Tracking U.S. global health funding at the country level

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Tracking U.S. global health funding at the country level

This tracker provides data on global health financing in the United States by program area and country. It includes (projected) funding amounts approved by Congress for FY 2006 through FY 2023, as well as obligations and disbursements from FY 2006 through FY 2025 (FY 2025 data is partially reported). Data was obtained from ForeignAssistance.gov (see About this tracker below for details). For examples of analytics that can be performed using this tracker, please expand the section below.

This interaction can be used to understand the amount of funding the United States provides to global health programs in other countries. For example, in fiscal year 2023, the most recent year for which complete data is available for all transaction types, the United States appropriated $6.9 billion, obligated $6.3 billion, and disbursed $6.4 billion for country-specific global health programs (additional funds were also channeled to global activities and regional programs). Of the $6.3 billion in bonds:

97 countries received U.S. funding across global health programs, including 67 countries that received funding for HIV, 61 for global health security (GHS), 51 for maternal and child health (MCH), 39 for family planning and reproductive health (FP/RH), 30 for malaria, 27 for other public health threats, 27 for nutrition efforts, and 26 for tuberculosis (TB).
The top 10 countries, accounting for 62% of funding, were: Nigeria ($588 million), Tanzania ($539 million), Uganda ($446 million), Mozambique ($430 million), Zambia ($420 million), Kenya ($402 million), South Africa ($365 million), Malawi ($261 million), Democratic Republic of Congo ($229 million) and Ethiopia ($197 million).
Regionally, sub-Saharan African countries received the largest share of global health funding from the United States (85% or $5.4 billion), followed by South and Central Asia, East Asia and Oceania, and the Western Hemisphere (each at about 4% or ranging from $227 to $264 million), the Middle East and North Africa (2% or $107 million), and Europe and Eurasia (1% or $84 million).
Low-income countries received the largest share of funding (47% or $3 billion), followed by lower-middle-income countries (43% or $2.7 billion) and upper-middle-income countries (10% or $652 million); high-income countries received 0.2% ($10 million).

Tracker

About this tracker

The United States is the world’s largest global health donor, providing bilateral (direct country-to-country) support to U.S. global health programs in more than 75 countries in fiscal year 2023, and additional countries have been reached through U.S. regional efforts and contributions to multilateral organizations. This tracker provides historical data on U.S. government bilateral funding for global health by country, region, and income level. It presents data on global health financing by country, channeled through the Department of State and the United States Agency for International Development (USAID); these agencies account for about 85% of all U.S. funding for global health. Funding channeled through other agencies – the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and the Department of Defense (DoD) – is not included because this data is not available at the national level. Funding for “regional” or “global” programs, which may reach other countries, is also not included. Visit our companion resource, KFF US Global Health Budget Tracker, to view data on US funding for global health in general, including funding channeled through these other agencies. The data from this tracker presents three types of transactions:

Appropriate : funding amounts based on Congressional appropriations for a given fiscal year that may be obligated and disbursed over a multi-year period;
Obligations: binding agreements that will result in disbursements (or expenditures), immediately or in the future, and
Disbursements: amounts actually paid (an expenditure of funds) to a recipient in a given year.

These amounts will be updated as new data becomes available. The queried data can be downloaded using the button in the interactive interface, and the full data can be downloaded here. For questions about this resource or for inquiries about more in-depth analyzes of global health financing in the United States, please contact globalhealthbudget@kff.org.