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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 Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative (GHI): Assessment of the GHI Plus Country Strategies

    Report

    This report assesses how countries are responding to a U.S. Global Health Initiative (GHI) principle to address women, girls and gender equality. The report examines country strategies for seven of the eight "GHI Plus" nations: Bangladesh, Ethiopia, Guatemala, Kenya, Mali, Malawi, and Nepal. (The eighth, Rwanda, had not yet completed its strategy.) Each country strategy was developed by interagency U.S. government teams in consultation with host country representatives. All seven strategies addressed the health of…

  • Making HIV Prevention Paramount in the Next Phase of the U.S. Global HIV/AIDS Response: A Report from the CSIS Task Force on HIV/AIDS

    Other Post

    This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS, in collaboration with the Kaiser Family Foundation, examines the current global HIV prevention response by the United States under the President's Emergency Plan for AIDS Relief (PEPFAR) and outlines challenges to opportunities for heightening a focus on HIV prevention in the next phase of the U.S. response. Report (.pdf)

  • Survey about U.S. Role in Global Health Reports That Americans Want Take Care of Problems at Home First in a Recession, But Say Don’t Cut Funding For Global Health and Development

    Poll Finding

    Two-thirds of the public supports maintaining (39%) or increasing (26%) U.S. government funding to improve health in developing countries, while fewer than a quarter (23%) say the government is spending too much on global health, according to this survey of the American people’s attitudes towards U.S. global health and development assistance. Levels of support are similar for spending to fight HIV/AIDS in developing countries, although the public’s sense of urgency about the HIV/AIDS epidemic around…

  • Statutory Requirements & Policies Governing U.S. Global Family Planning and Reproductive Health Efforts

    Issue Brief

    This issue brief provides a summary of the major policies and statutory requirements governing U.S. participation in international family planning and reproductive health efforts. These laws and policies collectively direct how funds are spent, which organizations receive funds and generally shape U.S. family planning and reproductive health activities around the world.

  • “Seryozha” A Documentary on Children and HIV/AIDS in Russia

    Event Date:
    Event

    "Seryozha" is a documentary film about orphans living on the streets of St. Petersburg, Russia, some of whom are HIV-positive or have lost parents to AIDS. Filmmaker Denis Kuzmin follows the life of one orphan and through him tells the larger story of "street kids" exposed to drugs, sex and illnesses, including HIV/AIDS. Kuzmin received financial support through a fellowship program created by the Kaiser Family Foundation and Transatlantic Partners Against AIDS (TPAA) to produce…

  • The U.S. Global Health Initiative: Overview & Budget Analysis

    Issue Brief

    In April 2010, the Foundation issued a policy brief examining key issues affecting the U.S. Global Health Initiative (GHI). This policy brief and chartpack provide a detailed breakdown of the U.S. budget for the global health programs in President Obama’s GHI, announced in May 2009. In addition, the regularly updated Budget Tracker provides the current status of key global health accounts throughout the budget and appropriations process. The GHI, proposed as a six-year effort, would for…

  • Raising the Profile of Diplomacy in the U.S. Global Health Response: A Backgrounder on Global Health Diplomacy

    Issue Brief

    The United States recently announced plans to create an Office of Global Health Diplomacy at the State Department, designed to promote the use of diplomacy to advance U.S. global health efforts and support the next phase of the U.S. Global Health Initiative (GHI) in the diplomatic arena. While the office will be new, and there are outstanding questions about its role, it joins a much longer history of diplomatic engagement on international health issues by…

  • Trends in U.S. Funding for HIV/AIDS

    Report

       These updated documents, "Trends in U.S. Government Funding for HIV/AIDS," provide an analysis of U.S. federal funding for HIV/AIDS since fiscal year (FY) 1981. The issue brief and chartpack present data and trends in the major categories of funding—care, cash and housing assistance, research, prevention, and global/international—over time. Cumulatively through its FY 2004, the US government has invested approximately $150 billion for domestic and international HIV/AIDS programs. Issue Brief  

  • Post G8 Briefing: Future Financing to Address the Global HIV/AIDS Epidemic

    Event Date:
    Event

    The Kaiser Family Foundation has issued a report that provides a detailed look at funding for the global HIV/AIDS epidemic by major donors. The report, Financing the Response to HIV/AIDS in Low and Middle Income Countries: Funding for HIV/AIDS from the G7 and the European Commission, examines funding from countries in the Group of 7 and European Commission, which provide the bulk of donor assistance for HIV/AIDS through bilateral programs and contributions to the Global…

  • 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…