America First and Global Health Reform

Coverage of the America First Global Health Strategy and new debates about global health reform

Tracking the "America First" Bilateral Health Agreements

Tracking the "America First" Bilateral Health Agreements

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Think Global Health's analysis found gaps between country needs and new cofinancing commitments with the United States

An HIV patient places her hand on her forehead during a visit by a caregiver at her home, in Lusaka, Zambia, on April 17, 2012.

As Defunded HIV Programs Thin, Uneven Resilience Emerges

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The latest data for the President's Emergency Plan for AIDS Relief shows how HIV programs are scaling back on epidemic control

Transforming the Global Health Ecosystem for a Healthier World in 2026

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African health and finance officials, along with the former executive director of UNAIDS, offer 10 considerations for global health reform initiatives

Transforming the Global Health Ecosystem for a Healthier World in 2026

Charting Ebola Responses: How 2026 Stacks Up After Aid Cuts

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An Ebola outbreak circulating undetected for weeks or months is a collective failure of global health security, regardless of cause

A map titled "Where the 2026 Ebola Outbreak is Spreading" shows confirmed and suspected cases of Bundibugyo virus disease in the Democratic Republic of Congo (DRC) and Uganda as of June 1, 2026. Affected regions are shaded in salmon/orange-red, and affected cities are marked with black dots. Ituri Province in northeastern DRC is labeled as having seen the most cases and is the largest highlighted region. Additional affected areas in DRC include militia-controlled Goma in North Kivu and areas near Bukavu in South Kivu. In Uganda, Kampala is marked as having confirmed nine cases. A small inset map shows the location of the outbreak region within the broader African continent. Source: Ministry of Health, Democratic Republic of Congo.

One Year Post-USAID, Global Health Funding Stuck in Limbo

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End-of-year estimates convey how much global health funding changed in 2025

A map of where the United States cut health aid in 2025.

Global Health Reform for Communities Beyond Institutions

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Much of global health progress has been driven by small teams, writes the head of Expertise France's major pandemics cluster

Community health workers prepare vaccines for a measles vaccination drive amid a surge in cases, in San Cristobal de Las Casas, Chiapas, Mexico, on February 25, 2026.

The New America First Global Health Strategy: Four Observations

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What the strategy means for supply chain reforms, transnational threats, and congressional oversight on global health spending

U.S. President Donald Trump delivers an address to the nation alongside U.S. Vice President JD Vance, U.S. Secretary of State Marco Rubio and U.S. Defense Secretary Pete Hegseth, in Washington DC, on June 21, 2025.

Sovereignty vs. Multilateralism Is the Wrong Debate in Global Health

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Seed Global Health CEO: countries need a global health model where sovereignty sets the agenda and multilateralism enables it

U.S. Deputy Secretary of State Christopher Landau shakes hands with African Union Commission Chair Mahamoud Ali Youssouf, at the African Union headquarters, in Addis Ababa, Ethiopia, on January 28, 2026.

Global Health Multilateralism Without the United States: What Comes Next?

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The UN General Assembly could clarify whether common ground still exists for global health multilateralism

President of the United Nations General Assembly Annalena Baerbock speaks during a high-level meeting to mark the 80th anniversary of the establishment of the United Nations at U.N. headquarters in New York City, U.S., September 22, 2025

America First in Global Health: How Africa Should Respond

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A new U.S. strategy reframes health assistance from a global public good to a strategic asset for national advantage

Scientific officer Anathi Nkayi works in the research lab at the University of Cape Town's Institute of Infectious Disease and Molecular Medicine, in Cape Town, South Africa February 17, 2025.

The Global Health Reform Debate's Dangerous Blindspot

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Unitaid's executive director compels countries to consider how the future global health system ensures equitable access to innovation

A worker displays a plastic test cassette for HIV 1/2 at Codix Bio production plant where HIV and Malaria test kits are locally produced, as it aims to fill the gap left by U.S. funding cuts to USAID, in Iperu-Remo in Ogun State, Nigeria, on June 18, 2025.

Questions for the America First Global Health Strategy

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Transitioning to time-bound, bilateral agreements with partner countries could create gaps in service continuity and health financing

A nurse administers polio vaccine to a child during her community outreach program, in Mushelusi village, in Bulambuli district, Uganda, on September 10, 2025.

The Overlooked Benefits of Health Aid to Donor Countries

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A recent study outlines how health development assistance creates economic gains for donor countries

A U.S. flag is reflected in the windows of the shuttered former offices of the U.S. Agency for International Development (USAID) in Washington, DC, on July 22, 2025.

The United States Maintains Its Global Fund Commitment

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The $4.6 billion pledge shows the willingness of the United States to support multilateral agencies that meet certain criteria

Norway's Prime Minister Jonas Gahr Store listens during the Global Fund event on November 21, 2025, in Sandton, Johannesburg, South Africa, ahead of the G20 Summit, which begins tomorrow. Leon Neal/Pool via REUTERS

The State of Global Health Funding: August 2025

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Six months after cuts to foreign aid, mostly by the United States, a new global health landscape is taking shape

The State of Global Health Funding: August 2025

A "Defining Moment" for Global Health Funding

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 Track how President Trump's executive orders have jeopardized global health programs that rely on the United States

A "Defining Moment" for Global Health Funding

Tracking the Progress of "Make America Healthy Again"

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A report card for the Trump administration's health agenda based on confirmation hearings and actions taken to date

Tracking the Progress of "Make America Healthy Again"