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KFF Tracker: America First MOU Bilateral Global Health Agreements

Under the America First Global Health Strategy, the U.S. government is establishing bilateral health agreements, via memoranda of understanding (MOUs), with countries that receive U.S. global health assistance. Each sets out a multi-year plan, generally covering 2026–2030, in which U.S. assistance declines while the partner country pledges to raise its own domestic health spending. This tracker also offers a downloadable fact sheet sharing the latest status updates on America First Bilateral Global Health Agreements.

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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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  • Donor Government Funding for Family Planning in 2023

    Report

    This report provides an analysis of donor government funding to address family planning in low- and middle-income countries in 2023, which totaled US$1.47 billion, and was an increase of 7% (US$101 million) compared to the 2022 amount (US$1.37 billion); although, it was still below the peak level reached in 2019 (US$1.58 billion). The overall increase was due to increased bilateral funding from most donor governments; multilateral funding (contributions to UNFPA’s core resources) declined slightly.

  • The U.S. & The Global Fund to Fight AIDS, Tuberculosis and Malaria

    Fact Sheet

    This updated fact sheet examines the U.S. role in the Global Fund, an independent, multilateral financing entity that raises significant new resources to combat HIV/AIDS, tuberculosis (TB), and malaria in low- and middle- income countries.

  • The Ground Has Shifted Under PEPFAR: What Does That Mean for Its Future?

    Perspective

    In this viewpoint article in the Journal of the International AIDS Society, KFF's Jennifer Kates and co-authors Brian Honermann and Gregorio Millett of amfAR explore the implications of shifts in the global economic and political environment for the future of PEPFAR, the U.S government's global HIV program created under President George W. Bush and credited with changing the trajectory of the global HIV/AIDS pandemic.

  • The Current International Mpox Emergency and the U.S. Role: An Explainer

    Issue Brief

    This explainer answers key questions about mpox, the international response to date including the U.S. government’s role, and its challenges. It also discusses how the global emergency might affect the U.S. and the current status of mpox circulation within the U.S.

  • 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.