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    • News
    • The future of global health

    ‘America First’ in global health: Oxymoron or opportunity?

    Or a bit of both?

    By Sara Jerving // 05 November 2025

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    Trump's 'America First' global health plan sidelines NGOs

     

    In a year that rattled the foundations of global health, there’s now greater clarity about the role the United States will play moving forward.

    The country had long been the global leader in health funding until the Trump administration dismantled the U.S. Agency for International Development, slashed the majority of its programs, dismissed health staff across agencies, and withdrew from multilateral partnerships — including the World Health Organization, and Gavi, the Vaccine Alliance.

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    More reading:

    ► The promise and pitfalls of an 'America First' global health strategy (Pro)

    ► How will America's new global health strategy change PEPFAR?

    ► Trump’s 'America First' global health plan sidelines NGOs

    • Global Health
    • Democracy, Human Rights & Governance
    • U.S. Department of State
    • U.S. Agency for International Development
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    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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