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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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  • International Assistance for HIV/AIDS and Global Health in the Developing World

    Other Post

    International Assistance for Global Health and HIV/AIDS in the Developing World The Foundation produces two separate annual reports that help to track funding from the G8, European Commission and other donor governments who collectively provide the bulk of international assistance for global health priorities, including HIV/AIDS, through bilateral programs and contributions to multilateral organizations, including…

  • Global Spending on HIV/AIDS in Resource-Poor Settings

    Issue Brief

    This policy brief presents data on the range of resources currently being expended to address the HIV/AIDS epidemic in resource-poor settings, including bilateral, multilateral, and private sector support, as well as domestic spending by recipient country governments. For purposes of this policy brief, resource-poor countries include developing countries and countries in transition.

  • AIDS at 25

    Report

    June 5, 2006, marks twenty-five years since the U.S. Centers for Disease Control and Prevention issued its first warning about an emerging illness that soon became known as AIDS.

  • U.S. Global Health Policy: In Focus “IOM Final Report on the U.S. Commitment to Global Health”

    Event Date:
    Event

    During this webcast, members of the Institute of Medicine's committee on the U.S. Commitment to Global Health discussed the committee's final report that concluded that the U.S. government and U.S.-based foundations, universities, nongovernmental organizations, and commercial entities have an opportunity to improve global health and provided specific recommendations for how these groups should proceed.