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Donor Government Funding for HIV in Low- and Middle-Income Countries in 2025

This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2025, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

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

    The U.S. Government and Global Health

    Feature

    This Health Policy 101 chapter outlines the U.S. government's historical efforts in global health, which aim to improve health in low- and middle-income countries. While the U.S. has been engaged in international health activities for over a century and has historically been the largest funder and implementer of global health programs worldwide, it is currently undergoing a fundamental shift, with a significantly reduced footprint and role. Key issues addressed include the future direction of U.S.…

  • What the Election Could Mean for the Mexico City Policy and U.S. Foreign Aid

    Issue Brief

    This analysis outlines the potential reach of a prominent conservative proposal — widely seen as a blueprint for another Trump administration — that recommends expanding the Mexico City Policy to include virtually all U.S. foreign assistance. It looks at the amount of funding, the number of organizations, the range of foreign assistance sectors, and other variables that could be affected should the proposal be implemented.

  • The U.S. Response to Coronavirus: Summary of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

    Issue Brief

    The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, which was passed with near unanimous support in both the House and Senate, was signed into law by the President on March 6, 2020. The bill provides $8.3 billion in emergency funding for federal agencies to respond to the coronavirus outbreak. This summary provides details on funding specified in the bill.

  • 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.

  • How Much Global Health Funding Goes Through USAID?

    Policy Watch

    This analysis highlights USAID's role in global health and shows that the agency provided the vast majority of the nation's global health assistance for other countries in 2023 (about $6.2 billion or 73% of the total bilateral global health funding that year).

  • House Appropriations Committee Approves the FY 2026 National Security, Department of State, and Related Programs (NSRP) Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved the FY 2026 National Security, Department of State, and Related Programs (NSRP) appropriations bill and accompanying report on July 23, 2025. The NSRP bill includes funding for U.S. global health programs at the State Department through the Global Health Programs (GHP) account, which represents the bulk of global health assistance. Global health funding in the bill totaled $9.5 billion, a decrease of $512 million (-5%) below the FY 2025…

  • 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.

  • 2010 Survey of Americans on the U.S. Role in Global Health

    Poll Finding

    This survey is the third in a series by the Foundation that aims to illuminate the American public’s views and knowledge of U.S. efforts to improve health for people in developing countries. The survey examines perceptions about foreign aid in general and assistance for health specifically, including the public's priorities for international health assistance, perceptions of progress in improving health abroad, sources of news and information on global health issues, and the relationship between positive…