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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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  • Congress Releases FY17 Omnibus

    Fact Sheet

    On May 1, 2017, Congress released the FY 2017 Omnibus bill (and explanatory statements), which provides funding for the U.S. government through the rest of the fiscal year including for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC).

  • A Town Hall Forum with Ambassador Deborah L. Birx

    Event Date:
    Event

    The Kaiser Family Foundation hosted a town hall forum with Ambassador Deborah L. Birx, M.D. the new U.S. Global AIDS Coordinator, in which she shared her vision for the next phase of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in supporting efforts to achieve an AIDS-free generation.

  • The Status of Funding for Zika: The President’s Request, Congressional Proposals, & Final Funding

    Issue Brief

    This issue brief provides a landscape of the status of U.S. funding for Zika, a mosquito-transmitted infection that in pregnant women can cause microcephaly as well as other serious birth defects. The brief compares the Congressionally approved Zika funding levels, which provides $1.1 billion to the Zika response, to the President’s February 22nd request, the House and Senate bills that passed each chamber in May, and a Conference Agreement that had been approved by the House in June, but was blocked in the Senate and opposed by the Administration.

  • Survey of Americans on HIV/AIDS – Part Two: HIV Testing

    Poll Finding

    These survey findings of Americans’ views on HIV testing are part of Kaiser’s national “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores such issues as how many adults report ever having been tested and talk to their doctor about HIV/AIDS, as well as misconceptions and stigma about HIV testing.

  • Trends in U.S. Spending on HIV/AIDS

    Issue Brief

    This policy brief provides an analysis of trends in U.S. federal spending on the HIV/AIDS epidemic since FY 1981, the year in which the epidemic began. To date, the U.S. government has invested more than $100 billion in combating the epidemic.

  • Donor Government Funding for Family Planning in 2017

    Report

    This 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 in 2017, largely due to a delay in the disbursement of funds as U.S. appropriations have been holding steady in recent years. Increases in other countries offset the U.S. lag