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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. Humanitarian Assistance and Global Health Policy: Opportunities and Barriers for More Effective Coordination

    Issue Brief

    This brief presents key findings from a Kaiser Family Foundation review and analysis of the policy and financing landscape where U.S. humanitarian assistance and global health assistance meet. It also summarizes a July 2013 roundtable discussion convened by the Foundation focusing on opportunities, challenges, and potential next steps for more effective coordination between humanitarian assistance and global health programs.

  • Kaiser/UNAIDS Study Finds No Real Change In Donor Funding For HIV

    News Release

    This report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) evaluates international efforts to finance the response to the AIDS epidemic. The annual funding analysis finds donor governments disbursed US$7.86 billion toward the AIDS response in low-and middle-income countries in 2012, essentially unchanged from the US$7.63 billion level in 2011 after adjusting for inflation.

  • Financing the Response to HIV in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2012

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2012, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

  • Mapping the Donor Landscape in Global Health: Malaria

    Report

    This report maps the network of international assistance aimed at addressing the global impact of malaria. The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Mapping the Donor Landscape in Global Health: Tuberculosis

    Report

    This report maps the network of international assistance aimed at addressing the global impact of tuberculosis (TB). The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Senate Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved, by a vote of 23-7, the FY 2014 State and Foreign Operations Appropriations bill (S.1372), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available).…

  • House Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved, by a voice vote, the FY 2014 State and Foreign Operations Appropriations bill (.pdf), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available). According to a Committee Report accompanying…

  • Senate Appropriations Committee approves FY14 Health & Human Services Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill (S. 1284) by a vote of 16-14. A report (113-71) released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is…

  • Mapping the Donor Landscape in Global Health: HIV/AIDS

    Report

    This report maps the complex network of international assistance aimed at addressing the global impact of HIV/AIDS, looking both at donor governments and multilateral organizations. It seeks to provide perspective on the geographic presence of global health donors and to enable more effective coordination and delivery of services globally and within individual recipient nations. This report is the first in a series that will examine donor presence and magnitude of assistance by issue area, region…