The development could affect Nigeria’s access to a significant portion of the new American funding, particularly support earmarked for faith-based health facilities across the country. Under the agreement, Nigeria is also expected to increase its domestic health spending by almost $3bn during the five-year period. The programme will also train, pay and equip more than 30,000 community health workers. The State Department said the combined $1.4bn health package represented the largest amount given to faith-based organisations in more than two decades. For Nigeria, the agreement places particular emphasis on Christian faith-based healthcare providers.