FACT SHEET
OFFICE OF THE SPOKESPERSON

MAY 1, 2020

Through the American people’s generosity and the U.S. government’s action, the United States continues to demonstrate global leadership in the face of the COVID-19 pandemic.  Months into fighting this pandemic at home and abroad, the United States remains the largest single country donor to the response efforts globally, building on decades of leadership in life-saving health and humanitarian assistance.

Since the outbreak of COVID-19, the U.S. Government has committed more than $775 million in emergency health, humanitarian, economic and development assistance specifically aimed at helping governments, international organizations, and NGOs fight the pandemic. This funding, provided by Congress, 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 COVID-19 assistance to-date from the State Department and USAID includes:

• Nearly $200 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 prioritized interventions to mitigate and prepare communities in developing countries affected and at-risk of COVID-19.
• Nearly $300 million in humanitarian assistance from USAID’s International Disaster Assistance (IDA) account. These funds prioritize populations affected by ongoing humanitarian crises, particularly displaced people, 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 $150 million from the Economic Support Fund (ESF). These funds will promote American foreign policy interests by supporting shorter-term mitigation efforts and addressing second-order impacts from the pandemic in the long term, across a variety of sectors.
• More than $130 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 will help international organization and NGO partners address challenges posed by the pandemic in refugee, IDP, and hosting communities as well as other migrants and other vulnerable people in both global and local humanitarian responses.

This new assistance is 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.

In addition to this direct U.S. government funding, our All-of-America approach is helping people around the world through the generosity of American private businesses, nonprofit groups, charitable organizations, faith-based organizations, and individuals. Together, Americans have committed an estimated nearly $6.5 billion in government and non-government donations and assistance in the global COVID-19 response.

In order 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, and 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 $613 million for health assistance.
• Botswana: $1.5 million in health assistance to address the outbreak. This assistance builds on nearly $1.2 billion in total assistance in Botswana over the last 20 years, $1.1 billion of which was for health.
• Burkina Faso: Nearly $7 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 more. This includes $2.5 million in health assistance, $1.5 million in IDA humanitarian assistance, and nearly $2.8 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 more than $2.4 billion total in Burkina Faso, $222 million for health alone.
• Burundi: More than $1 million in MRA humanitarian assistance will help protect the health of vulnerable people. The United States has invested more than $997 million in total assistance for Burundi, including more than $254 million in health assistance, over the past 20 years.
• Cameroon: Nearly $8 million for health and humanitarian assistance will help provide infection-control in key health facilities, strengthen laboratories and surveillance, prepare communities, and bolster local messaging. This includes $6.1 million for health and IDA humanitarian assistance from USAID, in addition to nearly $1.9 million in MRA humanitarian assistance to support refugees, internally displaced persons (IDPs), and their host communities. This assistance builds upon more than $960 million in total U.S. investment in the country over the past 20 years, $390 million of which was for health.
• Central African Republic: More than $10 million in humanitarian assistance, including $6.5 million in IDA humanitarian assistance that will go toward risk-communications, preventing and controlling infections for health facilities, and safe water supplies, and more than $3.5 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 FY 2019.
• Republic of Congo (ROC): $250,000 in health assistance will address the outbreak. The United States has invested in the Republic of Congo for decades, with more than $171.2 million in total U.S. assistance for the ROC over the last 20 years, $36.8 million of which was for health.
• Chad: More than $3.5 million in humanitarian assistance, including $1 million from the IDA account for preventing and controlling infections for health facilities, raising community awareness of COVID-19, and improving hygiene, and nearly $2.6 million in MRA humanitarian assistance to help protect the health of vulnerable people in Chad during the pandemic. This new 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.
• Côte d’Ivoire: $1.6 million in health assistance to address the outbreak. Over the past 20 years, the United States has invested more than $2.1 billion in long-term development and other assistance in Côte d’Ivoire.
• Democratic Republic of the Congo: More than $26 million, including $16 million in health and IDA humanitarian assistance that will improve the prevention and control of infections for health facilities, and support improved awareness of COVID-19, including by working with religious leaders and journalists on risk-communication messaging. More than $5 million in MRA humanitarian assistance will help protect vulnerable people in the Democratic Republic of the Congo during the pandemic. Finally, approximately $5 million in ESF will go toward distance education and alternative education for Congolese children and youth so they can continue to learn and maintain protective routines and social connections while schools are 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: $500,000 in health assistance to address the outbreak. The United States has already invested more than $338 million total in Djibouti over the last 20 years.
• Eswatini: $750,000 in health assistance to address the outbreak. Funds will go to 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 in total assistance over the last 20 years, including more than $490 million for health.
• Ethiopia: More than $20.5 million in assistance to counter COVID-19, including more than $10.9 million for health and IDA humanitarian assistance for risk-communications, the prevention and control of infections for health facilities, disease-surveillance, contact-tracing, and coordination; $7 million in ESF that will support continued operations in a major industrial park, to preserve critically needed jobs; and nearly $2.7 million in MRA humanitarian assistance for vulnerable people. This assistance is in addition to the United States’ long-term investments in Ethiopia of more than $13 billion in total assistance, nearly $4 billion for health alone, over the past 20 years.
• Ghana: $1.6 million in health assistance to address the outbreak. This new assistance builds upon $3.8 billion in total U.S. Government investments to Ghana over the last 20 years, including nearly $914 million for health.
• Guinea: $500,000 in health assistance to address the outbreak. The United States has invested nearly $1 billion in total assistance for Guinea over the last 20 years, including $365.5 million for health.
• Kenya: Nearly $4.5 million for health and humanitarian assistance, including $3.5 million in health assistance to bolster risk communication, prepare health-communication networks and media for a possible case, and help provide public health messaging for media, health workers, and communities; and $947,000 in MRA humanitarian assistance for refugees and host communities. This COVID-19 specific assistance comes on top of long-term U.S. government investments in Kenya, which total $11.7 billion in total U.S. assistance to Kenya over the last 20 years, including $6.7 billion for health alone.
• Lesotho: $750,000 in health assistance to address the outbreak. This new assistance builds upon decades of U.S. investments in Lesotho, which total more than $1 billion over the last 20 years, including more than $834 million for health.
• Liberia: $1 million for health assistance will provide critical aid for all 12 Liberian counties (emergency operation centers, training, contact-tracing, hospitals, and community health services), support quarantine efforts, and provide community-level support. The United States has helped lay a strong foundation for Liberia’s COVID-19 response through more than $4 billion in total assistance over the past 20 years, including more than $675 million for health.
• Madagascar: $2.5 million in health assistance to address the outbreak. The United States has invested more than $1.5 billion in total assistance for Madagascar over the last 20 years, including nearly $722 million for health alone.
• Malawi: $4.5 million in health assistance to address the outbreak. The United States has provided more than $3.6 billion in total assistance for Malawi over the past 20 years, including more than $1.7 billion for health.
• Mali: More than $8.4 million in assistance for the response to COVID-19, which includes $4.4 million for health and IDA humanitarian assistance for risk-communication, the prevention and control of infections in health facilities, and coordination; and more than $4 million in MRA humanitarian assistance to support vulnerable in Mali during the pandemic. This new assistance builds upon decades of U.S. investments in Mali, which total more than $3.2 billion over the last 20 years, including more than $807 million for health.
• Mauritania: $250,000 in health assistance to address the outbreak. The United States has provided more than $424 million in total assistance over the last 20 years for Mauritania, including more than $27 million for health, which builds a strong foundation for their pandemic response.
• Mauritius: $500,000 in health assistance to address the outbreak. This new assistance builds upon the foundation of more than $13 million in total U.S. government investments over the past 20 years, including $838,000 for health.
• Mozambique: $5.8 million for health and IDA humanitarian funding will help provide risk-communication, water and sanitation, and prevent and control infections in key health facilities in Mozambique. The United States has invested nearly $6 billion in Mozambique over the past 20 years, including more than $3.8 billion for health.
• Namibia: $750,000 in health assistance to address the outbreak. This new assistance comes in addition to nearly $1.5 billion in total U.S. government investments to Namibia over the past 20 years, including more than $970.5 million in long-term health assistance.
• Niger: More than $4.6 million in assistance includes nearly $2.8 million for health and IDA humanitarian assistance for risk-communication, the prevention and control of infectious diseases in health facilities, and coordination; and $1.8 million in MRA humanitarian assistance will support vulnerable people in Niger during the pandemic. This assistance comes on top of more than $2 billion in total U.S. Government investments for Niger in the past 20 years, nearly $233 million for health alone.
• Nigeria: More than $30 million in assistance, which includes nearly $26 million for health and IDA humanitarian funding for risk communication, water and sanitation activities, infection prevention, and coordination; and nearly $4.1 million in MRA humanitarian assistance for vulnerable people. This assistance joins more than $8.1 billion in total assistance for Nigeria over the past 20 years, including more than $5.2 billion in U.S. health assistance.
• Rwanda: $2.2 million in assistance for Rwanda’s COVID-19 response includes $1.7 million for health assistance that will help with surveillance and case-management efforts in response to COVID-19, and $474,000 in MRA humanitarian assistance to support refugees and host communities in Rwanda. This comes on top of long-term U.S. Government investments in Rwanda that total more than $2.6 billion in total assistance over the past 20 years, including more than $1.5 billion for health.
• Sénégal: $3.9 million in health assistance to support risk communication, water and sanitation, infection prevention and control, public health messaging, and more. In Sénégal, the U.S. has invested nearly $2.8 billion in total over the past 20 years, nearly $880 million for health.
• Sierra Leone: $400,000 in health assistance to address the outbreak. This assistance joins decades of U.S. investments in Sierra Leone, totaling more than $5.2 billion in total assistance over the past 20 years, including nearly $260 million for health.
• Somalia: $16.5 million in assistance for the response to COVID-19 will support risk-communication, the prevention and control of infectious diseases in health facilities, and case-management, and more. This assistance comes in addition to $5.3 billion in total assistance for Somalia over the last 20 years, including nearly $30 million for health.
• South Africa: Approximately $8.4 million in health assistance to counter COVID-19 will support risk communication, water and sanitation, infection prevention and control, public health messaging, and more. This assistance joins more than $8 billion in total assistance by the United States for South Africa in the past 20 years, nearly $6 billion invested for health.
• South Sudan: More than $19 million in assistance for South Sudan’s response to COVID-19 includes $13.4 million in IDA humanitarian assistance for case-management, infection prevention and control, logistics, coordination efforts, risk communication, and water, sanitation and hygiene programs, and more than $5.6 million in MRA humanitarian assistance will support refugees, IDPs, and their host communities in South Sudan during the pandemic. This funding builds upon past U.S. investments in South Sudan totaling $6.4 billion over the past 20 years, including more than $405 million for health.
• Sudan: $23.1 million in assistance includes $16.8 million in IDA humanitarian assistance for risk communication, case-management, disease surveillance, infection prevention and control, and water, sanitation and hygiene programs; $5 million in ESF for cash assistance to vulnerable families adversely affected by COVID-19; and more than $1.3 million in MRA humanitarian assistance to support vulnerable people. The United States has invested more than $1.6 billion in total assistance for Sudan over the last 20 years, of which more than $3 million was for health.
• Tanzania: $1.4 million for health assistance supports risk communication, water and sanitation, infection prevention and control, public health messaging, and more. The United States has invested more than $7.5 billion total in Tanzania over the past 20 years, nearly $4.9 billion for health.
• Uganda: $3.6 million in assistance includes $2.3 million in health assistance to address the outbreak and nearly $1.3 million in MRA humanitarian assistance will support refugees and their host communities in Uganda during the pandemic. This assistance is provided in addition to the nearly $8 billion in total U.S. Government investments for Uganda over the last 20 years and $4.7 billion for health.
• Zambia: $3.4 million for health assistance supports risk communication, water and sanitation, infection prevention and control, public health messaging, and more. This new assistance joins $4.9 billion total U.S. Government investments for Zambia over the past 20 years, nearly $3.9 billion in U.S. health assistance.
• Zimbabwe: Nearly $3 million for health and IDA humanitarian assistance will help to prepare laboratories for large-scale testing, support case-finding activities for influenza-like illnesses, implement a public-health emergency plan for points of entry, and more. This new assistance builds on a history of U.S. investments in Zimbabwe – nearly $3 billion total over the past 20 years, nearly $1.2 billion of which was for health.
• Regional Efforts in the Sahel: $5 million in ESF will strengthen the efforts of partner governments and civil society to manage and respond to COVID-19 with transparent communication and response. These investments will cover Burkina Faso, Niger, The Gambia, Chad, and Mali.
• Regional Efforts in West Africa: $5 million in ESF will go towards conducting information campaigns with local authorities and communities and engaging community groups, community radio stations, and local media actors to develop targeted messaging in local languages. Assistance will also engage citizens in local-led advocacy, dialogue, and inclusive behavior change. These investments will cover Cameroon, Côte d’Ivoire, Togo, Benin, and Guinea. 
• Regional Sub-Saharan Africa Humanitarian Assistance:  More than $6 million in MRA humanitarian assistance to help vulnerable people during the pandemic.

Asia:

• Afghanistan: More than $18 million in total U.S. assistance for Afghanistan’s COVID-19 response includes more than $5.6 million for health and IDA humanitarian assistance to support the detection and treatment of COVID-19 for IDPs, and nearly $2.4 million in MRA humanitarian assistance for Afghan returnees. This also includes $10 million in existing resources the United States has redirected to support the United Nations Emergency Response Plan for COVID-19. This support includes surveillance, lab improvements, case-management, infection prevention and control, community engagement, and technical assistance to the Government of Afghanistan.
• Bangladesh: More than $12.3 million in assistance includes $4.4 million for health and IDA humanitarian assistance to help with case-management, surveillance activities, infection prevention and control, risk communication, and water, sanitation, and hygiene programs, and nearly $8 million in MRA humanitarian support for vulnerable people during the pandemic. This builds upon nearly $4 billion in total U.S. assistance over the past 20 years, which includes more than $1 billion for health.
• Bhutan: $1 million in total assistance for COVID-19 response includes $500,000 in Economic Support Funding to support micro, small and medium-sized-sized enterprises to generate income for those affected by COVID-19. It also includes $500,000 in health assistance to strengthen diagnostic laboratory capabilities and clinical case-management, provide virtual training for health care providers and lab personnel, and support risk communications materials. This assistance builds upon more than $6.5 million in total U.S. government investments over the past 20 years, including $847,000 for health.
• Burma: Nearly $9.5 million total, including approximately $4.3 million for health and $3 million in IDA humanitarian for the prevention and control of infections in health facilities, case-management, laboratories, risk-communications and community engagement, as well as water and sanitation supplies, including assistance to IDP camps that are facing shortages. This also includes nearly $2.2 million in MRA humanitarian assistance to support vulnerable people and their host communities during the pandemic. This assistance comes on top of long-term U.S. government investments in Burma that total more than $1.3 billion over the past 20 years, which includes more than $176 million for health.
• Cambodia: More than $8.5 million in total assistance for the response to COVID-19 response. This includes $5 million in ESF for relief and job skills training for vulnerable people, including returning migrants, and expanded counter-trafficking and child protection efforts. It also includes more than $3.5 million in health assistance to help the government prepare laboratory systems, activate case-finding and event-based surveillance, communicate risk, support technical experts for response and preparedness, and more. The United States has invested long-term in Cambodia, providing more than $1.6 billion in total assistance over the past 20 years, which includes more than $730 million for health.
• India: Nearly $5.9 million in health assistance to help India slow the spread of COVID-19, provide care for the affected, disseminate essential public health messages to communities, strengthen case findings and surveillance, and mobilize innovative financing mechanisms for emergency preparedness and response to the pandemic. This builds on a foundation of nearly $2.8 billion in total assistance to India over the last 20 years, which includes more than $1.4 billion for health.
• Indonesia: Nearly $5 million includes more than $4.5 million in health assistance to help the government prepare laboratory systems, activate case-finding and event-based surveillance, and support technical experts for response and preparedness, and more. It also includes $400,000 in MRA humanitarian assistance. The United States has invested more than $5 billion in total assistance over the past 20 years, including more than $1 billion for health.
• Kazakhstan: More than $1.6 million for health assistance will help prepare laboratory systems, activate case-findings and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This new assistance builds upon U.S. investments of more than more than $2 billion in total assistance over the last 20 years, including $86 million for health.
• Kyrgyz Republic: Approximately $900,000 for health assistance will help prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. The United States has invested nearly $1.2 billion in total assistance for Kyrgyzstan over the past 20 years, including more than $120 million for health.
• Laos: Nearly $3.5 million for health assistance is helping the government prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, and more. This assistance builds upon U.S. Government investment in Laos over time, including more than $348 million over the past decade, of which nearly $92 million was health assistance.
• Malaysia: $200,000 in MRA humanitarian assistance will support COVID-19 response efforts for refugees and asylum seekers in Malaysia. This assistance builds upon a foundation of decades of U.S. investment in Malaysia, totaling more than $288 million over the past 20 years, including more than $3.6 million for health.
• Maldives: $2 million in Economic Support Funding will support the expansion of social protection services led by local civil society organizations and assist them to advocate effectively for COVID recovery policies. This assistance will also include technical support to government, private sector, and financial institutions to support hard hit businesses. U.S. investments in Maldives include more than $30 million in total assistance since 2004.
• Mongolia: Nearly $1.2 million for health assistance is helping the government prepare laboratory systems, activate case-finding and event-based surveillance, and support technical experts for response and preparedness, and more. The United States has invested more than $1 billion in total assistance for Mongolia over the past 20 years, including nearly $106 million for health.
• Nepal: $4.3 million total assistance for response to COVID-19 includes $2.5 million in Economic Support Funds to support local governments and disaster management committees to respond to the economic and social impacts of COVID-19, and will provide small grants to private sector and civil society organizations to enable economic recovery, mitigate food insecurity, and address the needs of vulnerable populations. It also includes $1.8 million for health assistance that is helping the government to conduct community-level risk communications, prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, and more. Over the past 20 years, U.S. government investment in Nepal totals more than $2 billion, including more than $603 million for health.
• Pacific Islands: Nearly $9.8 million total includes $5 million in Economic Support Funds to strengthen civil society capacity to combat disinformation and hate speech and to protect the rights of vulnerable & marginalized groups. Small grants will also be made available at the community and national levels to increase their resilience and ability to respond to the economic impacts of COVID-19. This total also includes $2.3 million for health assistance which is helping governments prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness; and $2.5 million in IDA humanitarian assistance to support risk-communication, the prevention and control of infectious diseases in health facilities, logistics, coordination efforts, and more. Over the last 20 years, the United States has invested over $5.21 billion in assistance to the Pacific Islands. Over the last decade, the United States has invested more than $620 million for health for the Pacific Islands.
• Papua New Guinea: $1.9 million for health assistance for Papua New Guinea is helping the government prepare laboratory systems, activate case-finding and event-based surveillance, and support technical experts for response and preparedness, risk-communication, the prevention and control of infectious diseases in health facilities, and more. The United States has invested over $108 million total in Papua New Guinea over the past 20 years, including more than $52 million for health.
• Pakistan: Nearly $15 million in total new assistance for Pakistan’s response to COVID-19 includes: $5 million in Economic Support Funds to support the Government of Pakistan’s program of providing cash assistance to more than 70,000 vulnerable families affected by COVID-19; $7 million in health assistance to strengthen monitoring and better prepare communities to identify potential outbreaks including funding for training of healthcare providers and other urgent needs; and nearly $2.9 million in MRA humanitarian assistance will support COVID-19 response efforts for vulnerable in Pakistan. U.S. long-term investment in Pakistan over the past 20 years includes more than $18.4 billion in total assistance, which includes $1.1 billion for health alone.
• Philippines: More than $15 million in total COVID-19 assistance includes $5 million in economic support funds to support government efforts to promote crisis management, procurement, and a regulatory environment that enhances the resilience of communities and businesses; provide grants and skills training to heavily affected sectors and communities; and facilitate access to credit for micro and small enterprises. In addition, about $6.5 million in health assistance and $2.8 million in IDA humanitarian assistance will help support laboratory and specimen-transport systems, intensify case-finding and event-based surveillance, support Philippine and international technical experts for response and preparedness, risk-communication, the prevention and control of infectious diseases in health facilities, handwashing and hygiene promotion, community-level preparedness and response, and more. Finally, $875,000 in MRA humanitarian assistance will support vulnerable people during the pandemic.  The United States has invested more than $4.5 billion in total assistance over the past 20 years, which includes $582 million in the Philippines’ health assistance.
• Sri Lanka: More than $5.8 million in total assistance includes $2 million in Economic Support Funds to increase social services for areas and populations most impacted by the COVID-19 crisis, and address the specific conflict threats to build social cohesion and mitigate negative economic impacts; $2 million in additional Economic Support Funds for strengthening small and medium-sized-sized enterprises and increasing women’s economic participation; and $1.3 million in health assistance to help the government prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, conduct risk-communication, the prevention and control of infectious diseases in health facilities, and more. Finally, $590,000 in MRA humanitarian assistance will support vulnerable people during the pandemic. Over the past 20 years, U.S. assistance in Sri Lanka has totaled more than $1 billion, which includes $26 million for health.
• Tajikistan: Approximately $866,000 for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This support builds on more than $1 billion in total U.S. assistance over the past 20 years, which includes nearly $125 million for health.
• Thailand: More than $2.7 million for health assistance will help the government prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, risk-communication, the prevention and control of infectious diseases in health facilities, and more. $730,000 in MRA humanitarian assistance will support surveillance and response capacity in all nine Burmese refugee camps on the Thailand-Burma border.  This new assistance builds upon long-term U.S. government investments in Thailand including more than $1 billion in total assistance over the past 20 years, which includes nearly $213 million for health.
• Timor-Leste: Almost $1.1 million for health assistance is helping the government prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, risk-communication, the prevention and control of infectious diseases in health facilities, and more. The United States has invested more than $542 million in total assistance for Timor-Leste since independence in 2002, including nearly $70 million for health.
• Turkmenistan: Approximately $920,000 for health assistance has been made available to help prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. Over the past 20 years, the United States has collaborated closely with the Government of Turkmenistan and local partners to implement bilateral and regional programs totaling more than $201 million, including over $21 million in the health sector.
• Uzbekistan: Approximately $848,000 for health funding is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This COVID-19 response assistance builds on more than $1 billion in total assistance over the past 20 years, including more than $122 million in the health sector alone.
• Vietnam: Nearly $9.5 million in total assistance for response to COVID-19 includes $5 million in Economic Support Funds, which will be utilized to bring much needed resources to bear immediately, including supporting private sector recovery by mitigating the financial impacts of the pandemic on small and medium-sized-sized enterprises (SMEs), addressing the non-financial impacts facing SMEs, and partnering with Government of Vietnam stakeholders to bolster the government’s relief interventions. It also includes $4.5 million in health assistance that was previously announced to help the Government prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for preparedness and response, community education and engagement, infection prevention for healthcare settings, public health screening at points of entry, and more. Over the past 20 years, the United States has invested more than $1.8 billion in total assistance for Vietnam, including more than $706 million for health.
• Regional Efforts in Asia: $2 million in Economic Support Funds will provide essential services to vulnerable migrants in Central Asia stranded across the region as a result of border closures and ensure their safe return home in accordance with their own wishes and the help of non-governmental organizations (NGOs) and local government. Additionally, $800,000 in health assistance is helping governments and NGOs across the region prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, risk-communication, the prevention and control of infectious diseases in health facilities, and more. Furthermore, nearly $2.8 million in MRA humanitarian assistance will support vulnerable people in Southeast Asia and $425,000 in MRA humanitarian assistance will help vulnerable people in Central Asia during the pandemic.  In addition to historic bilateral support to individual countries in the region, the United States has provided more than $226 million for health assistance regionally, and in total more than $3 billion in development and other assistance provided regionally over the last 20 years.

Europe and Eurasia:

• Albania: $1.2 million for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. Over the last 20 years, the United States has invested more than $693 million in total assistance to Albania, including more than $51.8 million for health.
• Armenia: $1.7 million for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. The United States has invested more than $1.57 billion in total assistance to Armenia over the past 20 years, including nearly $106 million for health.
• Azerbaijan: More than $2.2 million in assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. $565,000 in MRA humanitarian assistance will help vulnerable people and their host communities during the pandemic. Over the past 20 years, the United States has invested more than $894 million in total assistance to Azerbaijan, including nearly $41 million for health.
• Belarus: $1.3 million for health funding is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This new assistance comes on top of decades of U.S. investment in Belarus, totaling more than $301 million over the past 20 years, including nearly $1.5 million for health.
• Bosnia and Herzegovina: $1.2 million for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. The United States has invested more than $1.1 billion in total assistance for Bosnia and Herzegovina over the past 20 years, including $200,000 for health.
• Bulgaria: $500,000 in health assistance to address the outbreak. This new assistance builds on longstanding U.S. assistance for Bulgaria, which totals more than $558 million in total assistance over the past 20 years, including more than $6 million for health.
• Georgia: $1.7 million for health funding is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. The United States has provided more than $3.6 billion in total U.S. assistance over the past 20 years, including nearly $139 million for health.
• Greece: $500,000 in MRA humanitarian assistance will support response to COVID-19 efforts for migrants and refugees in Greece. This new assistance builds upon a foundation of U.S. support for Greece, which totals more than $202 million in total investments over the last 20 years, including nearly $1.8 million for health.
• Italy: Support includes $50 million in economic assistance implemented by USAID to bolster Italy’s response to COVID-19. USAID will expand and supplement the work of international organizations, non-governmental organizations, and faith-based groups responding to the pandemic in Italy and mitigating its community impact. USAID will also purchase health commodities not required for the U.S. domestic response and work to support Italian companies affected by the COVID-19 pandemic.
• Kosovo: $1.1 million in health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This assistance to combat COVID-19 is in addition to long-term U.S. investments which total over $772 million in total assistance in Kosovo over the past 20 years, including more than $10 million for health.
• Moldova: $1.2 million for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This COVID-19 assistance builds upon U.S. investments of more than $1 billion in total assistance over the past 20 years, including nearly $42 million for health.
• Montenegro: $300,000 in health assistance to address the outbreak. This new assistance joins long-term U.S. investment in Montenegro totaling more than $332 million, including more than $1 million for health.
• North Macedonia: $1.1 million for health assistance is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. Over the past 20 years, the United States has invested more than $738 million in total assistance for North Macedonia, including nearly $11.5 million for health.
• Romania: $800,000 in health assistance to address the outbreak. In addition, the U.S. Government fully funded an operation by the North American Treaty Organization (NATO) to transport personal protective equipment (PPE) from South Korea to Romania, and U.S. military personnel were members of air crews manning two other flights delivering PPE to Romania using the NATO-supported Strategic Airlift Capability. The United States has invested in Romania for decades, totaling nearly $700 million in total U.S. assistance in the last 20 years, including more than $55 million for health.
• Serbia: $1.2 million for health assistance is helping: expand testing, activate case-finding and event-based surveillance; deploy additional technical expertise for response and preparedness; bolster risk communication and community engagement; and improve hygiene practices in the home. In addition, USAID/Serbia has also redirected $150,000 to provide food and other essential support to Serbia’s most vulnerable families and groups, including the elderly. The United States has invested more than $1 billion in total assistance to Serbia over the past 20 years, including nearly $5.4 million for health.
• Turkey: $800,000 in MRA humanitarian assistance will support response to COVID-19 efforts for refugees and their host communities in Turkey. This new funding is in addition to the $18 million for Syrian refugee assistance inside Turkey announced March 3, and builds upon nearly $1.4 billion in total U.S. assistance to Turkey over the past 20 years, including more than $3 million for health assistance, helping lay the foundation for the current response.
• Ukraine: $14.5 million in total assistance includes $12.1 million in health and IDA humanitarian assistance that will improve the ability of local health care institutions to care for the sick and combat further spread of COVID-19 while increasing public communication to lower contagion risk. These funds will also mitigate secondary impacts such as loss of livelihoods and public services to vulnerable populations, including conflict-affected communities in eastern Ukraine. It also includes $2.4 million in MRA humanitarian assistance to support vulnerable populations during the pandemic. The United States has invested nearly $5 billion in total assistance to Ukraine over the past 20 years, including nearly $362 million for health.
• Regional Efforts in Europe and Eurasia: $5 million in economic support funds will empower civil society actors to safeguard democratic institutions and ensure citizens are heard during the pandemic. Funding will also assist civil society organizations to provide citizen oversight over their governments’ efforts to respond to COVID-19. 

Latin America and the Caribbean:

• Belize: $300,000 in previously announced health assistance to address the outbreak and improve operational capacity and case-management. This assistance builds upon past U.S. investment in Belize, which totals more than $120 million over the past 20 years, including nearly $12 million for health.
• Bolivia: $750,000 in previously announced health assistance to build capacity in COVID-19 diagnostics and improve epidemiological surveillance. This assistance joins long-term U.S. investment in Bolivia, including nearly $2 billion in total U.S. assistance over the past 20 years, which includes $200 million for health.
• Brazil: $950,000 in new economic support funds will incentivize private sector investments in mitigating non-health COVID impacts on rural and vulnerable urban populations. This assistance builds upon past U.S. investment in Brazil, which totals more than $617 million over the past 20 years, including nearly $103 million for health.
• The Caribbean: $1.7 million in previously announced health funding is helping 10 Caribbean countries (Antigua & Barbuda, Barbados, Dominica, Grenada, Guyana, St. Kitts and Nevis, Saint Lucia, St. Vincent and the Grenadines, Suriname, Trinidad and Tobago) scale up their risk communication efforts, provide water and sanitation, prevent and control infectious diseases in health facilities, manage COVID-19 cases, build laboratory capacity, and conduct surveillance. This builds upon decades of strategic U.S. investment in the region, including more than $840 million total over the past 20 years, which includes $236 million for health.
• Colombia: Nearly $12.6 million in assistance for Colombia’s response to COVID-19 includes $8.5 million in previously announced IDA humanitarian assistance that is helping surveil the spread of the virus, provide water and sanitation supplies, manage COVID-19 cases, and more; and nearly $4.1 million in new and previously announced MRA humanitarian assistance, which will support efforts to help vulnerable people during the pandemic. In Colombia, the United States has invested nearly $12 billion in total assistance over the past 20 years, which includes approximately $32.5 million in health assistance.
• Dominican Republic: $3.4 million in total response to COVID-19 funding includes $2 million in new economic support funds to address critical needs in the areas of social protection, psychosocial support, education, water and sanitation, and food security in vulnerable communities. This new funding is in addition to $1.4 million in previously announced health assistance to address the outbreak, which is supporting epidemiological analysis and forecasting, contact-tracing, as well as pandemic surveillance. The United States has invested in the Dominican Republic’s long-term health and development through more than $1 billion in total U.S. assistance over the past 20 years, which includes nearly $298 million for health.
• El Salvador: $4.6 million in total response to COVID-19 funding includes $2 million in new economic support funds to address second-order COVID-related impacts in El Salvador through job creation and increased access to credit, both critical factors in driving illegal immigration to the United States, and nearly $2.6 million for health assistance to address the outbreak. Support will include infection prevention, control, and case-management. Over the past 20 years, the United States has invested in El Salvador’s health and long-term development through more than $2.6 billion in total assistance, which includes $111 million for health.
• Ecuador: $8 million in total response to COVID-19 funding includes $6 million in new IDA humanitarian assistance that will provide support to transportation and logistics, as well as risk communication and community outreach efforts. This assistance is in addition to the previously announced $2 million for health assistance that will increase testing capacity, implement risk communications and infection prevention activities, and strengthen clinical management. Over the last 20 years, the United States’ long-term commitment to Ecuador includes more than $1 billion in total assistance, of which nearly $36 million for health assistance – helping Ecuador respond to other major public health challenges such as Zika and Malaria.
• Guatemala: More than $2.4 million in previously announced health assistance for Guatemala will strengthen the health institutions to respond to COVID-19 in the areas of infection prevention and control, surveillance, risk communication, and clinical case-management. U.S. long-term investment in Guatemala’s health and development includes more than $2.6 billion in total U.S. assistance over the past 20 years, which includes $564 million for health.
• Haiti: $13.2 million in previously announced health and IDA humanitarian assistance for Haiti will support risk communication efforts, improve water and sanitation, prevent infections in health facilities, manage COVID-19 cases, strengthen laboratories, and more. The United States has invested nearly $6.7 billion in total assistance, including more than $1.8 billion for health in Haiti over the past 20 years.
• Honduras: More than $2.4 million for health assistance for Honduras will help the Government respond to the epidemic through focused support in the areas of lab strengthening, improved disease surveillance, and clinical management of COVID-19 cases. Some of these funds will also target infection control in migrant-receiving communities. The United States has also invested nearly $1.9 billion in total assistance, which includes $178 million for health, for Honduras over the past 20 years.
• Jamaica: $700,000 in previously announced health funding is supporting coordination, infection prevention, control, and management, risk communication efforts, and surveillance. This assistance builds upon U.S. investments of nearly $619 million total over the past 20 years, including nearly $87 million for health.
• Mexico: More than $1.3 million in humanitarian assistance, including $845,000 in new MRA funding, will support COVID-19 response efforts for asylum seekers and vulnerable migrants in Mexico. U.S. long-term investment in Mexico has helped build the foundation for Mexico’s COVID-19 response – this adds up to nearly $4.8 billion in total U.S. assistance over the past 20 years, including more than $61 million for health.
• Panama: $750,000 in previously announced health assistance will help address the outbreak for a strategic U.S. partner. Assistance will optimize country health system capacity to care for COVID-19 patients, protecting the most vulnerable. The United States has a history of investing in Panama’s health and long-term development with more than $425 million in total U.S. assistance over the past 20 years, including more than $33.5 million for health.
• Paraguay: $1.3 million for health assistance will support risk communication efforts, infection control and prevention, clinical case-management, laboratory capacity strengthening, and surveillance U.S. investment in Paraguay is long-term and totals more than $456 million total over the past 20 years, including more than $42 million for health.
• Peru: $5.5 million in total response to COVID-19 funding includes $3 million in new economic support funds for addressing the economic impacts of COVID-19 and preventing backsliding on shared, top-level development and security issues, including the fight against the drug trade; and $2.5 million in previously announced health assistance to provide technical assistance and training in surveillance, infection prevention and control, risk communication, and community engagement. The United States’ strong history of investing in Peru’s health and long-term development has laid the foundation for Peru’s response, with more than $3.5 billion in total U.S. assistance over the last 20 years, including nearly $265 million for health.
• Venezuela: More than $12.3 million in total humanitarian assistance to the Venezuelan people is helping surveil the spread of the virus, provide water and sanitation supplies, manage COVID-19 cases, and more. In Venezuela, the U.S. has invested more than $278 million in total long-term assistance over the past 20 years, including more than $1.3 million in direct health assistance. In the last year, the U.S. provided additional lifesaving humanitarian assistance and development programming inside Venezuela that are not captured in COVID-19 response amounts.
• Regional Efforts in Latin America and the Caribbean: Nearly $850,000 in MRA humanitarian assistance will support regional efforts to respond to the Central America migration crisis to help vulnerable people in El Salvador, Guatemala, and Honduras during the pandemic.

Middle East and North Africa:

• Algeria: $500,000 to support Algeria’s response to COVID-19 and mitigate its impact on Algerian society by strengthening risk communication and community engagement approaches under the GoA preparedness and response plan.
• Iraq: Nearly $30 million in COVID-19 assistance for Iraq includes more than $19.1 million for health and IDA humanitarian assistance that is helping prepare laboratories, implement a public-health emergency plan for points of entry, activate case-finding and event-based surveillance for influenza-like illnesses, and more. The funding includes $10.6 million in MRA humanitarian assistance to assist vulnerable people during the pandemic. This new assistance builds upon long-term investment in Iraq, which adds up to more than $70 billion in total U.S. assistance in the past 20 years, including nearly $4 billion in the health sector alone.
• Jordan: Nearly $8.3 million in assistance includes nearly $6.8 million in MRA humanitarian assistance to support response to COVID-19 efforts to help vulnerable people in Jordan, and $1.5 million in health assistance, which will support infection prevention and control to stop the spread of the disease, as well as laboratory strengthening for large-scale testing of COVID-19. The United States also is spearheading donor support to the Government of Jordan, coordinating life-saving assistance and prioritizing investments to respond rapidly now and to plan ahead as the threat evolves. Our investments in the last 20 years alone total more than $18.9 billion in total assistance, including more than $1.8 billion for health.
• Lebanon: $13.3 million in assistance for Lebanon includes $5.3 million in IDA humanitarian assistance for response to COVID-19 activities targeting vulnerable Lebanese, such as supporting private health facilities to properly triage, manage, and refer patients; ensure continuity of essential health services; carry out risk communication and community outreach activities, and increase access to water, sanitation, and hygiene. $8 million in MRA humanitarian assistance will support COVID-19 response efforts to help refugees and their host communities in Lebanon. This assistance builds upon the nearly $4.9 billion in bilateral assistance, including more than $187 million for health assistance, that the U.S. has provided for Lebanon in the last 20 years. In addition to the bilateral funding, the U.S. has provided more than $2.3 billion in humanitarian assistance to respond to the Syria crisis in Lebanon.
• Libya: Nearly $12 million in response to COVID-19 includes $3.5 million in economic support funds to help municipalities to formalize their crisis response functions, develop emergency management plans, and train teams in Crisis Emergency Response. In addition, assistance will expand key public awareness, education, and guidance messages during the COVID-19 crisis. It also includes $6 million in IDA humanitarian assistance being provided for Libya to support risk communication, improve case-management, bolster coordination for an effective COVID-19 response, and strengthen infection prevention and control; and nearly $2.5 million in MRA humanitarian assistance to help vulnerable people during the pandemic.
• Morocco: Nearly $5.7 million in total response to COVID-19 funding includes $4 million in ESF to support socio-economic recovery among marginalized and vulnerable populations in urban and rural populations through a cash relief program; and $1.7 million for health assistance that is helping prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. This assistance builds upon long-term U.S. investments in Morocco adding up to more than $2.6 billion in total assistance over the last 20 years, including $64.5 million for health.
• Syria: More than $31 million in humanitarian assistance for the response to COVID-19 in Syria supports risk communication, disease surveillance, water, sanitation and hygiene programs, infection prevention and control. This assistance joins decades of U.S. investments for the Syrian people, including more than $10 billion in humanitarian assistance for people in need inside Syria, Syrian refugees, and their host communities since the beginning of the conflict. Humanitarian assistance, including medicines and medical supplies, is exempt from any current U.S. and UN sanctions across all areas of Syria.
• Tunisia: $600,000 for health assistance will help prepare laboratory systems, activate case-finding and event-based surveillance, support technical experts for response and preparedness, bolster risk communication, and more. The United States has invested more than $1.3 billion in total U.S. assistance for Tunisia over the past 20 years, including more than $7 million for health.
• West Bank/Gaza: $5 million in International Disaster Assistance is helping provide immediate, life-saving assistance in the West Bank.
• Yemen: More than $1.7 million in humanitarian assistance will support COVID-19 response efforts to help refugees and other vulnerable populations in Yemen. In the past 20 years, the United States has provided nearly $4 billion in total assistance for Yemen’s long-term development, including nearly $132 million for health.
• Regional Efforts in the Middle East: $6 million in MRA humanitarian assistance to help vulnerable people during the pandemic.

Global:

• Approximately $35.5 million in global and regional programming is being provided globally through international organizations and NGOs, including for programs that support supply-chain management, new partnerships, monitoring and evaluation, and more.
• $8 million in MRA humanitarian assistance for the global response to COVID-19 to address the challenges posed by the pandemic in refugee, IDP, and hosting communities.
• $5 million in ESF for USAID’s Bureau for Democracy, Conflict, and Humanitarian Assistance (DCHA) will support civil society organizations (CSOs) to promote citizen-centered governance; respect for press and civic freedoms by monitoring legal protections for journalists and CSOs; provide legal assistance where COVID-related emergency laws have been used to restrict rights; ensure public health responses are non-discriminatory and counter efforts to blame or stigmatize marginalized groups related to COVID-19; promote media integrity and communicating responsible information on COVID-19; counter misinformation and disinformation; ensure the financial sustainability of independent media outlets. and provide support to human rights defenders to carry out their important work.
• Nearly $4.3 million in ESF for USAID’s Bureau for Economic Growth, Education, and Environment (E3) to expand trade and access to education. With approximately $750,000 USAID will provide technical assistance and surge capacity to partner governments and USAID Missions on education responses to COVID-19, create a Global Working Group on Distance Learning in Crisis, and launch a Virtual Center of Excellence for Education Distance Learning for developing countries. With $3.5 million USAID will support a global public-private partnership to support partner governments to reduce trade barriers on medical devices and testing kits/instruments, and improve governments’ adherence to international standards for medical equipment.
• $8 million in economic support funds for USAID’s Bureau for Resilience and Food Security (RFS) will support a multi-partner effort to mitigate pandemic-related shocks to the global food and agriculture system. Some policy responses in emerging economies to the pandemic are already negatively impacting local food systems, and food insecurity, hunger and malnutrition are growing concerns. USAID will produce data and analysis to help countries implement forward-looking policies; help small and medium-sized food and agriculture businesses shift business models and withstand the most severe impacts; and rapidly disseminate information in emerging economies about how consumers can safely participate in food and agriculture activities and markets amid COVID-19. The partnership includes collaborating with finance sector partners to unlock financing for small and medium-sized food and agribusinesses.
• $2 million in ESF is planned for the Secretary of State’s Office of Global Women’s Issues (S/GWI) to ensure survivors of GBV have access to emergency assistance, improved protections, and justice. The funds also intend to support advocacy and awareness campaigns on the gendered economic, governance, and security implications of GBV, particularly as it relates to the COVID-19 pandemic.
• The United States is the largest and most reliable contributor to dozens of international organizations, including UNICEF and the UN Office for the Coordination of Humanitarian Affairs. These contributions include significant investments in core operating budgets, which sustain the organizational structure and support functions that enable global humanitarian, development, peacebuilding, and other actions.   

For more information on the U.S. Government’s holistic funding in response to this crisis, please contact F-Press@state.gov.