The Trump administration has made substantial changes to US global health programs, starting with an executive order for a 90-day review of foreign aid. This led to a stop-work order that froze all payments and services for work already underway, and the dissolution of USAID.
The State Department has taken over responsibility for remaining global health programs, with a focus on HIV, TB, malaria, polio, and global health security. The administration has also released the America First Global Health Strategy, which aims to make America safer, stronger, and more prosperous through global health engagement.
The changes have had a significant impact on US global health programs, with many implementers facing challenges in getting permission to resume programming and difficulties in getting paid. The administration's actions have also been met with legal challenges, including a preliminary injunction ordering the government to pay for work completed.
