Additional Context: This analysis conducted by KFF assesses the magnitude of U.S. funding reductions in the 29 countries that have signed America First Global Health Strategy Memorandums of Understanding between 2026 and 2029.

Reductions range from 5% in Niger to 53% in Guatemala when assessing 2024-2026 to expected 2027-2029 funding levels. Nigeria ($141 million), Mozambique ($89 million), and the Democratic Republic of the Congo ($83 million) will experience the largest cuts overall.

Devex Researcher Note: These values are based on the $12.6 billion raised for the Global Fund for the 2026-2028 replenishment cycle, which will implement project financing through 2029. This cycle saw the funding reduced by $3.1 billion from the previous cycle. Decreases in U.S. commitments account for 45% of these cuts, totaling $1.4 billion.

Source: KFF