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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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  • Donor Government Funding for Family Planning in 2016

    Report

    A new Kaiser Family Foundation report finds that donor government funding for family planning declined in 2016 for the second year in a row, decreasing to US$1.19 billion compared to US$1.34 billion in 2015. While the declines over this two-year period were largely due to exchange rate fluctuations and the timing of donor disbursements which accounted for 78 percent of the overall decrease, there were actual cuts in funding from some donor countries which accounted…

  • The Efficacy of a New Long-Acting Injectable PrEP

    Quick Insights

    The news today about the efficacy of a new long-acting injectable PrEP, the second such breakthrough announcement in recent months, is nothing short of groundbreaking.

  • Trump Administration Withdrawal from the World Health Organization: What’s at Stake?

    Quick Insights

    As expected, President Trump signed an executive order announcing his intention to withdraw the U.S. from the World Health Organization. For the U.S., the implications [aren’t] clear and immediate but could also be significant. By not being at the table, the U.S. will cede this role to others—China in particular—and take itself out of influencing international negotiations.

  • 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.

  • The Hantavirus Outbreak Is a Test Case for the U.S. Public Health Response

    Quick Insights

    The outbreak is also a kind of test case for how well the U.S. is positioned to respond to global disease threats under the Trump administration. Since early last year, the administration has pulled back U.S. engagement on global health, which has included completing a withdrawal from membership in the World Health Organization (WHO)...

  • New Ebola Quarantine Rule Bars Entry of Noncitizens, Including Green Card Holders, from Affected Countries

    Quick Insights

    The rule is significantly more restrictive than approaches used to mitigate risks during past Ebola outbreaks and creates a standing administrative authority that may allow the CDC to quickly issue suspensions or place strict restrictions on entry of any noncitizen, including lawful permanent residents, under situations it deems to be high-risk public health emergencies in the future.

  • Few Americans Expect a Widespread Ebola Outbreak Here, But Some Are Worried They or a Family Member May Become Infected, New Poll Finds

    News Release

    Democrats, Republicans and Independents All Support Major U.S. Role Fighting Ebola in West Africa, About Equally, to Protect Americans and to Save Lives As the nation grapples with its first cases of Ebola transmitted in the U.S., a new Kaiser Family Foundation Tracking Poll finds that personal worry about Ebola is reasonably high, with 45% of the public saying they are worried that they or a family member will contract the disease. But most Americans…