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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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  • Mapping the United States Government Engagement in Global Public Health

    Report

    This background report lays out the United States government’s engagement in global health activities in order to provide a basis for analysis and to help decision makers understand the scope and organization of programs, policies, authorities, funding and coordinating mechanisms that comprise U.S. support for public health abroad.

  • U.S. Humanitarian Assistance and Global Health Policy: Opportunities and Barriers for More Effective Coordination

    Issue Brief

    This brief presents key findings from a Kaiser Family Foundation review and analysis of the policy and financing landscape where U.S. humanitarian assistance and global health assistance meet. It also summarizes a July 2013 roundtable discussion convened by the Foundation focusing on opportunities, challenges, and potential next steps for more effective coordination between humanitarian assistance and global health programs.

  • 2013 Survey of Americans on the U.S. Role in Global Health

    Poll Finding

    The 2013 Survey of Americans on the U.S. Role in Global Health examines the American public's views, knowledge and opinions of U.S. efforts to improve health for people in developing countries. The fifth in a series that began in 2009, the survey explores the public's views on global health spending and foreign aid, their priorities for the U.S. in world affairs, and the attention they pay to the issue of health in developing countries.

  • U.S. Participation in International Health Treaties, Commitments, Partnerships, and Other Agreements

    Report

    This report provides a comprehensive look at U.S. participation in 50 significant international treaties and agreements that directly or indirectly touch on health issues.

    The U.S. role in such agreements has attracted renewed policy attention as a result of the Obama Administration’s Global Health Initiative, which includes a focus on stronger multilateral engagement on global health and development issues. Such international agreements help to establish political and legal commitments, formalize international relationships, and coordinate roles and responsibilities internationally.

  • Donor Government Assistance for Family Planning in 2012

    Report

    This report establishes a baseline level of donor government funding for family planning activities in 2012 that can be used to track total international assistance funding levels for family planning over time as well as commitments donor governments made at last year's London Summit on Family Planning. It finds donor governments provided about US$900 million in bilateral funding for family planning programs in 2012, and an additional US$432 million in core contributions to the United Nations Population Fund (UNFPA).

  • New Interactive Tool Tracks the U.S. Global Health Budget in Real Time

    News Release

    The Kaiser Family Foundation has launched a new interactive tool designed to provide the latest data on the U.S. government's global health budget in an easy-to-access form. The U.S. Global Health Budget Tracker lets users follow the budget from the President's budget request through the appropriations process in Congress, as well as see trends over time.

  • Web Briefing for Media: The Response to the Ebola Outbreak in West Africa

    Event Date:
    Event

    President Obama announced an increased effort by the United States to respond to the spread of Ebola in West Africa as the scale of the outbreak continues to grow. What has the global response been so far? How has the United States contributed? What will the response be going forward, in the coming weeks and months? What key lessons can be learned from this outbreak, and what can be learned by comparing the outbreak to other large-scale disasters?

  • Measuring the Impact of Ebola: Will it Reach 1.4 Million?

    Perspective

    This Policy Insight take a deeper look at several key measures of the impact of the current Ebola epidemic in West Africa, including estimates of current cases, prevalence and death rates, as well as a consideration of the future projections of Ebola’s burden in the months to come.