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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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  • A National Household Survey of Health Inequalities in South Africa (2 volumes) – Toplines/Survey

    Poll Finding

    A National Household Survey of Health Inequalities in South Africa (2 volumes) The first democratically elected government in South Africa has made improving health and health services for the historically underserved black majority a national priority. As part of this process, in June 1995, the Minister of Health, Dr. Nkosazana Dlamini Zuma, outlined a plan designed to provide free primary health care to all South Africans. This plan aims to improve the health status of…

  • Covering the Epidemic: AIDS in the News Media, 1985-1996

    Report

    Media Coverage Of AIDS: Broad-Based, Consistent Over Past Decade Focus Shifts, However, From Science/Medicine to Celebrity-Oriented Embargoed for release until: 9:00 a.m. E.T., Wednesday, June 26, 1996 Contact: Matt James or Tina Hoff Washington, D.C. -- Media coverage in the U.S. of AIDS over the past decade has generally remained broad-based and consistent, emphasizing prevention and protection and avoiding becoming overly politicized, although focusing almost entirely on the epidemic as a domestic concern. However, while…

  • Spending on the HIV/AIDS Epidemic: A Three Part Series (Full Report)

    Report

    Full Report: Spending on the HIV/AIDS Epidemic: A Three Part Series This compliation policy brief provides analysis of spending on the HIV/AIDS epidemic both by the United States government and globally. Included is an analysis of U.S. federal spending on the HIV/AIDS epidemic since FY 1981; spending by the U.S. on global HIV/AIDS activities and programs; and global spending on HIV/AIDS in resource-poor settings, including bilateral, multilateral, and private sector support.This policy brief was prepared…

  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative (GHI): Assessment of the GHI Plus Country Strategies

    Report

    This report assesses how countries are responding to a U.S. Global Health Initiative (GHI) principle to address women, girls and gender equality. The report examines country strategies for seven of the eight "GHI Plus" nations: Bangladesh, Ethiopia, Guatemala, Kenya, Mali, Malawi, and Nepal. (The eighth, Rwanda, had not yet completed its strategy.) Each country strategy was developed by interagency U.S. government teams in consultation with host country representatives. All seven strategies addressed the health of…

  • Survey about U.S. Role in Global Health Reports That Americans Want Take Care of Problems at Home First in a Recession, But Say Don’t Cut Funding For Global Health and Development

    Poll Finding

    Two-thirds of the public supports maintaining (39%) or increasing (26%) U.S. government funding to improve health in developing countries, while fewer than a quarter (23%) say the government is spending too much on global health, according to this survey of the American people’s attitudes towards U.S. global health and development assistance. Levels of support are similar for spending to fight HIV/AIDS in developing countries, although the public’s sense of urgency about the HIV/AIDS epidemic around…

  • Addressing the HIV/AIDS Epidemic at Home and Abroad: Short-Term Policy Options Under Consideration by the New Administration and Congress

    Issue Brief

    This past summer, the United States government’s global HIV/AIDS program was reauthorized and the U.S. Centers for Disease Control and Prevention (CDC) released new data indicating that the epidemic at home was worse than previously thought. These events called significant attention to HIV/AIDS and together present the new Administration and Congress with an opportunity to address the epidemic at home and abroad. Several short-term HIV-specific policy options have already been proposed for consideration, or are…

  • A Brief Look at Americans’ Perceptions of the Global HIV/AIDS Epidemic

    Poll Finding

    This Data Note, using data from a national survey of Americans on HIV/AIDS released in June 2011, examines trends in the public's perception of HIV/AIDS as a global problem. Overall, survey trends show that Americans view HIV/AIDS as a more pressing health problem for the world than for the U.S., although the perceived sense of urgency has been on the decline for both the global and domestic epidemics. The sense of urgency about the global…

  • Innovative Financing Mechanisms for Global Health: Overview & Considerations for U.S. Government Participation

    Report

    When leaders from the world's 20 major economies gather for the upcoming G-20 Summit in France, one of their priorities will be finding new ways to maintain and expand the impact of global development programs in the wake of an international financial crisis and mounting efforts to control public spending and debt. The previous decade saw significant increases in support for global health, but there is growing pressure on traditional funding channels. As a result,…

  • U.S. Government Funding for HIV/AIDS in Resource Poor Settings

    Issue Brief

    This updated policy brief examines federal funding for the global HIV/AIDS epidemic, with a primary emphasis on funding and activities that benefit resource poor countries. United States funding for international HIV/AIDS activities in resource poor countries began in the mid-1980s; and in FY 2003, the U.S. Congress appropriated close to $1.5 billion globally. Issue Brief (.pdf)

  • HIV and Sexual Behaviour Among Young South Africans: A National Survey of 15-24 Year Olds

    Poll Finding

    HIV and Sexual Behaviour Among Young South Africans: A National Survey of 15-24 Year- Olds South Africa is in the grips of a devastating HIV/AIDS epidemic in which the peak incidence occurs among 15-24 year-olds. This national survey of HIV and sexual behavior among the country's 15-24 year-olds identifies trends in HIV infection and related determinants of infection among young people. The report also gauges the impact of loveLife, South Africa's largest national HIV prevention…