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

Where the Trump Administration’s Global Health Agreements Stand

August 05, 2026
The State Department has now signed more than 30 bilateral global health cooperation agreements, adding dozens of new deals with partner governments since our initial update and rundown of outstanding questions in December. And as the administration works to reorient the geographic focus of US assis...
Blog Post

Designing Direct Assistance: Exploring Options for the State Department’s New Approach to Global Health

August 10, 2026
It has been almost a year since the State Department unveiled its America First Global Health Strategy, a document that envisions major changes to US global health engagement. But despite an ambitious timeline outlined in the strategy, officials are still working to put the 30-plus agreements signed...
CASE STUDY

Designing Direct-to-Government Assistance: Three Case Studies in Global Health Financing

August 10, 2026
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 fl...