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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 United States announced that it will be establishing bilateral health cooperation agreements with countries that receive U.S. global health assistance via Memorandums of Understanding (MOUs)

This tracker provides an overview of the MOUs signed to date. Data are based on press releases issued by the State Department, as specific details provided in the MOUs (i.e. program areas, financial breakdowns, data or specimen sharing agreements, etc.) are not yet publicly available. The tracker will be updated as agreements are signed and more data become available.

Questions for the America First Global Health Strategy

Global Health Budget Summaries

Overview of President Trump’s Executive Actions on Global Health

The Pause of Foreign Aid and Implications for PEPFAR and Other Global Health Programs

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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  • The U.S. Government and Global LGBT Health: Opportunities and Challenges in the Current Era

    Issue Brief

    In recent years, the U.S. government has paid increasing attention to the health and human rights of lesbian, gay, bisexual and transgender (LGBT) individuals around the world, utilizing both multilateral and bilateral channels. Still, however, many LGBT individuals continue to face stigma, discrimination, and violence, both within and outside of the health sector, which compromise their ability to access needed health services and can adversely affect health status. Moreover, in many countries, the barriers faced by LGBT individuals include discriminatory laws and policies. To explore opportunities and challenges facing the U.S. government in this arena, the Kaiser Family Foundation convened two roundtable discussions of high-level experts working on global LGBT health and rights as well as those working more broadly on global health. This issue brief summarizes the main points of discussion raised by roundtable participants, focusing on opportunities, challenges, and potential next steps for the U.S. government to consider in addressing the health needs of LGBT individuals around the world. It also provides an overview of global LGBT health issues, and reviews U.S. government efforts to address global LGBT health to date.

  • Updated: House Appropriations Committee releases FY16 Health & Human Services Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations released the FY 2016 Departments of Labor, Health & Human Services, Education and Related Agencies appropriations bill and associated committee report, which provides global health funding through the Centers for Disease Control and Prevention (CDC) and for research activities at the National Institutes of Health (NIH). The bill specifies $426.

  • U.S. Funding for International Maternal & Child Health

    Issue Brief

    The U.S. government has a long history of supporting international maternal and child health (MCH) efforts, including global immunization activities, and is the largest donor government to MCH activities in the world. This brief provides an overview of U.S. funding for MCH, including trends in bilateral and multilateral funding and top country recipients of U.S. funding, and places the U.S. within the larger context of overall donor support for the sector.

  • HIV Prevention in Complex, Macro-scale Societies — A Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention

    Other Post

    HIV Prevention in Complex, Macro-scale SocietiesA Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS Working Committee on Prevention, in collaboration with the Kaiser Family Foundation, provides an overview of the opportunities and challenges for HIV prevention…