Trump Administration’s America First Global Health Strategy Fights Infectious Diseases Through Bilateral Health Memorandum of Understanding with Bolivia

On April 17, 2026, the United States and Bolivia signed a three-year Memorandum of Understanding through the Trump Administration’s America First Global Health Strategy. Under the bilateral health MOU, the United States intends to establish a collaborative framework through December 2028 that directs resources toward interrupting the transmission of Neglected Tropical Diseases, procuring life-saving HIV medicines, and supporting Bolivia toward health system autonomy and self-reliance.

The more than $12 million health MOU builds on decades of gains made through U.S. global health assistance in the joint fight against infectious diseases in Bolivia, helping create a safer Western Hemisphere and reducing the risk of infectious disease outbreaks from reaching our shores. Through the jointly decided MOU, the United States plans to provide $10 million to strengthen global health security programs and protect our own region from the spread of infectious diseases. Bolivia plans to increase its own domestic global health expenditures by more than $2 million through 2028.

America First Global Health Strategy Memoranda of Understanding (MOUs) signed so far represent more than $20.6 billion in new health funding including more than $12.8 billion in U.S. assistance alongside $7.8 billion in co-investment from recipient countries, building on decades of progress fighting HIV/AIDS, malaria, tuberculosis, and other infectious diseases around the world. As of April 21, the State Department has signed 31 bilateral global health MOUs with Angola, Bolivia, Botswana, Burkina Faso, Burundi, Cambodia, Cameroon, Côte d’Ivoire, the Democratic Republic of the Congo, the Dominican Republic, El Salvador, Eswatini, Ethiopia, Guatemala, Guinea, Honduras, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Niger, Nigeria, Panama, the Philippines, Rwanda, Senegal, Sierra Leone, Tajikistan, and Uganda.