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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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  • What is happening to USAID?

    Quick Insights

    The more important question, though, is not whether USAID sits in the State Department or remains independent, but what functions it does and does not perform (and will be kept), and more broadly, as a result, what the United States role in the world is.

  • Do We Want to Outsource U.S. Vaccine Policy to Denmark?

    Quick Insights

    Adopting Denmark’s vaccine schedule, as HHS Secretary Kennedy's vaccine advisors have suggested, would likely lower childhood vaccination rates in the U.S. as certain vaccines become harder to access.

  • 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…

  • 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…

  • 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…

  • 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,…