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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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  • African Americans  Views of the HIV/AIDS Epidemic at 20 Years:  Findings from a National Survey

    Poll Finding

    This report, African Americans Views of the HIV/AIDS Epidemic at 20 Years: Findings from a National Survey, examines African Americans views and knowledge of HIV/AIDS, including analysis by race/ethnicity, of trends over time, and among African American subgroups. The report is based a nationally representative survey of 2,683 adults, ages 18 and older, including 431 African Americans. This report serves as a companion document to The AIDS Epidemic at 20 Years: The View From America.…

  • Latinos  Views of the HIV/AIDS Epidemic at 20 Years:  Findings from a National Survey

    Poll Finding

    This report, Latinos Views of the HIV/AIDS Epidemic at 20 Years: Findings from a National Survey, examines Latinos views and knowledge of HIV/AIDS, including analysis by race/ethnicity, of trends over time, and among Latino subgroups. The report is based a nationally representative survey of 2,683 adults, ages 18 and older, including 549 Latinos. Interviews were completed in both English and Spanish according to respondent preference, and the report is available in both English and Spanish.…

  • A National Household Survey of Health Inequalities in South Africa (2 volumes) – Toplines/Survey

    Poll Finding

    A National Household Survey of Health Inequalities in South Africa (2 volumes) The first democratically elected government in South Africa has made improving health and health services for the historically underserved black majority a national priority. As part of this process, in June 1995, the Minister of Health, Dr. Nkosazana Dlamini Zuma, outlined a plan designed to provide free primary health care to all South Africans. This plan aims to improve the health status of…

  • Spending on the HIV/AIDS Epidemic: A Three Part Series (Full Report)

    Report

    Full Report: Spending on the HIV/AIDS Epidemic: A Three Part Series This compliation policy brief provides analysis of spending on the HIV/AIDS epidemic both by the United States government and globally. Included is an analysis of U.S. federal spending on the HIV/AIDS epidemic since FY 1981; spending by the U.S. on global HIV/AIDS activities and programs; and global spending on HIV/AIDS in resource-poor settings, including bilateral, multilateral, and private sector support.This policy brief was prepared…

  • Global Health Funding in the FY 2021 Omnibus

    Fact Sheet

    The FY 2021 omnibus appropriations bill (and accompanying reports), released by Congress on December 21, 2020, includes funding for U.S. global health programs at the State Department, the U.S. Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH).[i] The bill also includes funding for Coronavirus relief efforts, including $4 billion for Gavi, the Vaccine Alliance (see the KFF analysis of global funding included in…

  • Assessing Global HIV Targets in PEPFAR Countries: A Dashboard

    Issue Brief

    A new KFF analysis finds that across 46 PEPFAR countries and among six different indicators of progress, the majority (40) has met at least one target. The analysis is part of a dashboard that provides a detailed look at progress being made to address the HIV/AIDS epidemic in countries where PEPFAR operates.

  • COVAX and the United States

    Issue Brief

    This issue brief provides an overview of COVAX, the global mechanism to secure and deliver COVID-19 vaccines. The brief details COVAX's organization, conditions for country participation, activities, and financing structure. Additionally, it looks at the history and remaining key issues of U.S. engagement with COVAX.

  • Global COVID-19 Vaccine Access: A Snapshot of Inequality

    Policy Watch

    This policy watch examines global access to COVID-19 vaccines by country income level, assessing country income levels' shares of purchased doses and potential vaccination coverage, while also looking closely at the potential impact of COVAX in addressing vaccine access disparity between high-income and low- and middle-income countries.

  • Historical Trends in U.S. Funding for Global Health

    Issue Brief

    To provide context for the release of the administration’s first, full budget request for FY 2022, this brief provides an overview of historical trends in U.S. global health funding, including changes in program-specific funding over time, the distribution between bilateral and multilateral support, and in the increasing use of emergency supplemental funding in response to outbreaks.