Global health funding by the United States

The United States is the largest donor of multilateral global health funds. According to the Office of Management and Budget, the U.S. government contributes <1% of the federal budget for foreign aid including global health activities. In 2023, the U.S. contributed 12.9 billion USD towards global health activities across several health verticals including HIV, Tuberculosis, Malaria and COVID-19.

In 2024, total U.S. global health funding through regular appropriations reached approximately $12.3 billion in FY 2024, up from $5.4 billion in FY 2006.

In 2025, President Trump’s administration paused U.S. foreign aid, impacting global health programs like PEPFAR and leading to legal challenges. The administration withdrew from the World Health Organization, citing concerns over its effectiveness and political influence. Budget cuts reduced funding for the National Institutes of Health and global health initiatives, raising concerns about research setbacks. USAID faced restructuring, disrupting climate, health, and education projects, particularly in the Indo-Pacific. These changes sparked debates over the future of U.S. leadership in global health and the potential humanitarian consequences.