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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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  • New Analysis Examines the $1.9 Billion Committed By the U.S. Government for the International Ebola Response To Date

    News Release

    A new Kaiser Family Foundation analysis finds government agencies so far report spending approximately $1.9 billion in funding to respond to the Ebola outbreak internationally. The majority of this spending was by USAID (49%), followed by the Department of Defense (33%), and the Centers for Disease Control and Prevention (18%). The U.S. government enacted $5.4 billion in emergency Ebola funding in December 2014, representing the largest effort by a single donor government to respond to…

  • 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…

  • Ahead of Biden’s Budget Proposal, A New KFF Analysis Takes a Closer Look at Historical Trends in the Global Health Budget

    News Release

    On May 28th, President Biden will release his first detailed budget proposal, covering the fiscal year starting in October 2021. As the largest global health donor in the world, the new budget proposal will provide a glimpse into what the Biden administration will be prioritizing for global health. In preparation for the budget release, KFF released a new brief looking at the historical trends in US funding for global health. Since FY 2001, US global…

  • Funding for Key HIV Commodities in PEPFAR Countries

    Issue Brief

    In many low- and middle-income countries, PEPFAR and the Global Fund are significant funders of commodities to diagnose, treat, and prevent HIV, along with country governments. But, information on their relative contributions, which is important for assessing the HIV response, is not readily available. We analyzed data from PEPFAR documents on funding for key HIV commodities in 34 PEPFAR countries to better understand the funding landscape.

  • Most Americans are Practicing Social Distancing

    From Drew Altman

    Drew Altman analyzes data showing surprising numbers of Americans of all ages are sheltering in place and reporting social distancing, and discusses the implications in an Axios column.

  • What Testing Capacity Do We Need?

    Policy Watch

    This post looks at potential benchmarks for estimating the number of coronavirus tests needed in the United States and compares them to current national, and state level, testing levels.

  • The Status of Funding for Zika: Comparing the President’s Request and Congressional Proposals

    News Release

    Zika, a mosquito-transmitted infection that in pregnant women can cause microcephaly as well as other serious birth defects, has recently become a global challenge, and with the first cases of local transmission now reported in the U.S., a domestic one as well. No new funding for Zika has yet been appropriated by Congress. While the President requested emergency funding from Congress to address Zika last February, it has yet to approve any funding and its own…

  • Web Briefing for Media: What Do The Sustainable Development Goals Mean for Global Health?

    Event Date:
    Event

    In late September, the United Nations General Assembly will discuss and adopt a plan for international development for the next 15 years. This new plan, called the Sustainable Development Goals (SDGs), could have important implications for global health policy. On September 9, the Kaiser Family Foundation held an interactive web briefing exclusively for journalists to examine these key issues ahead of the United Nations General Assembly.

  • Modeling the Impact of Global Health Budget Cuts on HIV, TB, Family Planning, and Maternal, Newborn, and Child Health

    News Release

    President Trump’s fiscal year 2018 budget request would cut global health programs by approximately $2.5 billion. As Congress begins considering the Administration’s request, a new Kaiser Family Foundation analysis models the potential impact of the Administration’s proposed budget, as well as two budget scenarios with more modest decreases. Among the findings, the impact of global health budget reductions, depending on the size of the cuts, could range from: 49,100 to 198,700 additional new HIV infections…