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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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  • Tracking Global COVID-19 Vaccine Equity

    Issue Brief

    This analysis looks at global COVID-19 vaccination efforts by income-level and region to assess the equity gap in both vaccination coverage and rates of administration. Overall, we find that low-income countries and countries are lagging behind, and based on current rates, are unlikely to meet global vaccination targets.

  • Disparities in Global Vaccination Progress Are Large and Growing, With Low-Income Countries and Those in Africa Lagging Behind

    News Release

    A new KFF analysis finds that only 1% of those in low-income countries have received at least one vaccine dose compared to 51% in high-income countries, highlighting the substantial vaccine inequities around the world. The analysis examines these inequities by country income level and by region, finding large differences for each. By region, Africa has the lowest coverage (2%) while Europe has the highest (40%), followed by the Americas (39%) and the Western Pacific (37%).…

  • Senate Appropriations Committee Releases FY23 State and Foreign Operations (SFOPs) and Labor, Health and Human Services (Labor HHS) Appropriations Bills

    Fact Sheet

    The Senate Committee on Appropriations released its FY 2023 State, Foreign Operations, and Related Programs (SFOPs) (links to bill and report) and Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) (links to bill and report) appropriations bills and accompanying reports on July 28, 2022. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID), while the Labor HHS bill includes…

  • The International Health Regulations and the U.S.: Implications of an Amended Agreement

    Issue Brief

    This brief reviews the proposed revisions to the World Health Organization-based agreement known as the International Health Regulations (IHR), and the implications for the U.S. WHO member states are expected to adopt the revised IHR at the World Health Assembly meeting this year. The U.S. government has been a leading proponent of many of the expected revisions to the IHR. In this analysis we also evaluate some of the criticisms of the revisions to the…

  • KFF Health Tracking Poll February 2025: The Public’s Views on Global Health and USAID

    Feature

    This poll finds most of the public believe the cutbacks at USAID will lead to increases in illness and death in low-income countries. Nearly half say it will reduce the U.S. budget. Most of the public also overestimates the share of the federal budget that is spent on foreign aid, and when informed it is about 1% of the federal budget, the share who want to reduce spending drops.

  • COVID-19 & PEPFAR: Implications for the Future

    Issue Brief

    The potential for the COVID-19 pandemic to significantly affect the health and development of low- and middle-income countries (LMICs), particularly those in sub-Saharan Africa, has serious implications for PEPFAR, the President’s Emergency Plan for AIDS Relief (PEPFAR). This issue brief examines the steps PEPFAR has taken to respond to the outbreak and the issues at stake.

  • White House Releases FY21 Budget Request

    Fact Sheet

    The White House released its FY 2021 budget request to Congress on February 10, 2020, which includes significant cuts to global health programs compared to the FY 2020 enacted levels. In addition, in some cases, these cuts are steeper than those proposed by the Administration in last year’s request. The FY 2021 budget request includes funding for U.S. global health programs at the State Department, the U.S. Agency for International Development (USAID), the Centers for…

  • Global Health Interventions: A Review of the Evidence

    Interactive

    Global Health Interventions: A Review of Evidence (GHIR) provides policy-relevant and accessible information on the efficacy (the "what works") of key global health interventions, including the strength of the evidence.

  • Taking the Temperature: The Future of Global Health Journalism

    Report

    Aiming to take a snapshot of the state of global health journalism, a report produced for the Kaiser Family Foundation found that shrinking newsroom budgets and the closing of many foreign bureaus are curtailing global health coverage within traditional news media outlets. Advocacy and nongovernmental organizations are increasingly bypassing news outlets and producing their own content, leading to questions about how global health news will evolve. In addition, with outside sources now funding some global…