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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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  • U.S. Global Health Funding in Draft FY18 Budget Request

    Fact Sheet

    As reported in Foreign Policy, a draft of the Trump administration’s FY18 budget request for the State Department and USAID, expected to be submitted in full to Congress in May, proposes significant cuts to global health funding. According to a document obtained by Foreign Policy, funding for global health programs would total $6.8 billion, a cut of $1.7 billion (-20%) below the FY16 level ($8.5 billion).[i] While funding amounts for most program areas was not…

  • The Future of Global Health Financing Amid a Changing Policy Landscape

    Event Date:
    Event

    Global humanitarian crises, new political leadership in the U.S. and elsewhere, and a climate of fiscal austerity are reshaping the landscape for global health financing. In this context, it faces a challenging and uncertain future. On Thursday, April 20, the Kaiser Family Foundation and the Center for Strategic and International Studies hosted a policy briefing to discuss the current state of global health financing and the future landscape, with a panel of leading experts. Joseph Dieleman,…

  • White House Submits FY17 Reduction Options to Congress

    Fact Sheet

    The White House submitted proposed cuts for FY17 to Congress on March 24, 2017. These proposed cuts would be used to offset the Administration’s FY17 supplemental funding request, which was included in its FY18 “skinny budget” request released on March 16, 2017 (see Table 4 in the budget blueprint) that included additional funding for Defense and the Border Wall. FY17 is currently funded through a Continuing Resolution (CR) until April 28, 2017. The proposal identifies…

  • White House Releases FY18 Budget Blueprint

    Fact Sheet

    The White House released its budget blueprint on March 16, 2017 providing initial information on its budget request for FY18 (the full budget request is expected in May). While detail on funding levels for most global health programs is not specified, the blueprint does include total funding for the U.S. Agency for International Development (USAID) and the Department of State and highlights some specific global health programs and related areas: USAID & State Department and…

  • New Resource Explains the Impact of the Mexico City Policy

    News Release

    On January 23, President Donald Trump reinstated the Mexico City Policy, which stipulates that in order to receive U.S. global health funding, foreign non-governmental organizations (NGOs) must certify that they will not perform or actively promote abortion as a method of family planning using funds from any source. A new explainer from the Kaiser Family Foundation looks at the history of the policy and its impact. Since it was announced by the Reagan administration in 1984,…

  • Donor Government Funding for Family Planning was Essentially Flat in 2015 in Real Terms, Though It Declined When Measured in Current U.S. Dollars

    News Release

    A new Kaiser Family Foundation report finds that donor governments provided US$1.3 billion in bilateral funding for family planning programs in low- and middle-income countries in 2015, essentially matching 2014 levels in real terms (after accounting for exchange rate fluctuations and inflation). In current U.S. dollars, however, 2015 funding was 6 percent below the 2014 level, largely due to the appreciation of the U.S. dollar. When measured in their currency of origin, the report finds…

  • Donor Government Assistance for Family Planning in 2015

    Report

    A new Kaiser Family Foundation report finds that donor governments provided US$1.3 billion in bilateral funding for family planning programs in low- and middle-income countries in 2015, essentially matching 2014 levels in real terms (after accounting for exchange rate fluctuations and inflation). In current U.S. dollars, however, 2015 funding was 6 percent below the 2014 level, largely due to the appreciation of the U.S. dollar.

  • The Status of Funding for Zika: The President’s Request, Congressional Proposals, & Final Funding

    Issue Brief

    This issue brief provides a landscape of the status of U.S. funding for Zika, a mosquito-transmitted infection that in pregnant women can cause microcephaly as well as other serious birth defects. The brief compares the Congressionally approved Zika funding levels, which provides $1.1 billion to the Zika response, to the President’s February 22nd request, the House and Senate bills that passed each chamber in May, and a Conference Agreement that had been approved by the…

  • Snapshot of Where Hillary Clinton and Donald Trump Stand on Seven Health Care Issues

    Issue Brief

    Where do the 2016 Presidential candidates, Hillary Clinton and Donald Trump, stand on key health care issues? This snapshot outlines the candidates' positions and policy statements on issues such as health insurance, the ACA, Medicaid, Medicare, the opioid epidemic, prescription drug costs, women's reproductive health, and Zika.

  • Poll: More Americans in Southern States Taking Zika Precautions

    News Release

    As part of the Kaiser Family Foundation’s ongoing efforts to track the public’s knowledge of the Zika virus outbreak and attitudes towards Zika-related issues, the September Kaiser Health Tracking Poll examines whether the public is taking precautions in order to protect themselves from getting Zika. The poll finds people in the South are more likely to report taking action to reduce the number of mosquitoes in and around their homes. For example, a larger share…