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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

Event Date:

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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  • Alliances for Global Health Education: Learning from South-South Collaboration — Plenary Panel II: Ethics and Equity Issues of Collaborations for Global Health

    Event Date:
    Event

    Moderator: Lilia Macedo de la Concha, National Autonomous Univeristy of Mexico Speakers: Giorgio Solimano, Universidad de Chile Philippe Lamy, Pan American Health Organization (PAHO)-Mexico (John) Jack Bryant, Johns Hopkins University School of Public Health >>Video that includes original Spanish audio is available here. >>Access the slides for this session.

  • Alliances for Global Health Education: Learning from South-South Collaboration — Plenary Panel III: Social Determinants of Health

    Event Date:
    Event

    Moderator: Carlos Santos Burgoa, Comite para el Estudio de los Determinantes Sociales de la Salud en Mexico Speakers: Marco Akerman, Universidad de Sao Paulo, Brazil Paulo Buss, Oswaldo Cruz Foundation, Brazil Jeanette Vega, Ministry of Health, Chile >>Video that includes original Spanish audio is available here. >>Access the slides for this session.

  • Economics and Global Health: The Basics Tutorial

    Interactive

    This tutorial was produced for kaiserEDU.org, a Kaiser Family Foundation website that ceased production in September 2013. The kaiserEDU.org tutorials are no longer being updated but have been made available on kff.org due to demand by professors who are using the tutorials in class assignments. You may search for other tutorials to view on kff.org.

  • The Current State of the Global HIV/AIDS Epidemic Tutorial

    Interactive

    This tutorial was produced for kaiserEDU.org, a Kaiser Family Foundation website that ceased production in September 2013. The kaiserEDU.org tutorials are no longer being updated but have been made available on kff.org due to demand by professors who are using the tutorials in class assignments. You may search for other tutorials to view on kff.org.

  • The U.S. Global Health Initiative: Overview & Budget Analysis

    Issue Brief

    In April 2010, the Foundation issued a policy brief examining key issues affecting the U.S. Global Health Initiative (GHI). This policy brief and chartpack provide a detailed breakdown of the U.S. budget for the global health programs in President Obama’s GHI, announced in May 2009.

  • Why Global Health Matters to California

    Event Date:
    Event

    This public forum held by the Center for Strategic and International Studies (CSIS) and the University of California, San Francisco (UCSF), Global Health Sciences, showcased and celebrated California and the Bay Area as a center of excellence in global health.

  • Views on the U.S. Role in Global Health Update

    Poll Finding

    This survey builds on the Foundation's previous survey work in measuring Americans' attitudes toward U.S. global health investments and priorities. The survey tracks some questions that were asked earlier in 2009, and delves into some new questions about specific areas of global health spending and how aid should be distributed.