On January 19, 2026, Fòs Feminista released a report “America First Global Health Strategy: When Aid Becomes Empire,” outlining the adverse implications of the current US Government’s America First Global Health Strategy (AFGHS). 

The report shows how in September 2025, AFGHS removed the US from its bipartisan legacy as the world’s largest donor to global health with a 62% cut of its 2026 budget for aid. While AFGHS claims its goals are to support health sovereignty, Fòs Feminista’s report argues that its motives have the opposite effect.  

 “With the launch of the AFGHS, global health has been reframed as an explicit political strategy to pursue American national advantage, rather than a public-health first technical issue,” Fòs Feminista explains. 

The report details the way that AFHGS severs global health apart from a human rights issue and instead positions it as a commercial opportunity. Under AFHGS’s goals, global health assistance is seen as a leverage in negotiations and a way to expand the technology market in the US’s favor. 

As a champion of reproductive health, Fòs Feminsta points out how sexual and reproductive health, along with maternal health is pointedly left out of AFHGS. Most alarmingly, the word “gender” is not present once in AFGHS’s text. 

The report contrasts this omission to how, in 2024, the US provided $1.9 billion in funding to maternal health, family planning and reproductive health.  

“By excluding these areas entirely, the strategy effectively erases the country’s own history of leadership and sidelines the needs of women, girls, and gender-diverse people globally,” Fòs Feminista writes. 

The report calls on civil society to take action to counter the impact of these policy shifts. Suggestions include demanding for transparency and for organizers to coordinate cross-movement solidarity around the areas being harmed, including maternal and child health, economic justice and shared governance