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Analysis of U.S. and Global Fund Funding Reductions in MOU Countries

The U.S. government and the Global Fund to Fight AIDS, Tuberculosis and Malaria, the top two donors to global health in low- and middle-income countries, each took actions to reduce funding to countries starting last year and plan to further reduce funding going forward. Under the Trump administration, the U.S., as part of its new America First Global Health Strategy (AFGHS) “MOU” agreements with countries, plans to reduce funding by billions over the next few years. The Global Fund, due to reduced contributions from the U.S. and other donors, is also reducing funding in the same set of countries. Together, the U.S. and Global Fund reductions serve as a “one-two punch” to countries, who will be faced with significantly fewer resources in the coming years.

KFF Tracker: America First MOU Bilateral Global Health Agreements

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

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Global Health Aid Cuts

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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.

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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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  • Curbing The Ebola Outbreak: Are We on the Right Track?

    Event Date:
    Event

    The World Health Organization (WHO) recently declared a public health emergency due to the Ebola virus outbreak in West Africa, which has accounted for over 13,000 reported cases and 4,800 deaths. Some imported and locally acquired cases in health care workers have also been reported in the United States. As a result, concerns about the further escalation of this epidemic and how to best prepare for and contain this deadly disease exist in both the…

  • The Efficacy of a New Long-Acting Injectable PrEP

    Quick Insights

    The news today about the efficacy of a new long-acting injectable PrEP, the second such breakthrough announcement in recent months, is nothing short of groundbreaking.

  • Trump Administration Withdrawal from the World Health Organization: What’s at Stake?

    Quick Insights

    As expected, President Trump signed an executive order announcing his intention to withdraw the U.S. from the World Health Organization. For the U.S., the implications [aren’t] clear and immediate but could also be significant. By not being at the table, the U.S. will cede this role to others—China in particular—and take itself out of influencing international negotiations.

  • What is happening to USAID?

    Quick Insights

    The more important question, though, is not whether USAID sits in the State Department or remains independent, but what functions it does and does not perform (and will be kept), and more broadly, as a result, what the United States role in the world is.

  • Do We Want to Outsource U.S. Vaccine Policy to Denmark?

    Quick Insights

    Adopting Denmark’s vaccine schedule, as HHS Secretary Kennedy's vaccine advisors have suggested, would likely lower childhood vaccination rates in the U.S. as certain vaccines become harder to access.

  • U.S. Government Funding for HIV/AIDS in Resource Poor Settings

    Issue Brief

    This updated policy brief examines federal funding for the global HIV/AIDS epidemic, with a primary emphasis on funding and activities that benefit resource poor countries. United States funding for international HIV/AIDS activities in resource poor countries began in the mid-1980s; and in FY 2003, the U.S. Congress appropriated close to $1.5 billion globally. Issue Brief (.pdf)

  • HIV and Sexual Behaviour Among Young South Africans: A National Survey of 15-24 Year Olds

    Poll Finding

    HIV and Sexual Behaviour Among Young South Africans: A National Survey of 15-24 Year- Olds South Africa is in the grips of a devastating HIV/AIDS epidemic in which the peak incidence occurs among 15-24 year-olds. This national survey of HIV and sexual behavior among the country's 15-24 year-olds identifies trends in HIV infection and related determinants of infection among young people. The report also gauges the impact of loveLife, South Africa's largest national HIV prevention…

  • Addressing the HIV/AIDS Epidemic at Home and Abroad: Short-Term Policy Options Under Consideration by the New Administration and Congress

    Issue Brief

    This past summer, the United States government’s global HIV/AIDS program was reauthorized and the U.S. Centers for Disease Control and Prevention (CDC) released new data indicating that the epidemic at home was worse than previously thought. These events called significant attention to HIV/AIDS and together present the new Administration and Congress with an opportunity to address the epidemic at home and abroad. Several short-term HIV-specific policy options have already been proposed for consideration, or are…

  • A Brief Look at Americans’ Perceptions of the Global HIV/AIDS Epidemic

    Poll Finding

    This Data Note, using data from a national survey of Americans on HIV/AIDS released in June 2011, examines trends in the public's perception of HIV/AIDS as a global problem. Overall, survey trends show that Americans view HIV/AIDS as a more pressing health problem for the world than for the U.S., although the perceived sense of urgency has been on the decline for both the global and domestic epidemics. The sense of urgency about the global…