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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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  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative: How Have USG Programs Responded?

    Report

    This report examines how countries are responding to and implementing the women, girls, and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, one of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. Based on interviews conducted by the Foundation with representatives from 15 GHI country teams, this report identifies nine key themes and trends that could help inform…

  • AIDS at 21: Media Coverage of the HIV Epidemic 1981 – 2002 – Methodology Report

    Poll Finding

    The Kaiser Family Foundation, in conjunction with Princeton Survey Research Associates, conducted a comprehensive examination of media coverage of HIV/AIDS from 1981 to 2002. The study investigates the volume of HIV/AIDS coverage over time and key events, domestic versus international focus of coverage, the portrayal of affected populations, story topics, the tone of the media coverage, the length and placement of the coverage, and the consumer education component. The methodology report from this study is…

  • The COVAX Humanitarian Buffer for COVID-19 Vaccines: Review and Assessment of Policy Implications

    Issue Brief

    In this Issue Brief we review and assess the COVAX Humanitarian Buffer mechanism, which is part of the effort to share Covid vaccines globally. The Buffer is intended to direct vaccines to vulnerable people like refugees and others facing humanitarian emergencies during the pandemic, and was supported by the US and many other donors and organizations. However, it faced many challenges such as liability and indemnification issues for using newly developed vaccines, restricted access to…

  • PEPFAR Reauthorization 2023: Key Issues

    Policy Watch

    This year, Congress will consider reauthorization of the President’s Emergency Plan for AIDS Relief (PEPFAR). This Policy Watch provides fast facts about the program and top issues related to its authorization and funding.

  • 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.

  • 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…