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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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  • Global Health Policy Quiz

    Feature

    How much do you know about U.S. efforts to improve health around the world? Take this interactive quiz to find out.

  • Views on the U.S. Role in Global Health Update

    Poll Finding

    This survey builds on the Foundation's previous survey work in measuring Americans' attitudes toward U.S. global health investments and priorities. The survey tracks some questions that were asked earlier in 2009, and delves into some new questions about specific areas of global health spending and how aid should be distributed. Following President Obama's announcement of the Global Health Initiative, the survey also measures public perception of the current Administration and Congress with regards to global…

  • Views on the U.S. Role in Global Health Update: Chartpack

    Poll Finding

    This is a chartpack of a survey that builds on the Foundation's previous survey work in measuring Americans’ attitudes toward U.S. global health investments and priorities. The survey tracks some questions that were asked earlier in 2009, and delves into some new questions about specific areas of global health spending and how aid should be distributed. Following President Obama's announcement of the Global Health Initiative, the survey also measures public perception of the current Administration…

  • Abortion Policy on the Global Stage: Unpacking the Trump Administration’s Newly Expanded Mexico City Policy

    Event Date:
    Event

    On Friday, January 23, 2026, the Trump administration released the latest expansion of the Mexico City Policy (MCP). The controversial policy, which had restricted foreign non-governmental organizations (NGOs) from performing or promoting abortion as a method of family planning as a condition of receiving most U.S. global health aid, has been broadened significantly to include more organizations (not just foreign NGOs) and most U.S. foreign aid. Also, the policy now prohibits activities related to diversity, equity, and inclusion (DEI) as well as support for gender-affirming care and services, and legal protections based on gender identity (among other activities). This move marked the most significant expansion of the MCP in more than 40 years — extending its reach far beyond the policy’s expansion during Trump’s first…

  • Key Issues and Questions for PEPFAR’s Future

    Issue Brief

    This brief explores key issues and poses questions regarding PEPFAR’s future, providing a roadmap for the major decisions ahead for the program. It identifies eight key, interrelated issues facing the administration, Congress, and other PEPFAR stakeholders.

  • Is Contact Tracing Getting Enough Attention in U.S. Coronavirus Response?

    Policy Watch

    This blog examines the role of contact tracing in the U.S. coronavirus response. Contact tracing is going to be a crucial piece of the puzzle for eventually suppressing and containing the virus, allowing people to congregate in public, and letting people go back to work again. But policymakers have, so far, not focused much on scaling up contact tracing capabilities. Capabilities needed include resources and trained staff for traditional contact tracing efforts, which can be…

  • Survey of Americans on HIV/AIDS – Part Two: HIV Testing

    Poll Finding

    These survey findings of Americans’ views on HIV testing are part of Kaiser’s national “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores such issues as how many adults report ever having been tested and talk to their doctor about HIV/AIDS, as well as misconceptions and stigma about HIV testing. The first part of the survey, on global HIV/AIDS, was released on June 2, 2004. The final portion of the survey will be…

  • The U.S. Government Engagement in Global Health: A Primer

    Report

    This primer provides basic information about global health and U.S. government programs that address global health. The first several sections provide an overview of the field of global health and describe current global health issues. The subsequent sections describe U.S. government support for global health, from the programs the government supports, to the organization of the U.S. response, the budgets and financing of U.S. global health programs, and the U.S. government’s relationship with multilateral institutions…