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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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  • Trends in U.S. Spending on HIV/AIDS

    Issue Brief

    This policy brief provides an analysis of trends in U.S. federal spending on the HIV/AIDS epidemic since FY 1981, the year in which the epidemic began. To date, the U.S. government has invested more than $100 billion in combating the epidemic.

  • U.S. Spending on Global HIV/AIDS

    Issue Brief

    This policy brief examines federal spending on the global HIV/AIDS epidemic, with a primary emphasis on spending and activities to benefit resource-poor countries. United States spending on international HIV/AIDS activities in resource-poor countries began in the mid-1980s; and in FY 2002, the U.S. will devote $1 billion to combating HIV/AIDS globally.

  • 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.

  • Curtailing the HIV Epidemic: The Power of Prevention

    Other Post

    A Leadership Forum convened by The Henry J. Kaiser Family Foundation, The Ford Foundation, and The Bill and Melinda Gates Foundation, New York, NY A Leadership Forum on HIV Prevention took place in New York immediately preceding the UN General Assembly Special Session on HIV/AIDS, held June 25-27, 2001.

  • Faces of the AIDS Epidemic in Southern Africa

    Other Post

    A photographic journey One of the world's most celebrated war photographers, Mr. Don McCullin in August last year traveled to southern Africa to see for himself the human devastation of the HIV/AIDS epidemic. "I thought I had seen everything, but really, I was not prepared for this" says McCullin.

  • The XIII International AIDS Conference

    Other Post

    , July 9-14, 2000 In Durban, South Africa, more than 10,000 delegates gathered to discuss critical HIV/AIDS issues such as progress in medical research, access to treatment and care, HIV prevention, and governmental and private sector support for the fight against AIDS.