Global Health Programs

What this funds

1 FY 2025 Estimate includes rescissions enacted in the FY 2025 full-year CR (P.L 119-4) and the Rescissions Act of The FY 2027 Global Health Programs (GHP) Request advances the America First Global Health Strategy (AFGHS) by prioritizing saving lives, keeping Americans safe by stopping the spread of infectious diseases globally, and supporting countries in moving away from dependency on foreign assistance and towards resilient and durable local health systems that prevent disease, maintain health, and enable economies to thrive. The Request drives forward critical global health advancements that demonstrate the impact of American innovation and leadership in global health, while promoting opportunity for American businesses abroad. The Request provides the Secretary with greater flexibility to program global health assistance based on outcomes of negotiations with partner governments and the specific needs of countries and their unique The AFGHS maximizes the impact of significant U.S. global health assistance that saves millions of lives by co-investing in multi-year bilateral Memoranda of Understanding (MOUs) developed jointly with countries, with the goal of more streamlined and integrated health systems. American foreign assistance is not charity; these agreements will allow our partners to assume more responsibility for their own health systems while also ensuring continued U.S. leadership on health and will protect Americans from infectious disease threats. As of March 10, the State Department has signed 24 bilateral global health MOUs representing more than The AFGHS approach empowers country self-reliance by incentivizing countries to meet or exceed key health metrics while supporting countries to increasingly own and manage healthcare commodity supply chains; assume full support for, adequately staff, and integrate frontline healthcare workers; and transition data systems to countries' long-term health information systems. The approach also integrates health programming areas within bilateral programs to achieve greater efficiency in country-led delivery of health services that In addition, FY 2027 proposes aligning all Global Health Program accounts into 3-year period of availability (POA), enabling the Department to harmonize its planning cycle across all disease areas. Historically, HIV funds appropriated through the Department of State have had a 5-year period of availability, and funds appropriated for other disease areas, including tuberculosis, malaria, and others have had a 2-year period of availability. A single, aligned period of availability will ensure synchronization as the Department executes integrated global health programming through the AFGHS. The Budget eliminates global health activities that do not make America safer, such as family planning and reproductive health. The Budget does not include funding for Gavi, the Vaccine Alliance ("Gavi"). Any future funding for Gavi in FY 2027 is contingent on the organization making necessary reforms and meeting certain benchmarks on vaccine safety. The Budget includes language to apply the requirements of the Administration's Promoting Human Flourishing in Foreign Assistance (PHFFA) policy to all applicable State Department foreign assistance accounts, including the Global Health Programs account. Collectively, resources will contribute to achieving the following global goals in the AFGHS: HIV/AIDS: The Request continues robust support for the President's Emergency Plan for AIDS Relief (PEPFAR) to continue life-saving bilateral programs while transitioning from the emergency response of the last 20+ years to country-led ownership and integration of programs across health areas as countries take increasing financial responsibility for their own durable national response. During the transition from the emergency response to self-reliance, essential HIV programs will support case finding, prevention, treatment with a focus on sustained viral load suppression, and ending mother-to-child transmission of HIV/AIDS in several high-burden countries by the end of President Trump's second term. Activities will include provision of antiretroviral treatment to adults and children, including differentiated service delivery and community- based support to ensure adherence and optimal clinical outcomes, scale up of Lenacapavir, and introduction of other novel technologies and optimized approaches to service delivery. Funding will help strengthen HIV services and ensure continuity of critical health systems, including the health workforce, commodity procurement, supply chains, and laboratory systems. ' Ensuring that 95 percent of people living with HIV know their HIV status, 95 percent of people who know their status are receiving HIV treatment, and 95 percent of people on treatment are virally Resources for the Global Fund to Fight AIDS, Tuberculosis and Malaria will accelerate innovation to save Maternal and Child Health: The Request will support proven life-saving interventions to accelerate reductions in maternal, newborn, and child deaths. High-impact interventions will target major causes of death through small and sick newborn care, breastfeeding, and antenatal and postnatal visits; prevention and treatment of childhood pneumonia and diarrhea, including through effective household and community sanitation and hygiene; and essential immunizations including to control infectious diseases. The Request will also reduce maternal deaths by preventing and managing postpartum hemorrhage, preeclampsia, sepsis, and The Request will contribute to countries working towards: Polio: Within the Maternal and Child Health request, programming will continue to support global polio eradication and drive increased country ownership of polio assets. Funding will prioritize surveillance, laboratory strengthening, life-saving vaccinations, data systems, and active case finding and referrals for paralytic polio cases. Activities will target endemic and other countries at risk for polio outbreaks and cross- border transmission, including to Americans at home and abroad. The Request will contribute to countries working towards: ' Eradication of wild poliovirus type 1 (WPV1) by end of 2027 ' Elimination of circulating type 2 variant poliovirus (Cvdpv2) by the end of 2029 Global Health Security: The Request will support countries' self-reliance for health security, while maintaining robust U.S. technical assistance for outbreak surveillance and response. Together, this will facilitate countries' commitments to coordinate and consult with the United States on detection and response, address gaps in national surveillance systems enhance biosurveillance capabilities, and increasingly fund lab commodities, epidemiologists, and frontline lab workers. Funding will also strengthen global biosurveillance, including through integrating and enhancing data systems, scaling up surveillance and diagnostic tools, and supporting rapid action when an outbreak is detected, including by strengthening in-country capacities and ' Enabling detection of an outbreak with epidemic potential within seven days of its emergence. ' Containing outbreaks that originate outside of the United States rapidly at their source. Tuberculosis (TB): The Request will support implementation of cost-efficient and effective interventions to

Extracted from Foreign Operations, p. 92. Verbatim; nothing here is paraphrased.

Contracts funded by this line

725 linked contracts. These are obligations — lifetime awarded money — and they are not comparable to the request above and are never added to it. No total is shown: an award linked to several lines is counted in full on each, so the sum would not be a fact.

Showing 8 of 725 — most confidently matched first, largest within a confidence tier. These are not necessarily the largest 8.

Confidence mix · 725 certain

Linked contracts are a floor, not a census. Coverage is bounded by how distinctively a program is named and, for performer links, to RDT&E and Procurement — O&M and military construction publish no performers. Budget figures are FY2027 request dollars; contract figures are obligations. The two measure different things and must never be summed together.

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