negotiations with the United States.

Ghana raises concerns over health data

Speaking at the Council on Foreign Relations in New York on September 25, Mahama said the proposed compact was presented to Ghana as a replacement for health funding previously provided through USAID.

He said Ghana’s Ministry of Health reviewed the document before preparing a Cabinet Information Paper.

“Ghana is a sovereign nation, and we have our own processes. We are a democratic country,” Mahama said.

According to the President, the Cabinet identified several provisions that raised concerns, particularly those relating to Ghana’s health information.

“One, it says that we shall give the United States our pathogen profile,” he said, adding that the agreement also required Ghana to provide medical records.

“It also says we should give our medical records. I mean, who takes another country’s medical records? And so that was strange.”

Concerns over health-data sharing have been central to resistance to the new US health agreements in several African countries. 

No FDA inspection

Mahama also raised concerns about the treatment of medicines and other medical products supplied under the proposed arrangement.

He said Ghana would have been required to contribute funding to the program while, according to his account of the compact, the country’s Food and Drugs Authority would not have been able to inspect medicines or other medical products entering Ghana under the program.

“And then it also says that any medications or any medical products that shall be brought into our country, our Food and Drugs Administration has absolutely no right to inspect,” Mahama said.

“I mean, it was humiliating.”

Ghanaian officials had previously cited concerns about the proposed handling of sensitive health information as a reason for rejecting the agreement. Reporting on the negotiations also indicated that the proposed arrangement would have required additional investment from Ghana alongside the US contribution.

Cabinet rejected the agreement

Mahama said the proposal was rejected after the Health Ministry presented its assessment to the Cabinet.

He described the decision as unusually swift.

“It was the compact that was thrown out in record time in our Cabinet. I’ve never seen anything thrown out as fast as that.”

He said the government subsequently instructed the Health Minister to communicate Ghana’s position to the US ambassador.

“And so, of course, we rejected it. And we asked the health minister to inform the US ambassador that we didn’t need it. We’ll manage ourselves.”

The proposed agreement would have provided Ghana with about $109 million in US health assistance over five years. The negotiations had begun in late 2025.

A wider concern over health sovereignty

Ghana’s decision comes as the United States seeks to shift its approach to global health cooperation. The new US strategy places greater emphasis on recipient countries taking responsibility for financing and delivering health programs, while Washington reduces its traditional aid commitments.

Kenya became the first African country to sign the agreement which was challenged in court, followed by similar arrangements with Rwanda, Liberia, Uganda, Lesotho and Eswatini, among other countries. Ravi Ram from the People’s Health Movement (PHM) East and South Africa, told BreakThrough News in December 2025, that  “Bilateral agreements between the US and Kenya and other African countries are meant to limit the ability of any one ‘partner’ country to challenge the terms of implementing the agreement, due to the unequal power relations.”

The concerns among health activists and concerned Africans is the ability of African states to determine their own health priorities, regulate medicines, control sensitive health information, and collectively negotiate the terms of international health cooperation.

At the end of August, at the Silverbird Cinema in the Accra Mall in Ghana, two Israeli feature films were screened alongside Ghanaian student productions. 

For the second year running, the seats for this Israeli film festival were empty. Ordinary Ghanaians declined the Israeli Embassy’s films, and a peaceful demonstration outside held placards for Palestine and against the continued killing of civilians in Gaza.

There is another screen Ghanaians must refuse to look away from, protestors asserted. The screens on which we have watched Gaza reduced to rubble, families displaced again and again, hospitals and schools destroyed, and children carried from the wreckage of a war that, despite the ceasefire announced in October 2025, has not stopped killing them.

However, something else walked through the doors of the film festival: schoolchildren. In uniform. On a Sunday.

Students from Achimota School and Accra Girls Senior High School, two of Ghana’s most prominent public secondary schools, were brought into an embassy-sponsored event at the center of a serious political controversy. Those of us who were there saw them. We have photographs and videos. The question Ghana must now answer is not about cinema. It is about who sent our children, and why.

The 2025 Israeli Film Festival

Last year, the Embassy staged a week-long Israeli Film Festival at the same venue and called it an exercise in “dialogue and mutual understanding.” Nearly 400 Ghanaian organizations, student movements, trade unions, faith communities, civil-society groups, signed one statement calling for a boycott. Protesters gathered outside. Sponsors pulled out. The Embassy still declared the event a success.

The veteran editor Kwesi Pratt Jnr., who joined the picket, recalled what that “success” looked like a year ago for the “Alhaji and Alhaji” program:

“This is the first time in my life that I’ve seen 400 organizations come together to sign one statement calling for a boycott of the film festival. I joined the picket at the Silverbird Cinema, and a few, very, very few, prominent Ghanaians, including Afenyo-Markin, attended in spite of the protest. But it was a fiasco. The room was empty. Ghanaians rejected the film festival completely.”

So the Embassy returned smaller: two Israeli films on a single Sunday, free entry, free popcorn, raffle prizes, and an invitation aimed squarely at young people. When adults again refused to fill the room, uniformed students appeared. If Ghanaian adults will not lend legitimacy to this event, should Ghanaian children be made to supply it?

The timing makes it harder to dismiss as a routine outing.

President John Dramani Mahama has publicly described what is happening in Gaza as genocide. The Israeli Ambassador to Ghana has publicly rejected that position and defended his government’s conduct. He is entitled to make his case, but he is a guest of a sovereign state, not the author of its policy.

Against that backdrop, the presence of uniformed students inside an embassy program, days after this very public disagreement, demands an accounting. Pratt put the question bluntly:

“At the time that the ambassador was attacking our president, some authorities in our secondary schools decided to side with [the embassy]. What judgment was exercised by the school authorities when they agreed to bus their students to this film festival? What were they expecting? What checks did they do on the quality of the films?”

Those are the right questions, and they are not rhetorical. They have not yet been answered and there has been no investigation.

What the students deserve

None of this is an accusation against the children. They may have had little understanding of the political purpose around the event. The responsibility belongs to the adults who placed them there.

Ghana rejected the Israeli film festival not because cinema or cultural exchange is evil. Not because Israeli artists have no right to make films. The rejection is not an attack on Jewish people. Antisemitism is hatred and must also be rejected. 

The problem is that this festival is not an example of artists meeting freely across borders. It is an Israeli Embassy-backed initiative staged while the Palestinian people continue to pay with their lives. Amid the killing of civilians and the destruction of Palestinian life, the use of state diplomacy to manufacture an appearance of normality while those questions remain unresolved is nothing less than political soft power.

Ghanaian children are not diplomatic props, and Ghanaian schools must never become extensions of a foreign embassy. Teach them, yes. Teach them the Holocaust, the Nakba, occupation and international law, and give them the evidence to think critically. That is education. Busing uniformed children into a controversial embassy function, and letting their presence become evidence of Ghanaian acceptance, is the opposite.

That is why the demand is simple, and now directed at the Ministry of Education and the Ghana Education Service: did you know? If yes, explain. If not, investigate. And if any official bypassed procedure or abused authority to place schoolchildren inside a foreign government’s public-relations exercise, hold them accountable.

Ghana’s revolutionary legacy

There is a longer tradition at stake. Ghana is the country from which Kwame Nkrumah declared that our independence was meaningless unless linked with the total liberation of Africa. Africa understands what cultural normalization is for: domination has rarely arrived only with rifles. It seeks respectability, the reception, the festival, the partnership, until oppression becomes a disagreement to be discussed politely while business continues.

Palestine poses that old question to the African conscience once more. And a small part of the answer is being written by who walks into a cinema in Accra Mall, and who is made to walk in.

For the second year, the empty seats have spoken. Now Ghana’s own institutions must speak. Our children deserve education, not enlistment. And a sovereign state deserves to decide, in the light of its own conscience, what its schools lend themselves to.

Stay away. Let the empty seats speak, for the Palestinian child who will never again enter a classroom, and for the proposition that human life is worth more than diplomatic image-building.