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

Six Questions for the State Department's Global Health Agreement Implementation Plans

September 30, 2026
Rumor has it that the State Department will soon release (some) implementation plans for its global health agreements. The plans should add much-needed detail to one of the most consequential shifts in US global health policy. That is big news for anyone following the Trump administration’s new appr...
CGD NOTE

What Would We Have Done Differently? Insider Lessons for the Future of US Foreign Assistance

October 01, 2026
Results from a new survey show that those with extensive knowledge of and experience with USAID did not believe the status quo was adequate. They generally regarded the agency as capable of producing important results, but they also saw substantial unrealized potential and a compelling need for refo...
Blog Post

Impact Data Helped Save PEPFAR. What About Everything Else?

September 22, 2026
It is a justifiable commonplace that data on outcomes is key to effective aid: for targeting, delivery, monitoring and evaluation. Last year certainly provided additional evidence of the need for data to target assistance: because of cuts to data collection we simply didn’t know where a lot of food ...
CGD NOTE

Protecting the Client in US Global Health Agreements

September 23, 2026
The direction of travel laid out in the Global Health Strategy is correct. To the extent possible, health services should be provided and funded by the countries home to those receiving those services. But MoUs are overestimating the extent to which this is possible, especially in the short term and...