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KFF Tracker: America First MOU Bilateral Global Health Agreements

On September 18, 2025, the U.S. government released its new America First Global Health Strategy, which details how the U.S. will engage in global health efforts moving forward. As part of this new strategy, the U.S. has announced that it will be establishing bilateral health cooperation agreements with countries that receive U.S. global health assistance. This tracker provides an overview of Memorandums of Understanding (MOUs), between the U.S. and partner countries, signed to date. The tracker will be updated as needed.

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

Questions for the America First Global Health Strategy

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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  • Sustainability Readiness in PEPFAR Countries

    Issue Brief

    This data note arrays and groups PEPFAR countries by their level of “sustainability readiness” in order to help inform discussions about PEPFAR’s work on sustainability,

  • News Release

    U.S. Has the Highest Rate of Gun Deaths for Children and Teens Among Peer Countries

    News Release

    Firearms were responsible for 20 percent of all child and teen deaths in the U.S. for both 2020 and 2021, compared to an average of less than 2 percent in similarly large and wealthy nations, according to a new KFF analysis. This puts the U.S. far ahead of peer nations in child and teen firearm deaths. Data show that U.S. firearm deaths for children and teens again surpassed motor vehicle deaths – the second leading…

  • Child and Teen Firearm Mortality in the U.S. and Peer Countries

    Issue Brief

    Firearms were responsible for 20 percent of all child and teen deaths in the U.S. for both 2020 and 2021, compared to an average of less than 2 percent in similarly large and wealthy nations. This puts the U.S. far ahead of peer nations in child and teen firearm deaths.

  • In 2022, Donor Governments Spent US$8.2 billion on Efforts to Fight HIV/AIDS Globally, Returning to 2020 Funding Levels and Still Below the High-water Mark of Almost a Decade Ago

    News Release

    A new report from KFF and The Joint United Nations Programme on HIV/AIDS (UNAIDS) reveals that donor governments disbursed US$8.2 billion in 2022 to combat HIV in low- and middle-income countries, returning to 2020 funding levels and still below the high-water mark of $8.6 billion in 2014. The funding supports HIV care and treatment, prevention, and other services in low- and middle-income countries. Although total donor government funding for HIV increased in 2022 compared to…

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2022

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2022, 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).

  • The New Pandemic Fund: Overview and Key Issues for the U.S.

    Issue Brief

    This brief offers an overview of the new multilateral global health financing mechanism known as the Pandemic Fund, which is housed at the World Bank. The brief reviews the evolution of the Fund, its current financial status and donors, U.S. engagement, and policy issues going forward.

  • PEPFAR Reauthorization on the Horizon

    Perspective

    In this Think Global opinion piece, Jennifer Kates and Kellie Moss discuss what could happen if the United States’ signature initiative on global health is not reauthorized.

  • Africa CDC: Its Evolution and Key Issues for its Future

    Issue Brief

    This Issue Brief reviews the history of Africa CDC, describing its structure, funding and operations to date, including U.S. government engagement, as well as challenges and opportunities for the institution moving forward.

  • As Congress Considers Reauthorizing PEPFAR, A New Policy Watch Asks and Answers Fundamental Questions

    News Release

    As Congress considers reauthorizing the President’s Emergency Plan for AIDS Relief (PEPFAR) for a fourth time, a new KFF Policy Watch details key facts about the program and top issues related to its authorization and funding. Created in 2003 as the U.S. government’s signature global health effort in the fight against HIV, PEPFAR is broadly regarded as one of the most successful programs in global health history, with the U.S. government reporting tens of millions…