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Analysis of U.S. and Global Fund Funding Reductions in MOU Countries

The U.S. government and the Global Fund to Fight AIDS, Tuberculosis and Malaria, the top two donors to global health in low- and middle-income countries, each took actions to reduce funding to countries starting last year and plan to further reduce funding going forward. Under the Trump administration, the U.S., as part of its new America First Global Health Strategy (AFGHS) “MOU” agreements with countries, plans to reduce funding by billions over the next few years. The Global Fund, due to reduced contributions from the U.S. and other donors, is also reducing funding in the same set of countries. Together, the U.S. and Global Fund reductions serve as a “one-two punch” to countries, who will be faced with significantly fewer resources in the coming years.

KFF Tracker: America First MOU Bilateral Global Health Agreements

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

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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.

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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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  • Foreign NGO Engagement in U.S. Global Health Efforts: Foreign NGOs Receiving USG Support Through USAID

    Report

    This report provides an analysis of foreign (non-U.S.-based) non-governmental organizations (NGOs) that received global health funding from the U.S. government (USG) during FY 2013. It specifically focuses on funding provided to NGOs by the U.S. Agency for International Development (USAID), the largest implementer of global health activities among USG agencies and departments.

  • Donor Government Funding for Family Planning in 2016

    Report

    A new Kaiser Family Foundation report finds that donor government funding for family planning declined in 2016 for the second year in a row, decreasing to US$1.19 billion compared to US$1.34 billion in 2015. While the declines over this two-year period were largely due to exchange rate fluctuations and the timing of donor disbursements which accounted for 78 percent of the overall decrease, there were actual cuts in funding from some donor countries which accounted…

  • White House Releases FY 2019 Budget Request

    Fact Sheet

    The White House released its FY 2019 budget request to Congress on February 12, 2018, which includes significant cuts to global health programs compared to FY 2017 enacted levels (the overall levels in the request are similar to the FY 2018 budget request). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and the U.S. Agency for International Development (USAID) (through the Global Health Programs account), which represents the…

  • 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…

  • Donor Government Funding for Family Planning Fell in 2016 for the Second Year in a Row

    News Release

    A new Kaiser Family Foundation report finds that donor government funding for family planning declined in 2016 for the second year in a row, decreasing to US$1.19 billion compared to US$1.34 billion in 2015. While the declines over this two-year period were largely due to exchange rate fluctuations and the timing of donor disbursements which accounted for 78 percent of the overall decrease, there were actual cuts in funding from some donor countries which accounted for 22…

  • Voices from Puerto Rico: Reflections Two Months After Maria (Video)

    Video

    Residents of Puerto Rico discuss their daily lives and their views on recovery efforts two months after Hurricane Maria. In this video, they describe job loss and continuing economic disruption, a lack of basic services such as electricity and a rising toll on the population's mental and physical health.

  • What Could U.S. Budget Cuts Mean for Global Health?

    Issue Brief

    President Trump’s fiscal year 2018 budget request would cut global health programs by approximately $2.5 billion. This analysis models the potential impact of the Administration’s proposed budget, as well as two budget scenarios with more modest decreases.

  • What Is the Scope of the Mexico City Policy: Assessing Abortion Laws in Countries That Receive U.S. Global Health Assistance

    Issue Brief

    This data note assesses how the Mexico City Policy affects the provision of legal abortion services in U.S. assisted countries. The policy requires foreign NGOs to certify that they will not “perform or actively promote abortion as a method of family planning” using funds from any source (including non-U.S. funds) as a condition for receiving most U.S. government global health assistance.

  • The U.S. Global Health Initiative’s Women, Girls, and Gender Equality Principle: A Roundtable Discussion

    Issue Brief

    This document summarizes the discussion of a roundtable that took place at the Foundation in November 2010 examining the women, girls and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, the first of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. The roundtable included experts from a variety of organizations, including officials from the U.S. government, and gender…

  • Americans Remain Wary of “Foreign Aid” But Are More Supportive of Spending to Improve Health Abroad

    News Release

    Latest Survey Probes Public’s Knowledge and Views of U.S. Role in Global Health MENLO PARK, Calif. – While many Americans hold misconceptions and negative views of “foreign aid” in general, they are more supportive of such efforts when described more specifically as “improving health in developing countries,” according to a new survey by the Kaiser Family Foundation. When it comes to U.S. foreign aid in general, six in 10 Americans (61%) say the U.S. spends too much, and…