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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 U.S. Government and Multilateral Global Health Engagement: 5 Key Facts

    Issue Brief

    With ongoing questions about future U.S. support for multilateral health efforts as well as important markers on the near horizon, including donor replenishment conferences for both the Global Fund and Gavi within the next two years, this brief highlights five key facts about U.S. engagement with multilateral global health organizations.

  • FY19 Conference Agreement Released, Includes State & Foreign Operations (SFOPs) Funding

    Fact Sheet

    The FY19 Conference Agreement, which includes funding for State & Foreign Operations (SFOPs), was released on February 13, 2019. The SFOPs section of the bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and USAID through the Global Health Programs (GHP) account, which represents the bulk of global health…

  • The U.S. Government Engagement in Global Health: A Primer

    Report

    This primer provides basic information about global health and U.S. government programs that address global health. The first several sections provide an overview of the field of global health and describe current global health issues. The subsequent sections describe U.S. government support for global health, from the programs the government supports, to the organization of the U.S. response, the budgets and financing of U.S. global health programs, and the U.S. government’s relationship with multilateral institutions…

  • Ebola Spreads amid Violence in the Democratic Republic of Congo, and U.S. Role Remains Limited

    News Release

    A new KFF issue brief examines the international and U.S. response to the ongoing Ebola outbreak in the Democratic Republic of Congo, now the second largest ever recorded, as authorities struggle to contain the virus’ spread amid violence in an active combat zone. Conflict in the Ebola-affected region has impeded the response from the start, but conditions worsened following the DRC’s contested national elections in December. The brief notes the limited U.S. role with restricted…

  • Militaries and Global Health: Peace, Conflict, and Disaster Response

    Perspective

    In this article for The Lancet, KFF's Joshua Michaud and Kellie Moss, and 11 co-authors examine the varied roles, responsibilities, and approaches of militaries in global health, drawing on examples and case studies across peacetime, conflict, and disaster response environments.

  • 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

  • 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…