'America First' Aid Policy Reshapes How U.S. Delivers Global Health Assistance

The Trump administration's America First Global Health Strategy has replaced USAID with bilateral aid agreements that require recipient governments to co-finance — and eventually fully fund — their own health programs.

 

Kenya signed a five-year, $1.6 billion deal and pledged an additional $850 million domestically. Uganda is positioned to produce up to 11 million doses of lenacapavir, a twice-yearly injectable nearly 100% effective at preventing HIV.

Public health experts have flagged concerns about co-financing feasibility for debt-burdened governments, the exclusion of family planning services, and data-sharing requirements mandating pathogen and biological sample transfers to the U.S. Learn more from PBS here.