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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

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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  • Global COVID-19 Vaccine Equity: U.S. Policy Options and Actions to Date

    Issue Brief

    This brief examines U.S. policy options for helping expand global access to COVID-19 vaccines, focusing on four main areas: in-kind donations of vaccine doses, additional funding for global access mechanisms like COVAX, helping expand global vaccine manufacturing, and relaxing or waiving intellectual property protections on vaccine technologies. We summarize what the administration has done to date in these areas and policy issues related to each.

  • 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.

  • Questions for the America First Global Health Strategy

    Perspective

    Authored by KFF’s Jen Kates and Boston University’s Debbie Stenoien and Allyala Nandakumar as well as independent consultant Michael Ruffner, this post for ThinkGlobalHealth identifies and examines several key issues and questions that lie ahead for the America First Global Health Strategy — the first roadmap for what comes next for the President's Emergency Plan for AIDS Relief (PEPFAR) and other global health programs the United States supports financially.

  • Survey of South Africans at Ten Years of Democracy, Toplines

    Poll Finding

    South Africans at Ten Years of Democracy - Toplines Toplines from, "South Africans at Ten Years of Democracy," a comprehensive, nationally representative survey of South Africans was conducted by The Washington Post, Kaiser Family Foundation, and Harvard University to examine South Africans’ views about democracy and the challenges facing the country leading up to the April 2004 election. This extensive survey, “South Africans at Ten Years of Democracy,” also sought to explore perceptions of how…

  • Covering the Epidemic: AIDS in the News Media, 1985-1996

    Report

    Media Coverage Of AIDS: Broad-Based, Consistent Over Past Decade Focus Shifts, However, From Science/Medicine to Celebrity-Oriented Embargoed for release until: 9:00 a.m. E.T., Wednesday, June 26, 1996 Contact: Matt James or Tina Hoff Washington, D.C. -- Media coverage in the U.S. of AIDS over the past decade has generally remained broad-based and consistent, emphasizing prevention and protection and avoiding becoming overly politicized, although focusing almost entirely on the epidemic as a domestic concern. However, while…

  • A Look at Federal Health Data Taken Offline

    Policy Watch

    This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly describing the affected databases, which include widely used, large-scale national health surveys, indices, and data dashboards, that inform research, policy making, and media coverage about health care and public health.

  • The Mexico City Policy: An Explainer

    Issue Brief

    Explore an overview of the Mexico City Policy and the Promoting Human Flourishing in Foreign Assistance (PHFFA) Policy

  • The U.S. Military and the Domestic Coronavirus Response: Key Questions

    Issue Brief

    Governors, presidential candidates, and others have asked for military assistance for domestic coronavirus response, and President Trump has stated he is working with states and the Department of Defense to have the military provide additional resources and assets. This brief answers key questions about potential U.S. military engagement in the domestic response to the coronavirus.

  • Many Nonelderly People With Disabilities Face COVID-19 Risks Similar to Those of the Elderly in Nursing Homes, But Do Not Have Equal Footing When it Comes to Vaccine Priority

    News Release

    While the toll of COVID-19 on nursing home residents has been well documented, less noticed has been the experience of nonelderly people with disabilities who rely on long-term care services and supports outside of nursing homes. In many ways the two groups face similar health risks from the virus, but nonelderly people with disabilities generally do not have the same high priority status for the vaccine, finds a new KFF analysis. As of early February…