Think Global Health: Tracking the “America First” bilateral health agreements

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Think Global Health analysis

After a year of dissolving USAID, withdrawing from the World Health Organization, and reducing foreign assistance for health, the Trump administration is finalizing bilateral arrangements that will define the next era of U.S. global health engagement.

These memoranda of understanding (MOUs), released under the America First Global Health Strategy, intend to transition the United States away from aid and toward jointly financed health agreements. The 24 countries that have signed MOUs as of March 3 face widely varying cofinancing provisions, raising questions about their capacity to meet spending benchmarks, achieve target health outcomes, and replace foreign assistance.

The Think Global Health analysis assesses the sustainability and scope of the cofinancing obligations under the MOUs. Toward this effort, the analysis examines the partner governments’ recent and projected health spending, how U.S. funding is expected to change under the agreements, and evaluates the available text of the MOUs.

Read the full analysis here.

 

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