Access the expanded version of the tracker on KFF’s Tableau Public page.
About This Tracker
This budget tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels throughout the appropriations process. Data can be customized by fiscal year, sector, and U.S. agency.
Learn about the features of this tracker, including the ability to view country-level funding by program area (including breakdowns by income-level and region) and a user guide that provides an overview of the tool’s sources, notes, and how to access the data.
For questions related to this resource, please contact [email protected].
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Notes
- The “Global Health Programs” (GHP) account was formerly the “Global Health and Child Survival” (GHCS) account.
- Totals include base and supplemental funding.
- Some global health funding that is not specified in the appropriations bills and is determined at the agency level is not yet known for later years and is assumed to remain at prior year levels.
- FY 2013 includes the effects of the sequestration.
- In FY 2013, the Assistance for Europe, Eurasia and Central Asia (AEECA) account was eliminated and funding formerly provided through this account was incorporated into other accounts (e.g. GHP and Economic Support Fund).
- Prior to 2009, nutrition (which includes funding for micronutrients, Vitamin A, and iodine deficiency) was included as part of Maternal & Child Health (MCH) funding.
- Global health totals do not include maternal & child health (MCH), nutrition, family planning & reproductive health (FP/RH), and HIV/AIDS funding provided through the Food for Peace program. Funding through Food For Peace (FFP) is provided in the form of food aid and is not included due to the unique design of the program.
- Due to policy conditions put in place by Congress, actual annual contributions to the United Nations Population Fund (UNFPA) are frequently lower than enacted levels.
- U.S. support for nutrition programs includes both direct funding as well as funding provided under other programs such as HIV/AIDS. “Nutrition” funding amounts presented here include direct funding amounts only (based on data from ForeignAssistance.gov) and does not include funding provided through other programs.
- Prior to FY 2016, “Global Health Security” funding at USAID was named “Pandemic Influenza & Other Emerging Threats” (PIOET).
- In FY 2020, the administration proposed to formally transfer $7.2 million from the “HIV/AIDS, Viral Hepatitis, STI and TB Prevention” account to “Global Tuberculosis” activities under “Global Health Programs” at CDC. The FY 2020 conference agreement formalizes this transfer.
- Global malaria funding at CDC is provided through the “Parasitic Diseases and Malaria” funding line, but an exact funding amount for malaria is not specified for FY 2018-FY 2022; in those years, malaria funding at CDC was estimated using prior year levels ($10.7 million).
- From FY 2017 – FY 2020 the administration invoked the Kemp-Kasten amendment to withhold U.S. contributions to UNFPA (see UNFPA Funding & Kemp-Kasten: An Explainer). Per a requirement in Congressional appropriations bills, withheld funding was reallocated to the GHP account for bilateral family planning, maternal, and reproductive health activities.
- The Trump administration withheld some of the U.S. assessed contributions to WHO for FY 2019 and FY 2020 (approximately $81.5 million). In FY 2021, the Biden administration provided WHO the full assessed contribution as well as the outstanding arrears for FY 2019 and FY 2020.
- Some FY 2020 – FY 2023 global health funding provided through the Economic Support Fund (ESF) and Development Assistance (DA) accounts at USAID is not yet known; for comparison purposes, these amounts are based on totals presented in Congressional Budget Justifications or prior year levels.
Sources
KFF analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard.
Abbreviations
AEECA – Assistance for Europe, Eurasia and Central Asia
BTRP – Biological Threat Reduction Program
CDC – Centers for Disease Control and Prevention
CIO – Contributions to International Organizations
DA – Development Assistance
DoD – Department of Defense
ESF – Economic Support Fund
FIC – Fogarty International Center
FPRH – Family Planning & Reproductive Health
GAVI – Gavi, the Vaccine Alliance
GDD – Global Disease Detection & Emergency Response
GEIS – Global Emerging Infections Surveillance & Response System
GHP – Global Health Programs
Global Fund – Global Fund to Fight AIDS, Tuberculosis and Malaria
GPHC – Global Public Health Capacity Development
GPHP – Global Public Health Protection
IAVI – International AIDS Vaccine Initiative
IDA – International Disaster Assistance
IO&P – International Organizations and Programs
MCH – Maternal and Child Health
NIAID – National Institute of Allergy and Infectious Diseases
NIH – National Institutes of Health
NPHI – National Public Health Institutes
NTD – Neglected Tropical Diseases
OAR – Office of AIDS Research
PAHO – Pan American Health Organization
State – U.S. Department of State
UNAIDS – Joint United Nations Programme on HIV/AIDS
UNFPA – United Nations Population Fund
UNICEF – United Nations Children’s Fund
USAID – U.S. Agency for International Development
WHO – World Health Organization
