Global Health Partnerships: The United States and Tanzania signed a five-year global health Memorandum of Understanding under the “America First” strategy, aiming to strengthen infectious-disease response through co-invested hospitals, labs, and health workers, with support for HIV, malaria, polio, and tuberculosis plus maternal and child health. Clean Water & Safety: A World Bank “Water Forward” push is raising alarms because a review of active water projects found “lead” testing is largely missing, despite lead being a major contaminant linked to millions of deaths yearly. Digital Health Policy: Nigeria approved a National Health Technology and Data Analytics Office to coordinate digital health standards and modernization, appointing Dr. Obi Adigwe as pioneer coordinator. Health & Climate Risk: Southern Africa—including Madagascar—is flagged as vulnerable to El Niño-driven drought and worsening nutrition and disease risks in the 2026–27 season. Healthcare Access in Madagascar: A report highlights how remote patients can die when airlift and volunteer medical support are disrupted, showing the fragile link between transport, supplies, and timely care. Nutrition & Energy: An IEA update warns sub-Saharan Africa still lags on clean cooking fuels, with health and environmental harm likely to grow as access gaps widen. Food Systems & Agriculture: Madagascar’s livestock minister joined regional talks in Nairobi on boosting smallholder productivity, nutrition, and resilient food systems amid climate pressure.