G2G Monitor

CGD’s new Government-to-Government (G2G) Monitor newsletter is tracking the Trump administration’s intent to program a greater share of US global health funding through government systems rather than traditional implementing partners. Nearly a year after the State Department unveiled its America First Global Health Strategy, officials are working to operationalize more than 30 agreements signed with partner countries, some of which will seek to put US health assistance on budget.

Each edition of the G2G Monitor offers analysis and recommendations on what direct assistance through partner governments can deliver and what the next era of US development engagement should look like. Subscribe today.

More from the Series

Blog Post

Five Lessons for Pay-for-Results in the State Department’s Global Health MOUs
Eeshani Kandpal
October 27, 2026
The State Department’s new bilateral global health agreements mark a shift in how the US finances health programs overseas. Under the America First Global Health Strategy, the department has signed dozens of memoranda of understanding (MOUs) with partner governments. These MOUs emphasize country own...
Hospital beds inside a clinic.
Blog Post

Expanding the US Development Finance Wingspan: A Proposal for a US Sovereign Concessional Lending Program
Clemence Landers
and
Erin Collinson
October 21, 2026
As economic statecraft becomes an increasingly central component of national security and foreign policy, is the US missing an essential tool in its arsenal? For over three decades, American bilateral foreign assistance has been almost entirely in the form of grants. The absence of a broader financi...
Rural road project in Armenia
CGD NOTE

The Devil Is in the DLIs: What Program-for-Results Health Operations Can Teach the State Department About Results-Based Financing
Jocilyn Estes
and
Rosie Eldridge
October 22, 2026
As the US State Department officials craft implementation plans for more than 30 bilateral agreements signed with partner countries, the question of how to design results-based indicators is more urgent than ever. We think the devil is in the DLIs—the disbursement-linked indicators, that is. The Ame...
A female doctor with the International Medical Corps examines a woman patient at a mobile health clinic in Pakistan
POLICY PAPER

Restocking the Toolkit: The Case for US Concessional Sovereign Loans

Erin Collinson et al.
October 21, 2026
For decades, the United States has relied almost exclusively on grants to deliver foreign assistance. While grant-based assistance remains essential in the poorest countries and for meeting health and humanitarian needs, grants are poorly suited to financing large-scale infrastructure, where funding...
School contruction in Peru