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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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  • President Signs FY18 Omnibus Bill

    Fact Sheet

    On March 23, 2018, the President signed the FY 2018 Omnibus bill, which provides funding for the U.S. government through the rest of the 2018 fiscal year including for U.S. global health programs. Key highlights from the bills 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 assistance, totaled $8.7 billion, essentially flat compared…

  • 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…

  • 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…

  • U.S. Global Health Policy One Year In to the Trump Administration

    News Release

    A new Kaiser Family Foundation issue brief assessing global health policy one year after President Trump took office finds half of Americans (54%) say they want the U.S. to play a major or leading role in improving health for people in developing countries, though support for such engagement is strongest among Democrats (73%) and lower among independents (47%) and Republicans (49%). The brief identifies a mix of challenges to U.S. global health policy, some of which pre-dated President Trump…

  • A Check Up on U.S. Global Health Policy, After One Year of the Trump Administration

    Issue Brief

    In this brief, we take stock of the U.S. global health response on the occasion of one year of the Trump Presidency and look ahead to the global health policy issues that are likely to be front and center in the coming months and years. We include a discussion of new KFF polling data (from January 2018) to provide an updated assessment of U.S. public support for global health programs.

  • Voces de Puerto Rico: Reflexiones Dos Meses Después de María (Video)

    Video

    En este video, los residentes de Puerto Rico hablan sobre su vida cotidiana y puntos de vista de los esfuerzos de recuperación dos meses después del huracán María. Describen un clima de frustración, la pérdida de empleo y problemas económicas, la falta de servicios básicos como la electricidad y el efecto en la salud mental y física de la población

  • 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.

  • 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…

  • 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…