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KFF Tracker: America First MOU Bilateral Global Health Agreements

On September 18, 2025, the U.S. government released its new America First Global Health Strategy, which details how the U.S. will engage in global health efforts moving forward. As part of this new strategy, the U.S. has announced that it will be establishing bilateral health cooperation agreements with countries that receive U.S. global health assistance. This tracker provides an overview of Memorandums of Understanding (MOUs), between the U.S. and partner countries, signed to date. The tracker will be updated as needed.

KFF Health Tracking Poll: Public Views on Foreign Aid and Global Health Spending

The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • Is The U.S. Stepping Up In The Fight Against Ebola?

    Policy Watch

    This policy watch looks at the major new Ebola outbreak in DRC, discusses how the U.S. government has responded so far, and describes how the current situation compares to prior U.S. Ebola responses.

  • Assessing PEPFAR’s Health Spillover Effects Beyond HIV: An Update

    Issue Brief

    This analysis updates prior work that assessed the association between PEPFAR investments and several health indicators, beyond HIV. It finds that PEPFAR continues to be associated with significant improvement in these broader health gains, suggesting a spillover effect beyond the program's HIV focus.

  • Assessing PEPFAR’s Economic and Educational Spillover Effects: An Update

    Issue Brief

    This analysis updates prior work that assessed the association between PEPFAR investments and economic and educational outcomes. It finds that PEPFAR continues to be associated with significant improvement in these broader areas, suggesting a spillover effect beyond the program's HIV and health focus.

  • The Hantavirus Outbreak Is a Test Case for the U.S. Public Health Response

    Quick Insights

    The outbreak is also a kind of test case for how well the U.S. is positioned to respond to global disease threats under the Trump administration. Since early last year, the administration has pulled back U.S. engagement on global health, which has included completing a withdrawal from membership in the World Health Organization (WHO)...

  • KFF Health Tracking Poll: Public Views on Foreign Aid and Global Health Spending

    Poll Finding

    This poll finds that less than half of the public now wants the U.S. to play at least a major role in improving the health of people in developing countries. When asked about the administration’s changes to foreign aid and global health, more people perceive a negative impact than a positive one.

  • The U.S. Government and Gavi, the Vaccine Alliance

    Fact Sheet

    This fact sheet examines Gavi, the Vaccine Alliance (also known as Gavi), an independent, public-private partnership and multilateral funding mechanism that aims to increase access to immunization in lower income countries, and explores the role the U.S. government plays in supporting the partnership.

  • U.S. Global Health Budget Tracker

    Feature

    This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.