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MAGA’s Messy Defense of Trump’s Venezuela Attack
America First’s factions have offered varying justifications for the Maduro mission.
October 1 ushered in a new era in U.S. foreign aid. What's the plan? Will it work?
The America First strategy asks for a Memorandum of Understanding as a condition for healthcare and development aid. It's been praised for promoting self-reliance but criticized for its conditions.
Expanding Faith-based Healthcare in Nigeria through the America First Global Health Strategy - United States Department of State
Today, the United States Department of State signed a five-year bilateral health Memorandum of Understanding (MOU) with the Federal Republic of Nigeria to strengthen Nigeria’s health system, with a strong emphasis on promoting Christian faith-based health care providers. Under this MOU, the Department of State, working with Congress, intends to commit nearly $2.1 billion to […]
US commits $480m in health funding to Ivory Coast, the latest to sign 'America First' health deals
The United States and Ivory Coast have signed a health deal that would require the U.S. to commit $480 million to the West African nation’s health sector.
Continuing to Deliver on the America First Global Health Strategy with the Signing of the United States-Rwanda Bilateral Health Cooperation Memorandum of Understanding - United States Department of State
Today in Washington, Jeremy Lewin, Senior Official, Under Secretary for Foreign Assistance, Humanitarian Affairs, and Religious Freedom and Olivier Nduhungirehe, Minister of Foreign Affairs and International Cooperation signed the Department of State’s second bilateral health cooperation Memorandum of Understanding, between the United States and Rwanda. The five-year, $228 million arrangement outlines a comprehensive vision to […]
Designing Direct-to-Government Assistance: Three Case Studies in Global Health Financing
In September 2025, the US State Department released the America First Global Health Strategy, announcing a major shift in how the United States programs foreign assistance in one of its largest sectors, representing over $13 billion in FY 2024. Global health dollars, the strategy states, will now flow primarily to foreign governments, not to nongovernmental organizations (NGOs), as has been the case in recent decades. The Department has sought to advance this strategy by signing non-binding, multi-year memoranda of understanding (MOUs) with dozens of its largest aid recipients. While officials acknowledge that there will be real challenges to providing direct assistance in the near term, the explicit goal of these MOUs is to transition from donor-driven systems to partner government-led implementation.
America First’s New Health Deals Face Key Tests
Critics argue the transition is unfolding too quickly for fragile states already under strain.
Safeguarding Global Health Security in Cameroon through the America First Global Health Strategy - United States Department of State
The United States and the Government of Cameroon signed a bilateral health Memorandum of Understanding (MOU) to expand significant health gains and advance global health security under the landmark America First Global Health Strategy. The MOU puts Americans first by safeguarding our nation from infectious disease threats, while also supporting Cameroon to build robust, self-reliant […]
Dana Bash to Rep. Jim Jordan on Trump’s attacks in Venezuela: ‘How is that America first?’
The Carlson-Huckabee interview may be the wake-up call Americans needed
The interview brought the 'Israel first vs America first' debate to heart of the American right.
Implementing the Trump Administration’s America First Global Health Strategy in Angola - United States Department of State
Today, the United States and the Republic of Angola signed a five-year bilateral health cooperation Memorandum of Understanding (MOU), advancing the Trump Administration’s America First Global Health Strategy in Africa. Working with Congress, the Department of State intends to provide $71 million to support HIV, malaria, and global health security programming, while Angola will invest […]
America First Business Challenge seeks ambitious Americans for $1 million in grants
Founder Aristotle Loumis joins "NewsNation Prime" to provide more insight into the America First Business Challenge.
Democrats seek to reassure Europe about post-Trump America
Opposition politicians flocked to a summit in Munich to offer an alternative to America First - and stake a claim as future party leaders.
‘The America first graveyard’: Trump’s policies are actively hurting businesses
Donald Trump’s “America First” agenda promised strength, security, and prosperity. But for many of the people caught in its consequences, the result looks more like a graveyard of broken promises.
Bolstering Infectious Disease Outbreak Prevention and Response in Niger and the Dominican Republic Through the America First Global Health Strategy - United States Department of State
On February 26, the United States signed bilateral health cooperation Memoranda of Understanding (MOUs) with the Dominican Republic and the Republic of Niger, reinforcing U.S. leadership in global health while advancing country ownership under the Trump Administration’s America First Global Health Strategy. In the Dominican Republic, the United States signed a five-year bilateral health cooperation […]
WATCH: Rubio and Kenyan President Ruto speak after signing 'America First' global health deal
The Trump administration has signed the first in what are expected to be dozens of “America First” global health funding agreements that will prioritize combating infectious diseases in countries deemed to be aligned with the president’s broader foreign policy goals and positions.
Platner will prioritize public health, which Collins helped to dismantle
A new television ad (paid for by “America First International Assistance”) portrays Sen. Susan Collins as protecting Maine from the Ebola virus by funding millions in scientific research. While the ad may have historical truth concerning her record (the footage appears to be several years old), Sen. Collins is a member of the Republican Senate […]
The Bees moved to the suburbs. Now, an entertainment district is taking shape around them.
The Salt Lake Bees' new ballpark was only the beginning. Here's how America First Square is transforming into a sports and entertainment district.
What Will Trump Pick Mean For World Food Programme And Humanitarians?
Is the World Food Programme getting Luke Lindberg, “America First” Trump appointee, or Luke Lindberg, rookie international civil servant and impartial
Can Marco Rubio convince Trump that a free Cuba is America First?
As Secretary of State, Marco Rubio has been a primary driver of President Trump’s foreign policy. But Cuba is his most personal challenge yet. And as he plots another potential run for the presidency in 2028, it’s the one whose success or failure could most closely define him.
Researchers discover AI can influence opinions on politics and it tends to lean left
Matthew Burtell, an AI expert at America First Policy Institute, warns AI can not only sway opinions but leave a lasting impact on what people believe about key policy issues.
How Trump’s “America First” Administration Could Shut U.S. Scientists Out of the Next Nobel-Worthy Discovery
A proposed White House rule would give political appointees unprecedented control over scientific funding. One physicist, who helped discover the Higgs boson, explains how the rule would’ve stifled that breakthrough.
Health Policy Watch | Controversy, secrecy and suffering after year one of the America First Global Health Strategy
Country controversies, secret terms, opaque procurement, and massive unspent Congressional funds have characterised the first year of the America First Global Health Strategy.
Buss: Trump's biggest political battle isn't in Iran
Trump has a matter of months to rally voters back to the America First agenda he ran on and save his legacy.
U.S. Delivers Maternal Health Equipment Across Madagascar - U.S. Embassy in Madagascar
U.S. Delivers Maternal Health Equipment Across Madagascar U.S. Chargé d’Affaires Stephanie Arnold today provided critical maternal and newborn health equipment that will reach healthcare facilities across Madagascar, demonstrating how U.S. foreign assistance builds a safer, healthier world by helping recipient countries build self-reliant health systems in line with the America First Global Health Strategy. Under President Trump’s America First foreign assistance policy and the America First Global Health Policy, U.S. support serves as a tool of strategic engagement – not global charity. Every U.S. taxpayer dollar is subject to rigorous oversight to ensure measurable results, maximum efficiency, and accountability, with zero tolerance for fraud, waste, or abuse. Through the bilateral Global Health Memorandum of Understanding with Madagascar’s Ministry of Public Health, both governments agreed on shared priorities and responsibilities, including a strong focus on maternal and newborn health and Madagascar’s increasing co-investment in its own health system. Madagascar continues to face major challenges in maternal and newborn health, including high maternal mortality rates and significant gaps in access to quality delivery care. In rural regions, many women still give birth at home or in facilities without adequate infection-prevention supplies. Through the U.S.-funded Momentum Country and Global Leadership Project, the United States is providing essential equipment to healthcare facilities nationwide: calibrated reusable drapes for infection prevention in approximately 1,000 community health centers (CSBs), single-use calibrated drapes for 35 hospitals, and management tools for health workers to improve data collection and care coordination. “U.S. foreign assistance makes America safer by preventing instability and strengthening health systems that can detect and contain infectious diseases before they cross borders,” said Chargé d’Affaires Arnold during the handover ceremony. “Our support is temporary and targeted, designed to help Madagascar build greater self-reliance and reduce long-term dependence on U.S. taxpayer resources.” This U.S. support will help standardize safe delivery practices, strengthen infection prevention, and improve data management systems. Used effectively, these materials will contribute directly to reducing maternal and newborn deaths, especially in rural and hard-to-reach areas where access to quality delivery care remains limited. From major hospitals to remote health centers, U.S.-funded equipment is already delivering results. The nationwide scope of this support ensures that women and newborns across Madagascar benefit from improved infection prevention and safer delivery practices. This targeted assistance helps save lives today while supporting Madagascar’s transition toward a self-sufficient health system, ensuring that today’s U.S. support leads to Madagascar’s future independence from foreign assistance.
Trump’s foray into Venezuela carries political risk at home
Donald Trump campaigned on “No forever wars” and “America First,” and these remain core tenets for many in his MAGA base. His administration’s intervention in Venezuela could test those promises.
Some Democrats tout their version of "America First"
President Trump's war in Iran is scrambling the politics of a slogan he once owned.
How Trump's 'Don-roe Doctrine' is different than Bush-era GOP foreign policy : The NPR Politics Podcast
The Republican Party’s approach to world affairs has shifted from attempting to spread democratic values during the George W. Bush administration to “America First” in President Trump’s first term and now to something else entirely. We discuss what to make of Trump’s foreign policy agenda. This episode: voting correspondent Miles Parks, White House correspondent Danielle Kurtzleben, and senior national political correspondent Mara Liasson.This podcast was produced by Casey Morell and Bria Suggs, and edited by Rachel Baye.Our executive producer is Muthoni Muturi.Listen to every episode of the NPR Politics Podcast sponsor-free, unlock access to bonus episodes with more from the NPR Politics team, and support public media when you sign up for The NPR Politics Podcast+ at plus.npr.org/politics.
Leveraging Momentum of the America First Global Health Strategy with the Signing of the United States–Liberia Bilateral Health Cooperation Memorandum of Understanding - United States Department of State
Today, the United States and Liberia have achieved a historic milestone in advancing the America First Global Health Strategy by signing a five-year, bilateral health cooperation Memorandum of Understanding (MOU). Over the next five years and working with Congress, the United States intends to provide up to $125 million in health assistance to Liberia, supporting […]
Broadening the Trump Administration’s America First Global Health Engagement In South and Central Asia - United States Department of State
On April 6, the United States signed a bilateral health cooperation Memorandum of Understanding (MOU) with the Republic of Tajikistan under the Trump Administration’s America First Global Health Strategy (AFGHS). This breakthrough MOU marks the first bilateral health cooperation signed in the South and Central Asia region and aims to protect Americans from infectious disease threats while strengthening U.S.-Tajikistan relations. Through the MOU worth $78 million and working with Congress, the […]
At CPAC, the ‘America First’ Crowd Ponders Giving War a Chance
The Conservative Political Action Conference has been an America First gathering for years, but with President Trump pursuing war in Iran, organizers have tried to make a shift, with mixed results.
President Trump sets stage for high-stakes Davos talks with global business leaders
‘The Big Money Show’ panel discusses President Donald Trump’s trip to Davos, the ‘America First’ message he plans to deliver to global elites and growing debate over debt, NATO and affordability at home.
Fortifying Health Systems and Countering Infectious Disease Threats Through the America First Global Health Strategy in Burkina Faso - United States Department of State
Today, the United States and Burkina Faso signed a five-year bilateral health cooperation Memorandum of Understanding (MOU) that reinforces regional health security in the Sahel while advancing Burkina Faso’s capacity to independently manage infectious disease threats before they reach our shores. This MOU reflects the Trump Administration’s commitment to protecting American health security while building […]
Fostering Health Sovereignty in the Democratic Republic of the Congo Through the America First Global Health Strategy - United States Department of State
Today, the United States and the Government of the Democratic Republic of the Congo (DRC) signed a five-year bilateral health cooperation Memorandum of Understanding (MOU) that advances the America First Global Health Strategy while protecting Americans and Congolese from infectious disease threats. Under the MOU, working with Congress, the Department of State intends to provide up to $900 million […]
U.S. and Zambia Feud: Trump Health Aid Deal Stalls Over Critical Minerals
The tussle put a spotlight on the administration’s attempt to replace the United States Agency for International Development with a new, “America First” alternative.
America First Business Challenge seeks ambitious Americans for $1 million in grants
Founder Aristotle Loumis joins “NewsNation Prime” to provide more insight into the America First Business Challenge.
Israel’s Vance problem is bigger than JD Vance
Vice President JD Vance has become the face of a Washington that no longer treats Israel as the exception to "America First."
Where the Original ‘America First’ Leader Went to Die
Visiting the grave of Charles Lindbergh, the original nativist celebrity, whose beliefs would fit right in to Donald Trump's vision of America.
US commits $480m in health funding to Ivory Coast, the latest to sign 'America First' health deals
The United States and Ivory Coast signed a health deal Tuesday requiring the U.S. to commit $480 million to the West African nation’s health sector as part of “America First” global health funding pacts that mirror the Trump administration’s foreign policy. It is the latest agreement the U.S. has entered with more than a dozen African countries, most of them hit by U.S. aid cuts, including Ivory Coast.
America first, global health last?
The US is reshaping global health aid through bilateral deals and stricter conditions – raising concerns over funding gaps, sovereignty and whether a transactional model can replace decades of multilateral cooperation
'America First' aid policy reshapes how U.S. delivers global health assistance
Discuss the implications of aid agreements under the new America First Global Health Strategy
US and Kenya sign first of what are expected to be dozens of ‘America First’ global health deals
The Trump administration has signed the first in what are expected to be dozens of “America First” global health agreements that prioritize combating infectious diseases in countries deemed to be aligned with the president’s broader foreign policy goals.
United States and Madagascar Discuss Five-Year Health MOU Implementation Plan - U.S. Embassy in Madagascar
United States and Madagascar Discuss Five-Year Health MOU Implementation Plan The United States and Madagascar’s Ministry of Public Health are in the process of developing a plan for implementing the U.S.-Madagascar five-year Memorandum of Understanding (MOU) on health cooperation, signed under the Trump Administration’s America First Global Health Strategy. The two-day workshop, at the U.S. Embassy in Antananarivo, brought together technical experts and senior leadership from the Malagasy and U.S. governments to discuss a shared vision through a preliminary draft MOU Implementation Plan and to establish the joint governance structures that will guide U.S. foreign assistance in health over the next five years. The jointly decided bilateral health MOU, signed on December 22, 2025, builds on decades of U.S. global health assistance to Madagascar. The health MOU involves the U.S.’s plans, working with Congress, to provide approximately $134 million (over 554 billion Ariary) and a Malagasy commitment of $41 million (over 169 billion Ariary). It aims to strengthen Madagascar’s health system, improve disease prevention and response, and support services that address health security concerns for both countries, including malaria, maternal and child health, polio, and global health security issues that could reach U.S. shores if not contained at their source. During the recent workshop, technical staff from the Ministry of Public Health and the U.S. Government health team worked in thematic groups to draft detailed implementation plans for the five-year MOU period. On the second day, U.S. Chargé d’Affaires Stephanie Arnold and Ministry of Public Health and Economic and Finance Ministry leadership joined the technical teams to discuss plans and proposed terms of reference for two committees: a Joint Steering Committee and an Operational Committee. These structures will ensure clear roles and responsibilities, regular dialogue between the two governments, consistent monitoring of progress, and accountability for results. The framework includes performance benchmarks that will guide continued U.S. support and track Madagascar’s progress toward self-reliance. “We see this not as a U.S. project, but as a joint framework under Malagasy leadership, with U.S. support,” said U.S. Chargé d’Affaires Stephanie Arnold during the workshop’s opening session. The approach reflects U.S. foreign assistance principles that emphasize strategic, results-driven support that advances American interests while helping recipient countries build sustainable health systems. The framework is designed to build systems that Madagascar will increasingly finance and lead itself, reducing long-term dependence on foreign assistance.
Courageous Leadership and Mental Health Take Center Stage at Women’s Leadership Institute Event
The Women’s Leadership Institute brought its April Career Development Series to the Interform Club at America First Field, gathering women from across Utah for a morning focused on Courageous Leadership and Mental Health. Hosted in partnership with the Larry H. Miller Company, the event explored breaking the stigma surrounding mental
One Year Of America First Global Health Strategy: Controversy, Secrecy And Suffering
Country controversies, secret terms, opaque procurement, and massive unspent congressional funds have characterised the first year of the America First Global
The new “America First Global Health Strategy” could erode years of progress under PEPFAR
The authors unpack the impacts the new "America First Global Health Strategy" will have when it comes to HIV/AIDS mitigation in African countries.
Da’Realyst Clark Named Athlon Sports Preseason All-American
KENT, Ohio – Kent State University return specialist Da'Realyst Clark has been named to the Athlon Sports 2026 Preseason All-America First Team as a kick ret...
Mike Beltran shifts from ‘America First’ to ‘Tampa Bay First’ in race against Kathy Castor for CD 14
The Republican nominee is moderating his General Election pitch as he takes on longtime Hillsborough Democrat Kathy Castor.
The America First Global Health Strategy and Pooled Procurement
To help inform the U.S. America First Global Health Strategy, which includes an emphasis on commodities and pooled procurement, we reviewed eight existing global and regional pooled procurement mechanisms
Strengthening U.S.-Nigerian Health Cooperation under the America First Global Health Strategy - U.S. Embassy and Consulate in Nigeria
Strengthening U.S.-Nigerian Health Cooperation under the America First Global Health Strategy The United States signed a five-year, $5.1 billion bilateral health cooperation Memorandum of Understanding (MOU) with the Federal Republic of Nigeria December 19 to advance the America First Global Health Strategy, supporting resilient, self-reliant, and durable health systems while promoting accountability and shared responsibility. Under the five-year MOU, the United States intends to commit nearly $2.1 billion in health assistance, with nearly $3.0 billion in new domestic health expenditures by the Government of Nigeria over the same five-year period. This represents the largest co-investment any country has made to date under the America First Global Health Strategy and underscore Nigeria’s commitment to greater national ownership of its health system. Under the MOU, the United States will continue to support surveillance and outbreak response, laboratory systems, health commodities; frontline healthcare workers, and data systems. Nigeria faces significant health challenges, including one of the highest maternal and child mortality rates globally and approximately30 percent of the global malaria burden. U.S. assistance under the MOU will expand access to affordable, preventive and curative services for HIV/AIDS, tuberculosis (TB), malaria, polio, and maternal and child health, strengthening health outcomes across Nigeria. The MOU places a strong emphasis on Christian faith-based healthcare providers, recognizing their indispensable role in delivering care to communities in need. Nigeria’s more than 900 faith-based clinics and hospitals serve more than 30 percent of the country’s 230 million people, often in areas where healthcare facilities are limited or absent. The MOU provides approximately $200 million in dedicated support to strengthen and support these Christian facilities, enhance workforce capacity, and expand access to integrated HIV, TB, malaria, and maternal child health services. Investments in Christian faith-based health institutions are uniquely positioned to complement public-sector facilities and reinforce Nigeria’s overall health infrastructure. The MOU was negotiated in connection with reforms undertaken by the Government of Nigeria to prioritize the protection of Christian populations from extremist violence. As with all U.S. foreign assistance, the President and Secretary of State retain the right to pause or terminate programs that do not align with U.S. national interests, and the United States expects Nigeria to continue making measurable progress in combating religiously motivated violence against Christian communities. This five-year MOU is the latest of several health cooperation MOUs signed in Africa this month. The United States will continue to sign multi-year Bilateral Agreements on Global Health Cooperation with countries receiving U.S. health assistance to advance the America First Global Health Strategy.
Trump's Iran gamble divides GOP hawks and 'America First' conservatives over what victory looks like
Trump's Iran memorandum of understanding divides GOP as hawks like Cassidy and Cruz clash with allies over whether the deal surrenders leverage.
Advancing the America First Global Health Strategy Through Landmark Bilateral Global Health MOUs - United States Department of State
On December 22 and 23, the United States signed four additional new, landmark global health Memorandums of Understanding (MOUs) with Madagascar, Sierra Leone, Botswana, and Ethiopia, reinforcing U.S. leadership that delivers measurable results for the American people and puts America First by directly countering global infectious disease threats and reducing foreign dependence on U.S. taxpayers. […]
Trump administration’s secrecy on health deals alarms experts, governments
A dearth of information has been disclosed about the agreements, fueling speculation that the “America First” approach to foreign aid is exploitative.
Pursuing Sustainable Health Outcomes Under the Trump Administration’s America First Global Health Strategy in the Republic of Guatemala, the Republic of Guinea, and the Republic of El Salvador - United States Department of State
Today, the United States signed bilateral health cooperation Memoranda of Understanding (MOUs) with the Republic of Guatemala, the Republic of Guinea, and the Republic of El Salvador, advancing the Trump Administration’s America First Global Health Strategy across two continents. These MOUs establish frameworks for sustainable, country-led health systems while strengthening disease detection and response capabilities […]
4 more African nations secure $2.3bn US health funding under America First strategy
The United States has signed four new Global Health Cooperation Memorandums of Understanding (MOUs) with Ethiopia, Botswana, Sierra Leone and Madagascar, marking a major expansion of Washington’s health engagement in Africa under President Donald Trump’s America First Global Health Strategy
US signs pact with Kenya under 'America First' global health plan
The U.S. will provide more than $1.6 billion to Kenya's health system under a new five-year agreement signed on Thursday, the first such agreement reached under the Trump administration's overhaul of foreign aid.
Trump receives inaugural 'America First award' from Republican Party
President Donald Trump received the first ever 'America First award' on March 25, presented by the Republican Party as a token of appreciation.
Advancing the America First Global Health Strategy Through a Landmark Bilateral Global Health MOU with Côte d’Ivoire - United States Department of State
Under the America First Global Health Strategy, the United States is refocusing global health assistance to protect the American people from infectious disease threats, while ending open-ended dependency on U.S. taxpayers. That approach is being put into action through Memorandums of Understanding (MOUs) that require U.S. assistance recipients to invest their own resources and take […]
Building Health Resilience in Burundi Through the America First Global Health Strategy - United States Department of State
On February 6, the United States and the Government of the Burundi signed a five-year bilateral health cooperation Memorandum of Understanding (MOU) that advances the America First Global Health Strategy while protecting Americans from infectious disease threats. Through the MOU, working with Congress, the Department of State intends to provide more than $129 million over the next […]
Charting a New Phase of Trump Administration's America First Global Health Strategy in Asia, Beginning with Cambodia - United States Department of State
On April 2, the United States signed a bilateral health cooperation Memorandum of Understanding (MOU) with the Royal Government of Cambodia through the Trump Administration’s America First Global Health Strategy (AFGHS). This landmark five-year MOU is the first to be signed through the Trump Administration’s AFGHS in Asia, and advances shared global health goals, such […]
What the Ebola crisis tells us about Trump's 'America First' approach to global health
"I've watched USAID help hold the line against epidemics," writes Monik Bhatta. "Gutting it was premature — and DRC's Ebola crisis is the proof."
U.S. ends health aid to Zimbabwe after ‘America First’ deal is spurned
The African nation refused to make an agreement with the Trump administration, which has sought to slash foreign assistance and impose new terms on recipients.
Trump urges Louisiana Rep. Julia Letlow to run for U.S. Senate: ‘Run, Julia, Run!”
Trump referred to Letlow as a “Highly Respected America First Congresswoman” and said she is “Great Star, has been from the very beginning, and only gets better!”
Endorsements roll in for Evan Power CD 2 bid
'Exactly the kind of America First leader we need in Congress.'
Driving Progress on the America First Global Health Strategy Through Bilateral Global Health MOU with Malawi - United States Department of State
Under the America First Global Health Strategy, the United States is advancing a new model of global health assistance—one that prioritizes the protection of the American people from infectious disease threats while empowering recipient countries to achieve self-reliance and accountability within their national healthcare systems. Today, the United States and the Government of Malawi signed a five-year, $936 million bilateral health cooperation Memorandum […]
Trump national security strategy calls for ‘cultivating resistance’ in Europe and changing US’ role in Western hemisphere
The White House quietly released President Donald Trump’s new national security strategy late Thursday, a 33-page document that elevates his “America First” doctrine and sets out the administration’s realignment of US foreign policy, from shifting military resources in the Western Hemisphere to taking an unprecedentedly confrontational posture toward Europe.
What Trump’s Venezuela intervention means for US domestic politics
Trump’s Venezuela intervention has divided his ‘America first’ support base.
Rubio praises nationalism and ties ‘America First’ values to ancient Greece
How Trump’s ‘America first’ administration could shut US scientists out of the next Nobel-worthy discovery
A proposed White House rule would give political appointees unprecedented control over scientific funding. One physicist, who helped discover the Higgs boson, explains how the rule would’ve stifled that breakthrough.
U.S, Nigeria sign $5.1 B health MOU, largest co‑investment under America First strategy
The United States has signed a five-year, $5
United States and Madagascar to Implement $175 Million Five-Year Health MOU - U.S. Embassy in Madagascar
United States and Madagascar to Implement $175 Million Five-Year Health MOU U.S. and Malagasy health officials are convening in Antananarivo for a two-day joint review process, marking the first major step in implementing the strategic health cooperation framework established in the Memorandum of Understanding (MoU) signed between the two countries in December 2025. The MoU outlines the structure and terms of U.S. support to Madagascar’s health sector from 2026 through 2030, with a total commitment of $134,305,000 from the U.S. Government and $41,216,252 from the Government of Madagascar working jointly to address malaria, maternal and child health, polio and global health security issues. This approach reflects the America First Global Health Strategy by prioritizing effective, results-driven cooperation that advances mutual health security and supports Madagascar’s progress toward self-reliance and independence from foreign assistance. The events bring together U.S. Government health experts and Madagascar’s Ministry of Public Health leadership to conduct a comprehensive review of seven major health programs currently supported by United States funding, discussing current activities, and developing recommendations for programs to align with the signed Memorandum of Understanding, which advances both the America First Global Health Strategy and the Government of Madagascar’s goals. “This memorandum sets the course for U.S. strategic cooperation and support to Madagascar’s health sector over the next five years,” said Chargé d’Affaires Stephanie Arnold at the workshop’s opening. This review will help determine how to maximize the effectiveness and impact of these programs, ensuring resources provided by U.S. taxpayer dollars are used wisely,” she added. “By working together to address global health challenges, we demonstrate America’s leadership and commitment to a safer, healthier world, making both the United States and Madagascar healthier and stronger.” Under President Trump’s leadership, the United States is implementing a Global Health Strategy for foreign assistance that emphasizes increased host country ownership, resilient health systems and human resource capacity to reduce dependency, maintaining frontline support to reduce infectious disease threats, and strong performance monitoring systems for accountability and service delivery. “Diseases do not respect borders, and when we support Madagascar’s capacity to detect, prevent, and respond to infectious disease threats, we are contributing to global health security that benefits communities both here and in the United States,” Arnold emphasized, noting that “The MoU represents a commitment to transparency, accountability, and results.” The United States recognizes the commitment of Malagasy leadership in prioritizing investment of time and significant resources on the healthcare of their own citizens. With recent changes in leadership, Madagascar has an opportunity to strengthen governance, improve performance, and move forward toward greater self-reliance, particularly in the healthcare sector. Through strategic focus and thoughtful collaboration under this MoU, U.S. health programs in Madagascar will deliver meaningful results that advance both countries’ interests while supporting Madagascar’s journey toward greater self-reliance and a healthy future.
U.S. Forging a Healthier Oceania Through Trump Administration's America First Global Health Strategy Through Bilateral Health Memorandum of Understanding with Papua New Guinea - U.S. Embassy & Consulates in China
United States Forging a Healthier Oceania Through Trump Administration’s America First Global Health Strategy Through Bilateral Health Memorandum of Understanding with Papua New Guinea Press Statement Thomas “Tommy” Pigott, Principal Deputy Spokesperson April 23, 2026 Yesterday the United States and Papua New Guinea signed a five-year bilateral Memorandum of Understanding (MOU) through the Trump Administration’s America First Global Health Strategy. The landmark health MOU focuses on effectively addressing emerging infectious diseases and ongoing outbreaks, building and maintaining surge-response capacities, and enabling Papua New Guinea’s government to independently manage new health threats before they spread internationally. Working with Congress, the United States intends to provide $15 million through December 2030 through the jointly decided health MOU, building on decades of progress in reducing HIV infections and transmissions in Papua New Guinea. The government of Papua New Guinea intends to allocate up to $3 million to disease control programs and strengthen health systems at the national and provincial levels. Up to $5 million under the health MOU will directly support global health security funding, advancing our shared commitment to health security in the region. Through the signing of this $18 million MOU, we are bolstering infectious disease prevention and response by leveraging cost-effective, nationally-driven approaches, with the goal of increasing Papua New Guinea’s health system self-sufficiency. America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent more than $20.6 billion in new health funding, including more than $12.8 billion in U.S. assistance alongside $7.8 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of April 22, the State Department has signed 32 bilateral global health MOUs with Angola, Bolivia, Botswana, Burkina Faso, Burundi, Cambodia, Cameroon, Côte d’Ivoire, the Democratic Republic of the Congo, the Dominican Republic, El Salvador, Eswatini, Ethiopia, Guatemala, Guinea, Honduras, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, Papua New Guinea, the Philippines, Rwanda, Senegal, Sierra Leone, Tajikistan, and Uganda.
NOAA Fisheries Outlines Science-Based Reforms to Boost American Seafood Production
NOAA Fisheries has released a set of agency-level reform priorities designed to advance science-based fisheries management and strengthen American seafood competitiveness, following input from more than 700 stakeholders and building toward a broader interagency America First Seafood Strategy expected in the coming…
Health Policy Watch: US speeds up signing of bilateral health agreements
As of 2 March, the US has signed 24 bilateral health MOUs in terms of the Trump administration’s America First Global Health Strategy.
America's Open for Business
Just over one year into the second Trump presidency, trillions of dollars have poured into American manufacturing, AI infrastructure, energy, and technology. Treasury Secretary Scott Bessent makes the case for how the administration’s bold trade policy, deregulation, and America First economics are redefining the United States as the world’s premier destination for capital.
Chargé Arnold Speech - Implementation Plan of Five-Year Health MOU - U.S. Embassy in Madagascar
Chargée d’Affaires Stephanie Arnold's Speech Discussion on the implementation plan for the five-year health Memorandum of Understanding (…) Colleagues, and honored guests, Good morning, and welcome to the United States Embassy. It is a pleasure to host you today for the second day of this important workshop to discuss the implementation of our bilateral health Memorandum of Understanding on U.S. Government health activities in Madagascar, made possible through the Trump Administration’s America First Global Health Strategy. Today’s focus— discussing a shared vision and developing a preliminary draft for the health MOU Implementation Plan and the terms of reference for the two committees that will steer its implementation—is a decisive step in moving from commitments on paper to concrete action over the next five years. On December 22, 2025, the Governments of Madagascar and the United States signed a five-year bilateral health MOU, with a financial intention of approximately 554 billion Ariary from the United States and This jointly decided MOU intends to strengthen Madagascar’s health system, support lifesaving services, and improve disease prevention and response that matter to both our countries’ health security. For the United States, this means detecting and containing infectious disease outbreaks including malaria, polio, and emerging health threats before they can reach American shores through international travel and trade, protecting American families while reducing the need for costly domestic emergency responses Yesterday, technical experts from the Ministry of Public Health and the U.S. Government worked in thematic groups to draft a preliminary Implementation Plan. Today, your task is to review the shared vision and preliminary draft MOU implementation plan, and the proposed terms of reference for the Joint Steering Committee and the Operational Committee that will guide its implementation. These committees are not just administrative structures. They are the mechanisms that will ensure clear roles and responsibilities, regular dialogue between our two governments, consistent monitoring of progress, and real accountability for the results that will directly benefit the lives of Malagasy citizens. They will also track performance against the benchmarks we have jointly established, which will guide the continuation of U.S. support over the five-year period . Continued U.S. support will be contingent on meeting these performance benchmarks. This ensures accountability to both American and Malagasy taxpayers and guarantees that our partnership delivers measurable results. America First Foreign Assistance means that U.S. support must be strategic, results-driven, and accountable to our taxpayers. It also means we aim to support greater self-reliance and reduced long-term dependence on foreign assistance, with systems that are increasingly financed and led by Madagascar itself. This approach benefits both our nations: Madagascar gains sustainable health capacity, while the United States advances our health security interests and creates opportunities for American health innovations and companies to support Madagascar’s development. In that spirit, I want to recognize the presence of the Ministry’s leadership and the technical directors and program heads responsible for surveillance, basic health services, family health, immunization, countering malaria, laboratories, medicines, and health information systems. Your leadership and technical expertise are essential if this bilateral health MOU is to translate into real and lasting improvements for people in need across the country. Let me emphasize how important collaboration is to the United States in this effort. We can bring American resources, technical expertise, and tools. But this bilateral health MOU can only succeed if it reflects Madagascar’s priorities and if Malagasy institutions lead and maintain its implementation. We see this not as a U.S. project, but as a joint framework under Malagasy leadership, with U.S. support. That is why we are genuinely pleased to host this event here at the Embassy. Opening our doors to you today symbolizes our commitment to work side by side and to remain transparent about how we use U.S. resources in support of Madagascar’s health system. In closing, thank you for your time and your partnership. We are very happy to welcome you here and proud to accompany Madagascar in this next step of implementation planning for our bilateral health MOU. I wish you a productive and focused session. The work you do today will shape how our two governments cooperate on health in the years ahead; it will influence the quality and reliability of health services that Malagasy communities receive; and, most importantly, it will help protect both our nations from infectious disease threats while building Madagascar’s capacity for long-term health system sustainability. Thank you.
Forging Health Partnerships Under the Trump Administration’s America First Global Health Strategy in Honduras and Senegal - United States Department of State
The United States signed bilateral health cooperation Memoranda of Understanding (MOUs) with the Republic of Honduras and the Republic of Senegal, marking significant milestones in advancing the Trump Administration’s America First Global Health Strategy while strengthening our partnerships in the Western Hemisphere and Africa. In Honduras, the Department of State signed a five-year, $46.5 million […]
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Handover of Health Commodities
Joint Handover of Health Commodities Speech of Chargé d’Affaires Steve Bremner (…) Thank you for joining us. I am here today to demonstrate how U.S. foreign assistance under President Trump’s America First Global Health Strategy and our bilateral health MOU makes America safer and stronger while helping Madagascar build a more self-reliant health system. Through our bilateral Global Health Memorandum of Understanding (MOU) signed in December 2025 with the Ministry of Public Health, our two governments outlined shared priorities and responsibilities, including a strong focus on infectious disease threats and Madagascar’s increasing ownership and co-investment in its own health system. The MOU outlines the structure and terms of U.S. support to Madagascar’s health sector from 2026 through 2030, with a total commitment of $134,305,000 from the U.S. government and $41,216,252 from the Government of Madagascar to work jointly to address malaria, maternal and child health, polio and global health security issues. Stronger health systems help prevent instability and reduce the risk that infectious diseases reach the United States, making both our countries safer. America First foreign assistance is clear and disciplined: It is a tool of strategic engagement, not global charity. Every U.S. taxpayer dollar must show measurable results, reduce long-term dependence on U.S. taxpayer resources, and support greater self-reliance in recipient countries. Support must be efficient and targeted, with zero tolerance for fraud, waste, or abuse. This year, through the U.S.-funded Global Health Supply Chain Program – Procurement and Supply Management project, we are distributing: 989,250 long-lasting insecticide-treated nets, worth $2,000,000 to 63 districts and 1,661 Community Health Centers across Madagascar, with the third and final delivery of these nets having arrived in late June. Through the U.S.-funded Momentum Country and Global Leadership (MCGL) project, we are funding: The full cost of Starlink internet connectivity equipment procurement, installation, and one-year subscription for 31 priority District and Regional Health Offices. Through the U.S.-funded Strengthening Infectious Disease Detection Systems project, we are supplying: 908,523 pieces of critical medical equipment and a modernized digital surveillance system to the Ministry of Public Health. These materials will strengthen health systems, improve response capabilities, and help those most in need of protection from mosquito-borne diseases — particularly malaria, which continues to claim the lives of children and women at an unacceptable rate. Deployed effectively, they will contribute to reducing maternal and newborn mortality in rural and hard-to-reach communities where the need is greatest. In these same underserved areas, Starlink connectivity will play a critical role in enabling the rapid transmission of health data and information to central levels, ensuring that decision-makers receive timely, actionable intelligence and can mount swift, coordinated responses to protect populations. For Americans, this support delivers concrete benefits. Stronger health systems in Madagascar help detect and contain infectious diseases before they spread across borders, protecting American and Malagasy families. More stable, healthier countries can expand trade and economic cooperation with the United States. Our goal is not permanent support; it is temporary, targeted assistance that helps Madagascar save lives while achieving greater self-reliance and independence from foreign assistance. To the health workers and community health agents here that will use the products we’re delivering today: your dedication and skills save lives. Your work exemplifies the kind of local ownership that will enable Madagascar to reduce dependence on foreign assistance and manage the country’s health challenges. This targeted support delivers results today while helping Madagascar build toward a future where it can sustain and expand those health gains independently, ensuring that today’s U.S. support leads to Madagascar’s self-sufficiency. Thank you, Misaotra.
Strengthening Western Hemisphere Health Security Through the America First Global Health Strategy in Panama - United States Department of State
Today, the United States and the Republic of Panama signed a three-year bilateral health cooperation Memorandum of Understanding (MOU) that advances the America First Global Health Strategy while defending Americans against infectious disease threats and accelerating Panama’s progress toward sustainable, country-led health systems. This partnership between the United States and Panama is the first global […]
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Advancing the America First Global Health Strategy Through Landmark Bilateral Agreements on Global Health Cooperation - United States Department of State
In September, I outlined the Trump Administration’s America First Global Health Strategy, which aims to strengthen U.S. leadership and excellence in global health while eliminating dependency, ideology, inefficiency, and waste from our foreign assistance architecture. Today, I welcomed Kenyan President William Samoei Ruto and Prime Cabinet Secretary Musalia Mudavadi to Washington to sign the first […]
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