UPDATE: United States Continues to Lead Global Response to COVID-19 29 July

New foreign assistance funding commitments continue to bolster the unparalleled global leadership of the United States in response to COVID-19. The U.S. Government (USG) has allocated $20.5 billion to benefit the international response, including commitments for the development of vaccines and therapeutics, preparedness efforts, and foreign assistance. We continue to ensure that the substantial U.S. funding and scientific efforts on this front remain a central and coordinated part of the worldwide effort against this deadly virus. Importantly, our global efforts in the face of COVID-19 build upon decades of U.S. investment in life-saving health and humanitarian assistance. We are achieving real results, helping nations around the world respond to COVID-19 and thereby protecting the homeland.

Since the outbreak of COVID-19, the USG has announced more than $1.5 billion in State Department and U.S. Agency for International Development (USAID) emergency health, humanitarian, economic, and development assistance specifically aimed at helping governments, international organizations, and non-governmental organizations (NGOs) fight the pandemic. This funding, provided by U.S. taxpayers, will save lives by improving public health education; protecting healthcare facilities; and increasing laboratory, disease-surveillance, and rapid-response capacity in more than 120 countries.

The United States has mobilized as a nation to make this an impressive global effort. Working with the private sector, we are actively fulfilling President Trump's commitment to provide ventilators to our partners and allies in Africa, Asia, Europe, and Latin America. Our foreign assistance funding to date for the response to the COVID-19 pandemic now includes more than $250 million specifically for ventilators.

The COVID-19 assistance to-date from the State Department and USAID includes the following:

• More than $490 million in emergency health assistance from USAID's Global Health Emergency Reserve Fund for Contagious Infectious-Disease Outbreaks and Global Health Programs account. These funds prioritize interventions to mitigate the pandemic and prepare communities in developing countries affected by and at-risk of COVID-19. This includes funding for ventilators - highly specialized, state-of the art medical equipment used in hospitals and other medical facilities to help support patients who are having trouble breathing. These life-saving devices are compact and will give recipient countries flexibility in treating patients most seriously affected by advanced COVID-19 symptoms easily and quickly throughout the country. As an added benefit, the ventilators can also be used to treat patients for other respiratory ailments beyond the virus for years to come.
• A total of more than $875 million in humanitarian assistance overall, through International Disaster Assistance and Migration and Refugee Assistance, including:
  • $558 million in humanitarian assistance from USAID's International Disaster Assistance (IDA) account. This assistance, provided through USAID's Bureau of Humanitarian Assistance, supports case-management and keeps essential health care operating; provides risk-communication and community-engagement programs; supports efforts to prevent and control infections; provides safe water and hygiene items; provides emergency food assistance; and strengthens local capacity and coordination by working with existing health structures and with others in the humanitarian community. These funds prioritize populations affected by ongoing humanitarian crises, particularly internally-displaced people (IDPs) and other displaced persons, because of their heightened vulnerability, the elevated risk of severe outbreaks in camps and informal settlements, and anticipated disproportionate mortality in these populations.
  • More than $317 million in humanitarian assistance from the Migration and Refugee Assistance (MRA) account, provided through the State Department's Bureau of Population, Refugees, and Migration. These funds help international organizations and NGO partners address the increased vulnerability created by the pandemic of refugees and host communities as well as among migrants and other vulnerable and conflict-affected people. This includes strengthening local health responses and provision of emergency relief items to vulnerable families.
• More than $208 million from the Economic Support Fund (ESF). These funds promote American foreign-policy interests by financing shorter-term mitigation efforts and addressing the second-order impacts of the pandemic in the long term, across a variety of sectors. ESF funding is also being used to provide ventilators.

This new COVID-19 foreign assistance is provided in addition to the more than $100 billion in global health funding and nearly $70 billion in overseas humanitarian assistance provided by the United States in the last decade alone.

These new amounts do not include assistance being provided by other USG Departments and Agencies, including the Centers for Disease Control and Prevention (CDC) within the U.S. Department of Health and Human Services (HHS) and the Department of Defense (DoD).

In addition to this direct funding from the U.S. Government, our All-of-America approach is helping people around the world to confront the ongoing pandemic. Through the generosity of American private businesses, non-profit groups, charitable organizations, faith-based organizations, and individuals, Americans have now provided more than $4.9 billion in donations and assistance globally for COVID-19 response, more than any other nation.

To meet the most urgent needs, U.S. Government Departments and Agencies are coordinating efforts to prioritize foreign assistance to maximize the potential for impact. The United States is providing the following assistance through the State Department and USAID:

Africa:

• Angola: $570,000 for health assistance is helping provide risk-communications and water and sanitation, as well as to prevent and control infections in key health facilities in Angola. This assistance comes on top of long-term U.S. investments in Angola, which total $1.48 billion over the past 20 years, including over $613 million for health assistance.
• Benin: $1.5 million in health assistance will help Beninois respond to the outbreak by funding the coordination and planning of outbreak-response activities, strengthening surveillance and rapid-response capabilities, and risk-communications and engagement with communities. This assistance joins $1.72 billion in total assistance for Benin over the past 20 years, over $364 million of which was for health.
• Botswana: $1.5 million in health assistance to address the outbreak. Funding will support risk-communications and community engagement, with a focus on the most vulnerable populations, the procurement of essential health commodities and logistic support, and strengthening case-management and the prevention and control of infections in key health facilities. This assistance builds on nearly $1.2 billion in total assistance in Botswana over the last 20 years, over $1.1 billion of which has been for health.
• Burkina Faso: Nearly $15.3 million in health and humanitarian funding will go toward risk-communications, water and sanitation, preventing and controlling infections in health facilities, public-health messaging, and emergency food assistance. This includes $2.5 million in health assistance, $9 million in IDA humanitarian assistance, and nearly $3.8 million in MRA humanitarian assistance, which will help protect the health of vulnerable people in Burkina Faso during the pandemic. Over the past 20 years, the United States has invested a total of more than $1.4 billion in Burkina Faso, including over $222 million for health.
• Burundi: More than $5.8 million in total funding for the response to COVID-19 includes $2 million in health assistance; $1.5 million in IDA humanitarian assistance to support water, sanitation, hygiene, and protection activities; and more than $2.3 million in MRA humanitarian assistance to help protect the health of vulnerable people. The health assistance will improve the planning and coordination of response activities, the strengthening of surveillance and rapid-response capabilities, strengthening capacities for case-management and the prevention and control of infections, and the training of health workers. The United States has invested more than $997 million in total assistance for Burundi, including more than $254 million for health, over the past 20 years.
• Cameroon: $17.9 million for health and humanitarian assistance will help provide infection-control in key health facilities, strengthen laboratories and surveillance, prepare communities, bolster local messaging, and provide emergency food assistance. This includes $14.1 million for health and IDA humanitarian assistance from USAID and more than $3.8 million in MRA humanitarian assistance to support refugees, IDPs, and host communities. This assistance builds upon more than $962 million in total U.S. Government investment in the country over the past 20 years, over $390 million of which was for health.
• Central African Republic: More than $13.1 million in humanitarian assistance, including $9 million in IDA humanitarian assistance that will go toward risk-communications, preventing and controlling infections in health facilities, emergency food assistance, and safe water supplies, and more than $4.1 million in MRA humanitarian assistance that will help protect the health of vulnerable people in the Central African Republic during the pandemic. The U.S. Government has provided $822.6 million in total in the Central African Republic over the last 20 years, including $4.5 million in emergency health assistance in Fiscal Year (FY) 2019.
• Chad: $9.7 million in humanitarian assistance, including $7 million from the IDA account for preventing and controlling infections in health facilities, raising community awareness of COVID-19, emergency food assistance, and improving hygiene, and nearly $2.7 million in MRA humanitarian assistance to help protect the health of vulnerable people in Chad during the pandemic. This assistance builds upon the foundation of nearly $2 billion in total U.S. assistance over the last 20 years, including more than $30 million for health.
• Republic of Congo (ROC): $850,000 in assistance, including $250,000 in health assistance that will address the outbreak, by supporting the coordination and planning of response activities, risk-communications and community-outreach activities and the training of health workers in protocols for preventing and controlling infections in health facilities. $600,000 in MRA humanitarian assistance will support refugees, internally displaced persons, and host communities. The United States has invested in the Republic of Congo for decades, including more than $171.2 million in total U.S. assistance over the last 20 years, over $36.9 million of which has been for health.
• Cote d'Ivoire: $3.2 million in health assistance to address the outbreak by financing risk-communications and community engagement; the training of health care providers in protocols for preventing and controlling infections in health facilities and the appropriate management of cases of COVID-19 and influenza-like illnesses; and ensuring these facilities are appropriately supplied with essential health commodities. Funding will also finance the training of health workers in critical community-level surveillance techniques, such as case-finding and contact-tracing. Over the past 20 years, the United States has invested more than $2.1 billion in long-term development and other assistance in Cote d'Ivoire.
• Democratic Republic of the Congo (DRC): Approximately $33.9 million in total including $14 million for IDA humanitarian assistance that will improve the prevention and control of infections in health facilities, provide emergency food assistance, and support improved awareness of COVID-19, including by working with religious leaders and journalists on risk-communication messaging. Nearly $8.9 million in MRA humanitarian assistance will help protect vulnerable people in the DRC during the pandemic. An additional $6 million in global health assistance funding will support supply-chain management and logistics, as well as the procurement of essential health commodities; strengthening critical disease-surveillance activities, including community-based surveillance, contact-tracing, and case-finding; strengthening practices to prevent and control infections at health facilities and train health workers, as well as community-based efforts to improve access to water and basic hygiene materials, with the direct distribution of kits to households to prevent infections. Health assistance also will support mobilizing thousands of volunteers in targeted, high-risk Provinces to conduct risk-communications and community-engagement activities. Finally, approximately $5 million in ESF will go toward distance and alternative education for Congolese children and youth so they can continue to learn and maintain protective routines and social connections while schools remain closed across the country. This builds upon more than $6.3 billion in total U.S. assistance over the past 20 years, including more than $1.5 billion for health.
• Djibouti: $750,000 in total, including $500,000 in health assistance to address the outbreak and $250,000 in MRA humanitarian assistance to assist vulnerable migrants and host communities as they deal with the pandemic. Health assistance will support strengthening the capacity for testing, supply-planning, supply-chain management and the distribution of urgent health commodities needed for COVID-19. The health assistance also will fund risk-communications and community-outreach activities, the training of health workers to implement protocols to prevent and control infections in health facilities and manage cases of COVID-19; and disease-surveillance and rapid-response protocols and functionality. The United States has already invested more than $338 million in Djibouti over the last 20 years.
• Eswatini: $1.1 million in health assistance to address the outbreak by bolstering Eswatini's emergency health response, which could include the procurement of supplies, contact-tracing, laboratory diagnostics, and raising public awareness. This assistance builds upon the foundation of U.S. Government investments in the Kingdom, which total more than $529 million assistance over the last 20 years, including more than $490 million for health.
• Ethiopia: $51.3 million in assistance to counter COVID-19, including $27.4 million in IDA humanitarian assistance for risk-communications, the prevention and control of infections in health facilities, disease-surveillance, contact-tracing, coordination, and emergency food assistance; more than $13.5 million in MRA humanitarian assistance for vulnerable people, including refugees, migrants, and host communities; and more. This assistance is in addition to the United States' long-term investments in Ethiopia over the past 20 years of more than $13 billion, nearly $4 billion of which was for health.
• Ghana: $1.6 million in health assistance to address the outbreak by strengthening outbreak-response capabilities, including community-based surveillance for case-finding and contact-tracing; improve laboratory diagnostic capacity; optimize the management of COVID-19 cases and the prevention and control of infections in health facilities; and promote risk-communications and community-engagement activities. This assistance builds upon $3.8 billion in total U.S. Government investments in Ghana over the last 20 years, including nearly $914 million for health.
• Guinea: $1.3 million in health assistance to address the outbreak by financing risk-communications and community-outreach activities, the training of health workers to implement protocols to prevent and control infections in health facilities; and disease-surveillance and rapid-response protocols and functionality. The United States has invested nearly $1 billion in total assistance in Guinea over the last 20 years, including over $365.5 million for health.