U.S. Global Health Funding, FY 2006 – FY 2020 Request NOTES: Represents total known funding provided through the State Department, USAID, CDC, NIH, and DoD. FY13 includes the effects of sequestration. FY18, FY19, and FY20 Request are preliminary estimates. Some global health funding that is not specified in the appropriations bills and is determined at the agency level is not yet known for FY18, FY19, and the FY20 Request and is assumed to remain at prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and accompanying explanatory reports, the Office of Management and Budget, and U.S. Foreign Assistance Dashboard.

U.S. Global Health Funding as a Share of the Federal Budget, FY 2020 Request NOTES: Total federal budget figure is an estimate only. Global Health represents total known funding provided through the State Department, USAID, CDC, NIH, and DoD. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Congressional Budget Office, and Agency Congressional Budget Justifications.

U.S. Global Health Funding, By Sector, FY 2020 Request In Millions Total = $8.0 billion NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. Malaria includes funding through USAID, CDC, NIH, and DoD. TB, Nutrition, NTDs, and Vulnerable Children include funding through USAID. MCH includes funding through USAID and CDC as well as contributions to UNICEF. FP/RH includes funding through USAID as well as contributions to UNFPA. Global Health Security includes funding through USAID, CDC, and DoD, as well as emergency Ebola and Zika funding. “Other” includes funding through USAID, CDC, and NIH as well as contributions to WHO and PAHO and the Emergency Reserve Fund. Some global health funding in the FY20 Request is not yet known (e.g. CDC funding for malaria) and is estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Global Health Funding, Percent Change by Sector, FY 2019 – FY 2020 Request NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. Malaria includes funding through USAID, CDC, NIH, and DoD. TB, Nutrition, NTDs, and Vulnerable Children include funding through USAID. MCH includes funding through USAID and CDC as well as contributions to UNICEF. FP/RH includes funding through USAID as well as contributions to UNFPA. Global Health Security includes funding through USAID, CDC, and DoD, as well as emergency Ebola and Zika funding. “Other” includes funding through USAID, CDC, and NIH as well as contributions to WHO and PAHO and the Emergency Reserve Fund. Some global health funding is not yet known for FY19 and the FY20 Request (e.g. CDC funding for malaria) and is estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Global Health Funding, By Sector, FY 2006 – FY 2020 Request In Millions NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. Malaria includes funding through USAID, CDC, NIH, and DoD. TB, Nutrition, NTDs, and Vulnerable Children include funding through USAID. MCH includes funding through USAID and CDC as well as contributions to UNICEF (the FY20 request proposes to eliminate the IO&P account which includes the U.S. contribution to UNICEF). FP/RH includes funding through USAID as well as contributions to UNFPA. Global Health Security includes funding through USAID, CDC, and DoD, as well as emergency Ebola and Zika funding. “Other” includes funding through USAID, CDC, and NIH as well as contributions to WHO and PAHO and the Emergency Reserve Fund. Some global health funding is not yet known for FY18 and the FY20 Request (e.g. CDC funding for malaria) and is estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

Share of U.S. Global Health Funding, By Sector, FY 2006 – FY 2020 Request NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. Malaria includes funding through USAID, CDC, NIH, and DoD. TB, Nutrition, NTDs, and Vulnerable Children include funding through USAID. MCH includes funding through USAID and CDC as well as contributions to UNICEF. FP/RH includes funding through USAID as well as contributions to UNFPA. Global Health Security includes funding through USAID, CDC, and DoD, as well as emergency Ebola and Zika funding. “Other” includes funding through USAID, CDC, and NIH as well as contributions to WHO and PAHO and the Emergency Reserve Fund. Some global health funding is not yet known for FY18 and the FY20 Request (e.g. CDC funding for malaria) and estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

Distribution of U.S. Global Health Funding, By Sector, FY 2006 – FY 2020 Request NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. Malaria includes funding through USAID, CDC, NIH, and DoD. TB, Nutrition, NTDs, and Vulnerable Children include funding through USAID. MCH includes funding through USAID and CDC as well as contributions to UNICEF. FP/RH includes funding through USAID as well as contributions to UNFPA. Global Health Security includes funding through USAID, CDC, and DoD, as well as emergency Ebola and Zika funding. “Other” includes funding through USAID, CDC, and NIH as well as contributions to WHO and PAHO and the Emergency Reserve Fund. Some FY18, FY19, and FY20 Request global health is not yet known (e.g. CDC funding for malaria) and is estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

Bilateral & Multilateral Share of U. S Bilateral & Multilateral Share of U.S. Global Health Funding, FY 2009 – FY 2020 Request $10.0 $10.1 $9.8 $10.5 $11.4 $10.5 $10.8 $11.0 $8.0 NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some funding provided through Economic Support Fund (ESF) and Development Assistance (DA) accounts is not yet known for FY18, FY19 and the FY20 Request and is assumed to remain at prior year levels. Multilateral funding includes the Global Fund, GAVI, UNAIDS, UNICEF, UNFPA, WHO, PAHO, and the Global TB Drug Facility. Several international organizations (including UNICEF, UNAIDS, and others) that have historically received specified funding amounts in the budget are not allocated any funding in the FY 2020 Request. While it is possible that the Administration could provide funding to these organizations, such funding would have to be taken from either bilateral programs or other accounts. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

Share of U.S. Global Health Funding, By Agency, FY 2006 – FY 2020 Request NOTES: Represents total known funding (base and supplemental) provided through the State Department, USAID, CDC, NIH, and DoD. Includes Global Fund appropriations provided through State, USAID, and NIH. State includes contributions to UNICEF, UNFPA, WHO, and PAHO. Some global health funding for FY18 and the FY20 Request is not yet known (e.g. CDC funding for malaria) and estimated based on prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for the President’s Emergency Plan for AIDS Relief (PEPFAR), FY 2004 – FY 2020 Request NOTES: PEPFAR was created in 2003 and funding began in FY04. PEPFAR includes funding for HIV, TB, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. HIV includes funding through State/OGAC, USAID, CDC, NIH, and DoD. TB includes funding provided through USAID. Global Fund includes contributions provided through the State Department, USAID, and NIH. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some funding for HIV programs through the Economic Support Fund (ESF) account at USAID is not yet known for FY18, FY19, and the FY20 Request and is assumed to remain at prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Bilateral HIV, FY 2001 – FY 2020 Request In Millions NOTES: Includes HIV funding provided through State/OGAC, USAID, CDC, NIH, and DoD. Bilateral HIV includes funding for UNAIDS, IAVI, the Commodity Fund, and Microbicides research activities. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some funding for HIV programs provided through the Economic Support Fund (ESF) account at USAID is not yet known for FY18, FY19, and the FY20 Request and is assumed to remain at prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Global Tuberculosis (TB), FY 2001 – FY 2020 Request In Millions NOTES: Includes TB funding provided through USAID. Bilateral TB includes funding for the Global TB Drug Facility. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some funding for TB programs provided through the Economic Support Fund (ESF) account at USAID is not yet known for FY19 and the FY20 Request and is assumed to remain at prior year levels. Totals do not include global TB funding provided by the CDC through a transfer from the “HIV/AIDS, Viral Hepatitis, STI and TB Prevention” account. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Global Malaria, FY 2001 – FY 2020 Request In Millions NOTES: Includes malaria funding provided through USAID, CDC, NIH, and DoD. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some funding for malaria programs at CDC is not yet known for FY18, FY19, and the FY20 Request and is assumed to remain at prior year levels. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for The Global Fund, FY 2001 – FY 2020 Request In Millions NOTES: : Includes Global Fund contributions provided through the State Department, USAID, and NIH. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Global Neglected Tropical Diseases (NTDs), FY 2006 – FY 2020 Request NOTES: Includes NTD funding provided through USAID. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Maternal & Child Health (MCH) and Nutrition, FY 2006 – FY 2020 Request In Millions NOTES: Includes MCH and nutrition funding provided through USAID and CDC as well as U.S. contributions to UNICEF. Prior to FY09, nutrition funding was included as part of MCH. Does not include funding provided through Food for Peace (FFP) due to the unique nature of the program. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Some MCH and nutrition funding is determined at the agency level and is not yet known for FY19; for comparison purposes, these amounts are assumed to remain at prior year levels. Several international organizations (including UNICEF, UNAIDS, microbicides research, IAVI, and others) that have historically received specified funding amounts in the budget are not allocated any funding in the FY 2020 Request. While it is possible that the Administration could provide funding to these organizations, such funding would have to be taken from either bilateral programs or other accounts. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for International Family Planning/ Reproductive Health (FP/RH), FY 2006 – FY 2020 Request In Millions NOTES: Includes FP/RH funding through USAID as well as U.S. contributions to UNFPA. Includes base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

U.S. Funding for Global Health Security, FY 2006- FY 2020 Request In Millions NOTES: Includes Global Health Security funding through USAID and CDC. Totals include base and supplemental funding. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. FY20 Request funding for GEIS at DoD is not yet known and is assumed to remain at prior year request levels. In FY15, Congress provided $5.4 billion in emergency funding to address the Ebola outbreak, of which $909.0 million was specifically designated for global health security. In FY16, Congress provided $1.1 billion in emergency funding to address the Zika outbreak, of which $145.5 million was specifically designated for global health security. In FY18, Congress provided $100 million in unspent Emergency Ebola funding for “programs to accelerate the capabilities of targeted countries to prevent, detect, and respond to infectious disease outbreaks.” In FY19, Congress provided $38 million in unspent Emergency Ebola funding for “programs to accelerate the capacities of targeted countries to prevent, detect, and respond to infectious disease outbreaks.” SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov, GEIS and AFHSC/AFHSB annual reports, communication with GEIS personnel, and IOM, Review of the DoD-GEIS Influenza Programs: Strengthening Global Surveillance and Response, 2008.

U.S. Funding for Global Polio, By Agency, FY 2009 – FY 2020 Request In Millions NOTES: Includes polio funding provided through the CDC‘s global immunization program and the Global Health Programs (GHP) and Economic Support Fund (ESF) accounts at USAID. FY13 includes the effects of sequestration. FY19 is based on funding provided in the “Consolidated Appropriations Act, 2019” (P.L. 116-6) and is a preliminary estimate. Totals may not sum due to rounding. SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard website, www.foreignassistance.gov.

U.S. Funding (Enacted) for the United Nations Population Fund (UNFPA), FY 2001 – FY 2020 Request In Millions NOTES: FY13 includes the effects of sequestration. Due to policy conditions put in place by Congress, actual annual contributions are frequently lower than enacted levels (e.g. in each of the years between 2002-2008 and 2017-2019, Congress approved funding for UNFPA, however, the administrations during those periods invoked the Kemp-Kasten Amendment to withhold this funding). SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov

U.S. Funding (Actual) for the United Nations Population Fund (UNFPA), FY 2001 – FY 2020 Request In Millions NOTES: FY13 includes the effects of sequestration. FY19 is a preliminary estimate. Due to policy conditions put in place by Congress, actual annual contributions are frequently lower than enacted levels (e.g. in each of the years between 2002-2008 and 2017-2019, Congress approved funding for UNFPA, however, the administrations during those periods invoked the Kemp-Kasten Amendment to withhold this funding). SOURCE: Kaiser Family Foundation analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.