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Analysis of U.S. and Global Fund Funding Reductions in MOU Countries

The U.S. government and the Global Fund to Fight AIDS, Tuberculosis and Malaria, the top two donors to global health in low- and middle-income countries, each took actions to reduce funding to countries starting last year and plan to further reduce funding going forward. Under the Trump administration, the U.S., as part of its new America First Global Health Strategy (AFGHS) “MOU” agreements with countries, plans to reduce funding by billions over the next few years. The Global Fund, due to reduced contributions from the U.S. and other donors, is also reducing funding in the same set of countries. Together, the U.S. and Global Fund reductions serve as a “one-two punch” to countries, who will be faced with significantly fewer resources in the coming years.

KFF Tracker: America First MOU Bilateral Global Health Agreements

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

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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.

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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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  • The Latest Ebola Outbreak: What’s Different about the U.S. and International Response?

    News Release

    The United States played a leading role in the international response to the 2014 Ebola outbreak in West Africa, providing the most financial support, mobilizing U.S. staff across the federal government, and jumpstarting international efforts to strengthen global health security. As this month’s new outbreak unfolds in the Democratic Republic of Congo (DRC), the U.S. so far is playing a more limited role. A new Kaiser Family Foundation brief examines key differences and changes since…

  • Kaiser/UNAIDS Study Finds Donor Government Funding for HIV Rose to US$8.1 Billion in 2017 due to Shift in Timing of U.S. Support

    News Release

    Donor government disbursements to combat HIV in low- and middle-income countries increased 16 percent from US$7 billion in 2016 to US$8.1 billion in 2017 – though the higher total stems largely from the timing of U.S. funding and is not expected to last, a new report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) finds. The increase follows two years of declines in donor support for HIV and results largely…

  • Addressing the HIV/AIDS Epidemic at Home and Abroad: Short-Term Policy Options Under Consideration by the New Administration and Congress

    Issue Brief

    This past summer, the United States government’s global HIV/AIDS program was reauthorized and the U.S. Centers for Disease Control and Prevention (CDC) released new data indicating that the epidemic at home was worse than previously thought. These events called significant attention to HIV/AIDS and together present the new Administration and Congress with an opportunity to address the epidemic at home and abroad. Several short-term HIV-specific policy options have already been proposed for consideration, or are…

  • A Brief Look at Americans’ Perceptions of the Global HIV/AIDS Epidemic

    Poll Finding

    This Data Note, using data from a national survey of Americans on HIV/AIDS released in June 2011, examines trends in the public's perception of HIV/AIDS as a global problem. Overall, survey trends show that Americans view HIV/AIDS as a more pressing health problem for the world than for the U.S., although the perceived sense of urgency has been on the decline for both the global and domestic epidemics. The sense of urgency about the global…

  • Innovative Financing Mechanisms for Global Health: Overview & Considerations for U.S. Government Participation

    Report

    When leaders from the world's 20 major economies gather for the upcoming G-20 Summit in France, one of their priorities will be finding new ways to maintain and expand the impact of global development programs in the wake of an international financial crisis and mounting efforts to control public spending and debt. The previous decade saw significant increases in support for global health, but there is growing pressure on traditional funding channels. As a result,…

  • Data Note: Predictors of support for increased U.S. spending on global health

    Poll Finding

    One of the key questions explored in the Kaiser Family Foundation Survey of Americans on the U.S. Role in Global Health is the public’s level of support for U.S. government spending to improve health for people in developing countries. The survey found that about two thirds of Americans say current levels of U.S. spending in this area are too low (26 percent) or about right (39 percent). In this Data Note, we take a deeper…

  • The Multisectoral Impact of the HIV/AIDS Epidemic – A Primer

    Other Post

    As the number of people living with HIV/AIDS continues to grow, the pandemic has affected many sectors of society, reaching well beyond its direct human toll. The Kaiser Family Foundation has prepared a primer on The Multisectoral Impact of the HIV/AIDS Epidemic, which explains this concept and summarizes key research assessing impacts to date in many of the worst affected countries, including effects on population structure and demographics, individuals and households, the public and private…