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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

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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  • Global Health Funding in the FY 2024 Final Appropriations Bill

    Fact Sheet

    Updated: March 25, 2024 On March 23, 2024, the President signed the second package of final FY 2024 appropriations bills, otherwise known as the “Further Consolidated Appropriations Act, 2024,” which was released by the House and Senate Appropriations Committees on March 20, 2024, passed by the House on March 22, 2024 and passed by the…

  • TB Silent Killer: FRONTLINE Documentary and Panel Discussion

    Event Date:
    Event

    The Kaiser Family Foundation convened a public forum to take stock of the global health challenge presented by TB, to examine the limitations and challenges of current treatment options, their limitations and challenges, and to discuss the search for new and better TB drugs and other tools. The event began with a screening of a short segment of a new FRONTLINE television documentary, TB Silent Killer, which focuses on the Southern African nation of Swaziland, the country with the world's highest incidence of TB, and delivers a portrait of the people living at the pandemic's epicenter.

  • Visualizing Health Policy: A Snapshot of US Global Health Funding

    Other Post

    This month’s Visualizing Health Policy infographic shows global health funding’s share of the US federal budget, the flattening of US funds for global health during the 21st century, where US dollars for global health are spent, the major areas receiving US global health funding, and how the US public overestimates the percentage of the federal…

  • A Global Perspective on Women’s Health 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.

  • 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.

  • 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.

  • Global Health Diplomacy: Advancing Foreign Policy and Global Health Interests

    Issue Brief

    This article examines the growing attention to global health diplomacy and its future outlook as donor nations continue to face tight budgetary conditions. Authored by Joshua Michaud and Jennifer Kates of the Kaiser Family Foundation, the article was published in the inaugural issue of the Global Health: Science and Practice journal in March 2013.

  • Global HIV Prevention Progress Report Card 2010

    Report

    The Global HIV Prevention Working Group is a panel of nearly 50 leading public health experts, clinicians, biomedical, and behavioral researchers, and people affected by HIV/AIDS, convened by the Bill & Melinda Gates Foundation and the Kaiser Family Foundation. Executive Summary (.pdf) Report (.pdf) Press Release (.