KFF Tracker: America First MOU Bilateral International Well being Agreements

On September 18, 2025, the U.S. authorities (USG) launched its new Health-Technique-Report.pdf”>America First International Health Technique, which particulars how the U.S. will have interaction in international Health efforts transferring ahead. As a part of this new technique, the U.S. has introduced that IT shall be establishing bilateral Health cooperation agreements with nations that obtain U.S. international Health help. These agreements, or Memorandums of Understanding (MOUs), between the U.S. and companion nations characterize five-year plans (for the interval 2026-2030) outlining U.S. engagement in every nation’s Health efforts with the aim of “serving to nations transfer towards extra resilient and sturdy Health methods.” Central to those plans is transitioning nation packages from U.S. help to long-term nation possession, with a pledge from every companion nation to extend its home Health spending, or co-investment in Health, over the following 5 years because the U.S. decreases its Health help. The U.S. started signing these agreements in late 2025 and this course of is ongoing. Implementation is slated for later this yr.

This tracker gives an outline of the MOUs signed to this point. Knowledge are based mostly on press releases issued by the State Division, U.S. embassies, and companion nation Ministries of Health, in addition to MOU paperwork (if publicly accessible). See Methods for extra Information. This tracker shall be up to date as agreements are signed and extra information grow to be accessible.

Strategies

This tracker gives Information on U.S. MOU bilateral international Health agreements to this point. Information is sourced from publicly accessible U.S. Division of State, U.S. embassies, and companion nation Ministries of Health press launch statements and MOU texts, and shall be up to date as extra Information turns into accessible and when further agreements are signed. At the moment, MOU textual content, which accommodates probably the most detailed Information of those sources, is publicly accessible for under a restricted variety of nations; for these nations, information have been sourced straight from these MOU paperwork.

Program areas are captured utilizing key phrase searches; for international Health safety (GHS) particularly, nation agreements have been categorized as focusing on GHS in the event that they particularly talked about GHS, or in the event that they included descriptions of outbreak preparedness and response actions and containing Health threats. Because of the restricted nature of press launch statements, this tracker could not comprehensively seize the worldwide Health program areas focused in every nation’s settlement.