Global health funding stuck in limbo
Image

Global Health Update

February 5, 2026

One Year Post-USAID, Global Health Funding Stuck in Limbo

Allison Krugman

A map of where the U.S. has slashed health aid

One year after the Trump administration’s sweeping foreign aid cuts and closure of the U.S. Agency for International Development (USAID), funding losses are more dire for many nations than previously estimated. Think Global Health Data Visuals Editor Krugman writes that the new America First Global Health Strategy has left critical HIV/AIDS, tuberculosis, and water programs suspended while African nations scramble to increase domestic health spending amid uncertain U.S. commitments. Read more 

 

Does Pandemic Preparedness Depend on Confronting the Chronic Disease Crisis?

Thomas J. Bollyky, Joseph L. Dieleman, AJ Mitchell, Chloe Searchinger, Elena Every

HHS Secretary Kennedy listens to NIH Director Bhattacharya

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. listens while U.S. National Institutes of Health Director Jay Bhattacharya speaks at a press conference. (Kevin Lamarque/Reuters)

The U.S. National Institutes of Health leadership has argued that the best pandemic preparedness playbook is one that prioritizes making Americans healthier and more resilient to novel pathogens by reducing their burden of chronic diseases. Although healthier life habits alone cannot constitute an effective, comprehensive preparedness strategy, CFR’s Bollyky and colleagues argue, substantial evidence shows that reducing the premature burden of obesity, diabetes, and other noncommunicable diseases would certainly help—and not just in the United States. Read the full article 

 

What the Development Finance Reauthorization Means for Global Health Security

Prashant Yadav, Stephanie Psaki, William Henagan, Elena Every, Thomas J. Bollyky

A researcher holds a flow cell

A researcher holds a flow cell used for Illumina, Inc.’s NovaSeq X gene-sequencing system. (Illumina Inc/Reuters)

Congress finally reauthorized the U.S. Development Finance Corporation (DFC) in mid-December as part of the 2026 National Defense Authorization Act, more than tripling the institution’s funding limit. Senior Fellows Yadav and Henagan, former U.S. Coordinator for Global Health Security Psaki, and others analyze the risks, challenges, and opportunities that will accompany the DFC’s reauthorization and expansion. Read more 

 

New U.S. Childhood Vaccine Schedule Creates Legal Peril

Nsikan Akpan

A child receives a vaccine

A child receives a dose of the Moderna coronavirus disease vaccine at Skippack Pharmacy in Schwenksville, Pennsylvania. (Hannah Beier/Reuters)

The U.S. Centers for Disease Control and Prevention revised its vaccine schedule recommendations for children and teens. Think Global Health Managing Editor Akpan interviews law professor Dorit Reiss on the risks and protections for pediatricians and state governments after the shift. Read more 

 

The Great Aid Recession: 2025’s Humanitarian Crash in Nine Charts

Sam Vigersky

A chart displaying Halloween candy spending compared to aid funding in the U.S.

The world faces unresolved conflicts, growing climate crises, attacks on aid workers, two famines, and diminishing political will—along with significant aid cuts. Altogether, 2025 has earned a grim new superlative: the worst humanitarian year on record. Writing for CFR, International Affairs Fellow Vigersky illustrates the scale of 2025’s humanitarian crisis through nine sobering charts. Read more 

 

 

More on Global Health From CFR

Gendered Legacies of Control: How China’s Population Policies Reshaped Women’s Lives (Tahina Montoya and Kelly Atkinson, CFR) 

 

Fentanyl and the U.S. Opioid Epidemic (Mariel Ferragamo and Claire Klobucista, CFR) 

 

Trump’s Disaster Aid Rebound (Sam Vigersky, CFR) 

 

Will Trade Policies Drop Drug Prices? (Thomas J. Bollyky and Elena Every, CFR) 

 

Beyond Thimerosal: Preserving Vaccine Access Amid Growing Hesitation (Prashant Yadav and Orin Levine, Think Global Health) 

 

The United States Maintains Its Global Fund Commitment (Prashant Yadav and Elena Every, Think Global Health) 

 

Tracking Pharma’s Progress on U.S. Onshoring Efforts to Avoid Tariffs (Prashant Yadav and Chloe Searchinger) 

Better Health Begins With Ideas

Think Global Health is a multi-contributor website that examines the ways in which changes in health are reshaping economies, societies, and the everyday lives of people worldwide. 

Join the conversation

 

CFR Events on Global Health

A Conversation With Jay Bhattacharya of the National Institute of Health with Sylvia Mathews Burwell, Senior Professorial Lecturer and President Emerita of American University and Former U.S. Secretary of Health and Human Services (2014–17)

Highlights From the News

U.S. Makes Exit from WHO Complete (featuring Thomas J. Bollyky, STAT News)  

 

China’s Search for an AI Magic Cure (featuring Yanzhong Huang, Wire China) 

 

Are Drugmakers Talking to Us or Trump When They Pledge New NC Factories? (featuring Prashant Yadav, News & Observer) 

 

Why Is the U.S. Pulling Out of 31 UN Groups? And What’s the Impact? (featuring Thomas J. Bollyky, NPR) 

 

China’s WuXi AppTec, After Evading Threat of U.S. Restrictions, Comes Out Ahead (featuring Thomas Bollyky, STAT News) 

What We’re Reading

  • U.S. Economic Security: Winning the Race for Tomorrow’s Technology (CFR) 

  • Marion Nestel on the New Dietary Guidelines (Public Health on Call) 

  • “There Wasn’t Even Time for CPR”: Iran Medics Describe Hospitals Overwhelmed With Dead and Injured Protestors (BBC) 

  • EPA to Stop Considering Lives Saved When Setting Rules on Air Pollution (New York Times) 

  • American Academy of Pediatrics Loses HHS Funding After Criticizing RFK Jr. (Washington Post) 

  • “Chinese Peptides” Are the Latest Biohacking Trend in the Tech World (New York Times) 

  • HHS Recommends Home HPV Testing for Women for the First Time (Center for Infectious Disease Research and Policy) 

 

About the Global Health Program

The