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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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  • Donor Funding for Health in Low – and Middle – Income Countries, 2001-2007

    Report

    Donor governments, including the United States and European nations, provide the bulk of international funding for health in low- and middle- income countries each year. Despite significant increases in such funding, however, it still falls short of need as estimated by the World Health Organization’s Commission on Macroeconomics and Health. This report provides an analysis of donor commitments for health and includes detailed tables and charts. July 2008 Report (.pdf) Previous Version August 2007 Report (.pdf)

  • Donor Government Funding for Family Planning was Essentially Flat in 2015 in Real Terms, Though It Declined When Measured in Current U.S. Dollars

    News Release

    A new Kaiser Family Foundation report finds that donor governments provided US$1.3 billion in bilateral funding for family planning programs in low- and middle-income countries in 2015, essentially matching 2014 levels in real terms (after accounting for exchange rate fluctuations and inflation). In current U.S. dollars, however, 2015 funding was 6 percent below the 2014 level, largely due to the appreciation of the U.S. dollar. When measured in their currency of origin, the report finds…

  • Obamacare? Zika? Which Health Stories Americans Actually Follow

    From Drew Altman

    In this column for The Wall Street Journal's Think Tank, Drew Altman analyzes the Kaiser Health Policy News Index to determine which health stories in the news have broken through to the public the most in the last year. One conclusion: it wasn't the Affordable Care Act.

  • Public Split On What to Do About the Health Care System, Though More Support Building on ACA Than Repealing It, Replacing with a GOP Alternative, or Creating a Single Payer Plan

    News Release

    Following Flint Water Crisis, Nearly Half Worry about Their Community's Water Supply Almost Half of Public is Concerned about a Widespread Zika Outbreak in U.S. This Year The latest Kaiser Health Tracking Poll finds the public as divided as the remaining presidential candidates over their vision for the future of the nation's health care system. When asked to choose among four broad approaches for changing the health care system currently being discussed, the largest share…

  • U.S. Global Health Policy One Year In to the Trump Administration

    News Release

    A new Kaiser Family Foundation issue brief assessing global health policy one year after President Trump took office finds half of Americans (54%) say they want the U.S. to play a major or leading role in improving health for people in developing countries, though support for such engagement is strongest among Democrats (73%) and lower among independents (47%) and Republicans (49%). The brief identifies a mix of challenges to U.S. global health policy, some of which pre-dated President Trump…

  • Kaiser/UNAIDS Study Finds Donor Government Funding for HIV Rose to US$8.1 Billion in 2017 due to Shift in Timing of U.S. Support

    News Release

    Donor government disbursements to combat HIV in low- and middle-income countries increased 16 percent from US$7 billion in 2016 to US$8.1 billion in 2017 – though the higher total stems largely from the timing of U.S. funding and is not expected to last, a new report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) finds. The increase follows two years of declines in donor support for HIV and results largely…

  • August 10 Event – AIDS 2018: What Happened and What’s Next?

    Event Date:
    Event

    On Friday, August 10, the Kaiser Family Foundation and the Global Health Policy Center at the Center for Strategic and International Studies (CSIS) held a briefing to assess the major outcomes of the 2018 International AIDS Conference (AIDS 2018), held from July 23-27 in Amsterdam, the Netherlands. The discussion touched on the latest scientific developments; the current funding climate for the AIDS response; and other major developments to the field emerging from the conference. In…

  • Senate Appropriations Committee approves FY 2018 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On September 7, 2017, the Senate Committee on Appropriations approved both the FY 2018 State & Foreign Operations (SFOPs) and  the FY 2018 Labor, Health & Human Services (LHHS) appropriations bills. 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 LHHS appropriations bill includes funding for global health programs at the Centers for Disease Control and Prevention (CDC) and the…

  • New KFF Analysis Finds 40 Out of 46 PEPFAR Countries Have Met At Least One HIV Target, Though No Countries Have Met All Progress Measures

    News Release

    A new KFF analysis finds that across 46 PEPFAR countries and among six different indicators of progress, the majority (40) has met at least one target, 17 countries have met at least half of the targets, and one country has met five targets. No country has met all targets and six have not met any target. The analysis is part of a dashboard that provides a detailed look at progress being made to address the…

  • 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,