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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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  • How Much Global Health Funding Goes Through USAID?

    Policy Watch

    This analysis highlights USAID's role in global health and shows that the agency provided the vast majority of the nation's global health assistance for other countries in 2023 (about $6.2 billion or 73% of the total bilateral global health funding that year).

  • What’s Next for U.S. Global Health Diplomacy? A Town Hall Forum with Ambassador Eric Goosby

    Event Date:
    Event

    At 9:30 a.m. ET on Thursday, Feb. 28, the Kaiser Family Foundation will host a town hall-style forum with Ambassador Eric Goosby, the newly named head of the State Department's new Office of Global Health Diplomacy as well as U.S. Global AIDS Coordinator, to explore the goals and objectives of the new office. The office is intended to guide diplomatic efforts to advance the United States' global health mission to improve and save lives and foster sustainability. The hour-long session will be moderated by Jen Kates, a Foundation Vice President and Director of Global Health and HIV Policy.

  • Kaiser Poll Finds Bipartisan Support For Spending On Global Health

    News Release

    Public Believes Much Aid Is Lost To Corruption MENLO PARK, Calif. – Two-thirds of Americans say that the U.S. is spending too little or about the right amount on global health with one in five saying spending is too high, according to a new Kaiser Family Foundation survey on the public's views of global health issues.

  • Americans Remain Wary of “Foreign Aid” But Are More Supportive of Spending to Improve Health Abroad

    News Release

    Latest Survey Probes Public’s Knowledge and Views of U.S. Role in Global Health MENLO PARK, Calif. – While many Americans hold misconceptions and negative views of “foreign aid” in general, they are more supportive of such efforts when described more specifically as “improving health in developing countries,” according to a new survey by the Kaiser Family Foundation.

  • Curbing The Ebola Outbreak: Are We on the Right Track?

    Event Date:
    Event

    The World Health Organization (WHO) recently declared a public health emergency due to the Ebola virus outbreak in West Africa, which has accounted for over 13,000 reported cases and 4,800 deaths. Some imported and locally acquired cases in health care workers have also been reported in the United States.

  • Poll: Ebola Was a Bigger Story Than the Midterms

    From Drew Altman

    For The Wall Street Journal’s Think Tank, Drew Altman discusses what the public was more concerned about in November: Ebola or the results of the midterm elections.

  • NGO Engagement in U.S. Global Health Efforts: U.S.-Based NGOs Receiving USG Support Through USAID

    Report

    This report provides an analysis of U.S.-based non-governmental organizations (NGOs) that received global health funding from the U.S. government (USG) during FY 2013. It specifically focuses on funding provided to NGOs by the U.S. Agency for International Development (USAID), the largest implementer of global health activities among USG agencies and departments.

  • 2013 Survey of Americans on the U.S. Role in Global Health

    Poll Finding

    The 2013 Survey of Americans on the U.S. Role in Global Health examines the American public's views, knowledge and opinions of U.S. efforts to improve health for people in developing countries. The fifth in a series that began in 2009, the survey explores the public's views on global health spending and foreign aid, their priorities for the U.S. in world affairs, and the attention they pay to the issue of health in developing countries.

  • U.S. Participation in International Health Treaties, Commitments, Partnerships, and Other Agreements

    Report

    This report provides a comprehensive look at U.S. participation in 50 significant international treaties and agreements that directly or indirectly touch on health issues.

    The U.S. role in such agreements has attracted renewed policy attention as a result of the Obama Administration’s Global Health Initiative, which includes a focus on stronger multilateral engagement on global health and development issues. Such international agreements help to establish political and legal commitments, formalize international relationships, and coordinate roles and responsibilities internationally.