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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.

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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  • Kaiser/UNAIDS Analysis Finds Donor Governments Spent US$8 Billion for HIV in 2018, Similar to a Decade Ago

    News Release

    Donor government disbursements to combat HIV in low- and middle-income countries totaled US$8 billion in 2018, little changed from the US$8.1 billion total in 2017 and from the levels of a decade ago, finds a new report from the Kaiser Family Foundation (KFF) and the Joint United Nations Programme on HIV/AIDS (UNAIDS). Half of the 14 donor governments analyzed in the study increased their spending on global HIV efforts from 2017 to 2018; five decreased…

  • The U.S. Government Engagement in Global Health: A Primer

    Report

    This primer provides basic information about global health and U.S. government programs that address global health. The first several sections provide an overview of the field of global health and describe current global health issues. The subsequent sections describe U.S. government support for global health, from the programs the government supports, to the organization of the U.S. response, the budgets and financing of U.S. global health programs, and the U.S. government’s relationship with multilateral institutions…

  • FY19 Conference Agreement Released, Includes State & Foreign Operations (SFOPs) Funding

    Fact Sheet

    The FY19 Conference Agreement, which includes funding for State & Foreign Operations (SFOPs), was released on February 13, 2019. The SFOPs section of the bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and USAID through the Global Health Programs (GHP) account, which represents the bulk of global health…

  • The Current Ebola Outbreak and the U.S. Role: An Explainer

    Issue Brief

    An outbreak of Ebola is currently ongoing in the Democratic Republic of Congo (DRC), now the second largest Ebola epidemic ever recorded. This Issue Brief gives an overview of the current situation, explains the U.S. role in responding to the outbreak, and answers key questions about the broader global response.

  • Where Does Public Opinion Stand on the U.S. Role in Global Health?

    Poll Finding

    More than two years into President Trump administration's promotion of an "America First" approach to international affairs, the April 2019 KFF Health Tracking Poll examines the public's attitudes toward key global health issues, including views on the U.S. role in world affairs and global health, and support for global health spending.

  • Poll Finds Most Americans Oppose the Trump Administration’s Changes to Restrict Title X Family Planning Funds from Clinics that also Provide or Refer for Abortion

    News Release

    A new KFF poll of the public’s views on reproductive health issues finds most Americans, including majorities of women of reproductive age, are concerned that access to women’s reproductive health and preventive care services may be limited by the Trump administration’s changes to Title X, the nation’s federal family planning program. The poll examines the public’s views of major regulatory changes to the Title X program, which funds nearly 4,000 clinics nationally to pay for…

  • The U.S. Government and Multilateral Global Health Engagement: 5 Key Facts

    Issue Brief

    With ongoing questions about future U.S. support for multilateral health efforts as well as important markers on the near horizon, including donor replenishment conferences for both the Global Fund and Gavi within the next two years, this brief highlights five key facts about U.S. engagement with multilateral global health organizations.

  • Donor Government Funding for Family Planning in 2017

    Report

    This analysis finds that donor government support for global family planning efforts totaled US$1.27 billion in 2017, up 6 percent from 2016 but still below its 2014 peak. Funding from the United States, the world’s largest donor, declined in 2017, largely due to a delay in the disbursement of funds as U.S. appropriations have been holding steady in recent years. Increases in other countries offset the U.S. lag

  • Donor Government Support for Family Planning Rose 6% in 2017, but Remains below 2014 Peak

    News Release

    A new KFF (Kaiser Family Foundation) analysis finds that donor government support for global family planning efforts totaled US$1.27 billion in 2017, up 6 percent from 2016 but still below its 2014 peak. Funding from the United States, the world’s largest donor, declined from US$532.7 in 2016 to US$488.7 million in 2017, largely due to a delay in the disbursement of funds. U.S. appropriations have been holding steady in recent years. Increases in other countries…