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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

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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 is the U.S. Global Health Initiative Changing What Happens in the Field?

    Event Date:
    Event

    The Kaiser Family Foundation held a May 25 briefing to explore the rollout of the U.S. government's Global Health Initiative (GHI) on the ground, with a particular focus on the recently released GHI country-level strategies. The briefing examined progress and challenges in translating the GHI in the field and next steps moving forward.

  • Health and Development Outcomes of the G-20 Summit

    Event Date:
    Event

    This November 9, 2011 webcast features an expert panel discussing the outcomes of the Cannes G-20 Summit and implications for global health. It is part of the Foundation's "U.S. Global Health Policy: In Focus" series.

  • Exploring HHS’ Role in Global Health & New Global Health Strategy

    Event Date:
    Event

    This Kaiser Family Foundation and U.S. Department of Health and Human Services briefing explores the Department's role in global health and its Global Health Strategy. The event features opening remarks by HHS Secretary Kathleen Sebelius.

  • Distribution of U.S. Global Health Funding, by Sector, FY 2006-FY 2021 Request

    Feature

    Distribution-of-US-Global-Health-Funding-by-Sector-FY06-FY21Request Download Source KFF analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

  • 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.

  • Corruption and Global Health: Summary of a Policy Roundtable

    Issue Brief

    Global health efforts, like all development programs, are vulnerable to corruption. The Kaiser Family Foundation convened a roundtable of experts for a policy discussion on the topic of corruption and global health. The roundtable discussion focused on the magnitude of the problem corruption represents for global health, if current anti-corruption policies and programs are adequate, and how stakeholders can communicate more effectively about corruption to policymakers and the public.

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

    Report

    This report provides an analysis of foreign (non-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.