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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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  • Foreign Policy and Global Health Experts on the USG’s Role in Global Health

    Issue Brief

    While global health has enjoyed significant bipartisan support among US policymakers over the past 15 years, the potential for changes in the political landscape in 2016 makes this an opportune time to assess the USG’s position relative to global health needs and funding. With this in mind, the Kaiser Family Foundation’s Global Health Policy Program asked Hart Research Associates and Public Opinion Strategies to solicit the views of specialists in foreign policy and global health.

  • The U.S. Global Health Budget: Analysis of Appropriations for Fiscal Year 2016

    Issue Brief

    After Congress provided an unprecedented level of emergency funding for Ebola in FY15 in response to the West African outbreak, beyond regular appropriations for global health programs, FY16 returned to business as usual. There was no additional emergency funding and global health amounts remained essentially flat funding compared to prior years. The FY16 Omnibus Appropriations bill, which was signed into law by the President on December 18, 2015, included an estimated $10.2 billion in funding for global health programs continuing a trend of essentially flat funding since FY10.

  • The Future of U.S. Global Health Policy & Programs

    Event Date:
    Event

    As the U.S. enters a Presidential election year and the larger global health and development landscape changes, U.S. global health programs face a key moment of transition. The prior decade saw unprecedented attention to and funding for global health by the U.S. government.

  • Congress Releases FY16 Omnibus

    Fact Sheet

    Congress released the FY 2016 Omnibus bill on December 16, 2015, which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC). Total known* funding for U.S. global health programs in the FY 2016 Omnibus is $9.

  • The U.S. Response to Ebola: Status of the FY2015 Emergency Ebola Appropriation

    Issue Brief

    This issue brief reviews where the U.S. response to Ebola stands, asking: What specifically was funding provided for and what is its current status? How is U.S. funding being used to address the outbreak and its aftermath, and prepare for future health threats? How available and transparent is information about these activities?

  • New Analysis Examines the $1.9 Billion Committed By the U.S. Government for the International Ebola Response To Date

    News Release

    A new Kaiser Family Foundation analysis finds government agencies so far report spending approximately $1.9 billion in funding to respond to the Ebola outbreak internationally. The majority of this spending was by USAID (49%), followed by the Department of Defense (33%), and the Centers for Disease Control and Prevention (18%). The U.S. government enacted $5.

  • Donor Government Assistance for Family Planning in 2014

    Report

    This report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase above 2013 and 32% above 2012 levels.

  • One Year Later, Where Does the U.S. Response to Ebola Stand?

    Event Date:
    Event

    The Ebola outbreak of 2014 was a global wake-up call regarding the ongoing threat of emerging infectious diseases.  The U.S. government’s response included dispatching the military and Congress appropriating $5.4 billion in emergency funding, the majority of which was for international activities.