KFF January 12, 2026
What do we know about Existing Pooled Procurement Mechanisms?
Issue Brief
Overview
The State Department’s recently released “America First Global Health Strategy” – the first roadmap for what comes next for U.S. global health engagement – charts a path of declining U.S. support over time as recipient countries increasingly take on financial responsibility for programs. It includes a focus on health commodities, as frontline services, stating that the U.S. will continue to support 100% of their costs in FY 2026, with declining funding thereafter as countries are required to provide progressively higher co-investment. To support this transition, the U.S. will establish or contribute to one or more pooled procurement mechanisms, marking a departure from current practice where most commodities have...
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