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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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  • A Year of Vaccine Inequity

    Feature

    Just 7% of low-income countries' populations have received at least one dose of a COVID-19 vaccine as of December 20, well behind the 40% target for 2021.

  • HIV Policy Alignment with International Standards in PEPFAR Countries

    Issue Brief

    This issue brief assesses how the HIV policy landscapes in PEPFAR countries compare to international standards and recommendations. Additionally, we look at the HIV policy landscapes in PEPFAR countries as compared to peer countries. These comparisons are done at the overall, category, and policy indicator level.

  • Economic Impact of COVID-19 on PEPFAR Countries

    Issue Brief

    The COVID-19 has exacted a significant toll on the global economy. This new analysis looks at the economic impacts in PEPFAR countries finding that these countries generally fared worse than their economic and regional peers. In addition, the projected economic growth in these countries remains below pre-pandemic levels.

  • The U.S. Congress and Global Health: A Primer

    Report

    This primer provides an overview of congressional engagement in global health. It examines the structure of Congress and its role and key activities in global health. It then illustrates these by examining two global health examples: the creation and evolution of PEPFAR and the 2014/2015 Ebola outbreak in West Africa.

  • 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…

  • Donor Government Funding for Family Planning in 2019

    Report

    Donor government support for global family planning efforts totaled US$1.50 billion in 2018, up 19% from 2017 (US$1.26 billion) – and the highest level since tracking efforts began following the London Summit on Family Planning in 2012.

  • 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.

  • As PEPFAR Nears its Two-Decade Mark, New Analysis Finds That Mortality Declined Substantially in PEPFAR Countries Over the Course of the Program

    News Release

    A new KFF analysis finds the President's Emergency Plan for AIDS Relief (PEPFAR) program was associated with large declines in mortality in PEPFAR recipient countries since its creation in 2003. The new analysis takes a closer look at PEPFAR’s health impact by assessing the all-cause mortality rate in 90 PEPFAR recipient countries compared to similar low-and middle-income countries. The all-cause mortality rate was 20% lower than expected had PEPFAR been absent. PEPFAR countries with higher…

  • Donor Government International Funding for Family Planning Increased By 9 Percent In 2014

    News Release

    A new Kaiser Family Foundation report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase from 2013 and a 32 percent increase from 2012. The U.S. was the largest donor, providing US$637 million, nearly half of all bilateral funding for family planning programs in 2014. The U.K. (US$328 million) was the second largest bilateral donor, followed by the Netherlands…