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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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  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative: How Have USG Programs Responded?

    Report

    This report examines how countries are responding to and implementing the women, girls, and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, one of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. Based on interviews conducted by the Foundation with representatives from 15 GHI country teams, this report identifies nine key themes and trends that could help inform…

  • The U.S. Department of Defense & Global Health

    Report

    This report provides the first comprehensive look at the role of the Department of Defense (DoD) in global health, examining its organizational structure, activities, strategy, policy, and budget for activities related to global health.

  • Raising the Profile of Diplomacy in the U.S. Global Health Response: A Backgrounder on Global Health Diplomacy

    Issue Brief

    The United States recently announced plans to create an Office of Global Health Diplomacy at the State Department, designed to promote the use of diplomacy to advance U.S. global health efforts and support the next phase of the U.S. Global Health Initiative (GHI) in the diplomatic arena. While the office will be new, and there are outstanding questions about its role, it joins a much longer history of diplomatic engagement on international health issues by…

  • Pulling it Together: As The International AIDS Conference Convenes, Some Positive News About Public Opinion and HIV

    From Drew Altman

    The American people are busy trying to make ends meet and take care of their families and they are constantly bombarded by messaging and spin. They rarely have a full understanding of policy issues and debates. Often it is their strongly held beliefs, whether based on accurate or inaccurate perceptions, which color what they think about issues.  The classic case is the public’s perception of foreign aid, something they don’t like and that they believe…

  • Financing the Response to AIDS in Low- and MiddleIncome Countries: International Assistance from Donor Governments in 2011

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2011, 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).

  • Responding to AIDS at Home and Abroad: How the U.S. and Other High Income Countries Compare

    Report

    This report examines the United States' response to HIV over the last 30 years compared to that of other high-income countries. The report compares the U.S. to seven other similarly situated nations – Australia, Canada, France, the Netherlands, Sweden, Switzerland and the United Kingdom – noting patterns and themes that have emerged from their experiences. Key areas examined include governance of the national responses, the roles of affected communities and non-governmental actors, policies relating to…

  • U.S. Global AIDS Efforts to Help Orphans & Vulnerable Children

    Event Date:
    Event

    On June 26, the Kaiser Family Foundation held a briefing examining the role and policies of the U.S. government and faith-based organizations in helping children orphaned or made vulnerable by the AIDS epidemic. The event featured John Donnelly, global health journalist with GlobalPost and author of the forthcoming book, A Twist of Faith:  An American Christian's Quest to Help Orphans in Africa, which provides a perspective on efforts by faith-based groups to effectively help improve the…

  • The Global Fund Reorganization: What are the Implications?

    Event Date:
    Event

    On Wednesday, June 13, at 12:00 p.m. ET (noon), the Foundation held a live, interactive webcast to examine recent changes at the Global Fund to Fight AIDS, Tuberculosis and Malaria and the implications for U.S. global health policy. A panel of experts discussed the Global Fund's recent funding challenges and reorganization, how the U.S. and other donor nations are responding to these changes, and the future outlook for the Fund’s efforts to address HIV, TB, and…

  • 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 overall are divided on whether or not more spending by the U.S. and other major donors would lead to meaningful progress in…