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, or MoUs between 2026 and 2029. KFF acknowledges that while there were significant funding reductions announced in 2026, further reductions are planned between 2027 and 2029. This reduction represents a 29% drop from 2024-2026 to expected 2027-2029 funding levels.

Almost all 29 countries will face funding reductions. The countries with the biggest reductions in dollar terms are Uganda ($370 million), Mozambique ($356 million), Nigeria ($280 million), and Malawi ($252 million). Reductions range from 1% in Honduras to 82% in Senegal, with 12 countries experiencing reductions of 50% or greater.

Source: KFF