Key Implementers of U.S. Global Health Efforts

To carry out global health efforts around the world, the U.S. government (USG) funds a wide range of implementing entities, including non-governmental organizations (NGOs), multilateral/international organizations, private sector organizations, educational institutions, and other governments. This brief provides an analysis of the implementing organizations that received U.S. global health funding from the U.S. Agency for International Development (USAID) in FY 2015. It helps to provide a more complete picture of key implementers of U.S. government global health efforts, building on earlier KFF analyses that focused on NGOs only.¹ It finds that:

• In FY 2015, 773 organizations received $6.65 billion to implement global health programs in 90 countries around the world.
• Funded activities spanned all 9 major program areas of the U.S. global health portfolio, including HIV, tuberculosis, and family planning/reproductive health (FP/RH).
• Most implementing organizations were NGOs (46%), followed by private sector organizations (41%). The largest share of funding (41%) was directed to NGOs; private sector organizations received about a quarter of funding (24%). While multilateral/international organizations made up only 2% of implementing organizations, they received more than a quarter of funding (28%). Foreign governments received only a small share of funding directly (1%).
• While most implementing organizations were based outside the U.S. (55%), most funding was provided to U.S.-based organizations (62%); non-U.S.-based organizations, including local NGOs, received just 9% of funding.
• The majority of funding (56%) was provided to just 10 organizations, most of which (7) were U.S.-based; none were local NGOs.
• The greatest proportion of funding was provided to organizations working on HIV (54%), followed by maternal and child health (MCH) (13%), malaria (10%), and FP/RH (10%).