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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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  • The G20 and development assistance for health: historical trends and crucial questions to inform a new era

    Perspective

    In this article for The Lancet, KFF's Jennifer Kates and 19 co-authors examine trends in the provision and receipt of development assistance for health (DAH), particularly for the G20 countries. The article looks at key questions facing leaders of the G20 countries, including how to best focus DAH for equitable health gains, how to deliver DAH to strengthen health systems, and how to support domestic resource mobilization and tranformative partnerships for sustainable impact.

  • Donor Government Support for Family Planning Rose 6% in 2017, but Remains below 2014 Peak

    News Release

    A new KFF (Kaiser Family Foundation) analysis finds that donor government support for global family planning efforts totaled US$1.27 billion in 2017, up 6 percent from 2016 but still below its 2014 peak. Funding from the United States, the world’s largest donor, declined from US$532.7 in 2016 to US$488.7 million in 2017, largely due to a delay in the disbursement of funds. U.S. appropriations have been holding steady in recent years. Increases in other countries…

  • The U.S. and Global Health Security at a Time of Transition

    Event Date:
    Event

    The U.S. government efforts to shore up global health security face a time of transition. The U.S. has played a leadership role in the Global Health Security Agenda (GHSA), which is entering its next phase, and the increase in funding after the Ebola and Zika outbreaks allowed for the expansion of U.S. efforts around the world. However, this funding is slated to run out by the end of FY 2019, just as the GHSA looks…

  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative: How Have USG Programs Responded?

    Report

    This report examines how countries are responding to and implementing the women, girls, and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, one of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. Based on interviews conducted by the Foundation with representatives from 15 GHI country teams, this report identifies nine key themes and trends that could help inform…

  • The U.S. Global Health Initiative: Key Issues

    Issue Brief

    This policy brief analyzes several key issues and questions on the Obama administration’s new U.S. Global Health Initiative (GHI), a proposed six-year effort building on existing disease-specific initiatives to combat HIV, tuberculosis and malaria, while increasing attention to other areas, including maternal and child health, family planning and reproductive health, nutrition, neglected tropical diseases, and the strengthening of underlying health systems. The brief was released at an April 14, 2010 Kaiser forum on issues surrounding…

  • Poll: Ebola Was a Bigger Story Than the Midterms

    News Release

    In his latest column for The Wall Street Journal’s Think Tank, Drew Altman discusses what the public was more concerned about in November, Ebola or the results of the midterm elections. All previous columns by Drew Altman are available online.

  • Global Financing for Malaria: Trends & Future Status

    Report

    This report finds that funding for global malaria control and elimination activities has risen from US$871 million in 2005 to US$2.6 billion in 2013. However, total funding is significantly below US$5.1 billion, the goal set by the Global Malaria Action Plan, which is a framework endorsed by world leaders in 2008 to reach global malaria reduction targets. Additionally, support for malaria research and development (R&D) activities in 2013 was estimated to be US$549 million, below…

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2021

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2021, 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).

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2018

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2018, 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).