Programs › 19.046
Assistance listing · 19.046
Global Health Security and Transition of Life-saving Services
Federal financial assistance obligated under listing 19.046, the organisations that receive it and where it goes.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Federal agencies obligated $3.2B in awards under assistance listing 19.046, Global Health Security and Transition of Life-saving Services, in FY2026, and $3.2B over the five fiscal years since FY2023; the program ranks 141 of 988 on this site.
The largest recipient organisations by the value of $1.0M-plus awards since FY2023 were The Global Fund to Fight Aids, Tuberculosis and Malaria (the Global Fund) ($1.8B), Gavi Alliance ($600M) and Family Health International ($324M).
Obligations by fiscal year
Compared with the largest program FY2026
| Measure | This program | Grants to States for Medicaid | All assistance |
|---|---|---|---|
| Obligations, FY2026 | $3.2B | $722B | $4.4T |
| Five-year total | $3.2B | $2.6T | $17T |
| Share of all assistance obligations, five years | 0% | 15.2% | 100% |
Largest recipients $1.0M+ award value since FY2023
| # | Organisation | Awards | Award value |
|---|---|---|---|
| 1 | The Global Fund to Fight Aids, Tuberculosis and Malaria (the Global Fund) | 1 | $1.8B |
| 2 | Gavi Alliance | 1 | $600M |
| 3 | Family Health International | 1 | $324M |
| 4 | World Vision Inc. | 2 | $298M |
| 5 | Abt Global LLC | 1 | $157M |
| 6 | United Nations Office for Project Services | 1 | $108M |
| 7 | Palladium International LLC | 1 | $59M |
| 8 | International Bank for Reconstruction and Development | 1 | $50M |
| 9 | Interchurch Medical Assistance, Inc. | 1 | $48M |
| 10 | Centre for Infectious Disease Research in Zambia | 1 | $40M |
| 11 | Perimeter Knightworks, LLC. | 1 | $40M |
| 12 | Elizabeth Glaser Pediatric AIDS Foundation | 1 | $38M |
| 13 | International Medical Corps | 1 | $35M |
| 14 | Management Sciences for Health, Inc. | 1 | $35M |
| 15 | Action Contre LA Faim | 1 | $30M |
Awarding agencies $1.0M+ awards
Largest awards since FY2023
| Recipient | Awarding agency | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| The Global Fund to Fight Aids, Tuberculosis and Malaria (the Global Fund) | Department of State | Other assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance | $1.8B | 25 Feb 2026 | — | USAspending |
| Gavi Alliance | Department of State | Other assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance | $600M | 21 Aug 2026 | — | USAspending |
| Family Health International | Department of State | GrantCooperative Agreement (B) | $324M | 24 Sep 2026 | — | USAspending |
| World Vision Inc. | Department of State | GrantCooperative Agreement (B) | $251M | 4 Aug 2026 | — | USAspending |
| Abt Global LLC | Department of State | GrantCooperative Agreement (B) | $157M | 11 Sep 2026 | — | USAspending |
| United Nations Office for Project Services | Department of State | GrantCooperative Agreement (B) | $108M | 24 Sep 2026 | — | USAspending |
| Palladium International LLC | Department of State | GrantCooperative Agreement (B) | $59M | 20 Sep 2026 | — | USAspending |
| International Bank for Reconstruction and Development | Department of State | Other assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance | $50M | 24 Jul 2026 | — | USAspending |
| World Vision Inc. | Department of State | GrantCooperative Agreement (B) | $48M | 24 Sep 2026 | — | USAspending |
| Interchurch Medical Assistance, Inc. | Department of State | GrantCooperative Agreement (B) | $48M | 22 Sep 2026 | — | USAspending |
Other programs numbered 19.xxx
- 19.515 Contributions to International Organizations for Overseas Assistance $10B
- 19.790 Contributions to International Organizations- CIO $6.0B
- 19.707 Assessed Contributions for State Department $3.7B
- 19.045 International Disaster and Humanitarian Response $2.1B
- 19.517 Overseas Refugee Assistance Programs for Africa $1.9B
- 19.017 Environmental and Scientific Partnerships and Programs $1.6B
- 19.345 International Programs to Support Democracy, Human Rights and Labor $1.3B
- 19.791 Voluntary Contributions to International Organizations $1.3B
- 19.510 U.S. Refugee Admissions Program $1.2B
- 19.800 Weapons Removal and Abatement $725M
- 19.973 Assessed Contributions to International Organizations/CIPA $688M
- 19.029 The U.S. President's Emergency Plan for AIDS Relief Programs $648M
- 19.522 Overseas Refugee Assistance Programs for Strategic Global Priorities $625M
- 19.400 Academic Exchange Programs - Graduate Students $536M
- 19.703 Criminal Justice Systems $464M
- 19.705 Trans-National Crime $411M
- 19.415 Professional and Cultural Exchange Programs - Citizen Exchanges $381M
- 19.878 EUR-Other $347M
- 19.518 Overseas Refugee Assistance Programs for Western Hemisphere $308M
- 19.018 Resettlement Support Centers (RSCs) for U.S. Refugee Resettlement $292M
- 19.087 International Fisheries Commissions $255M
- 19.519 Overseas Refugee Assistance Program for Middle East and North Africa Program $236M
- 19.019 International Programs to Combat Human Trafficking $232M
- 19.600 Bureau of Near Eastern Affairs $219M
Questions and answers
How much is obligated under assistance listing 19.046?
$3.2B in FY2026 and $3.2B over the five fiscal years since FY2023, counting every award type recorded under the listing (grants, direct payments, loan subsidy cost, insurance and other assistance). Obligations are commitments, not payments.
Who receives the most under Global Health Security and Transition of Life-saving Services?
The Global Fund to Fight Aids, Tuberculosis and Malaria (the Global Fund) ($1.8B), Gavi Alliance ($600M), Family Health International ($324M), World Vision Inc. ($298M), Abt Global LLC ($157M). Individuals are never listed; where a program pays individuals, USAspending records aggregated rows that appear here as "not shown".
What is an assistance listing (CFDA) number?
A five-digit number that identifies a federal financial assistance program on SAM.gov (formerly the Catalog of Federal Domestic Assistance). Every grant, loan, direct payment or other assistance award on USAspending carries one; contracts do not.
Provenance
Source: USAspending.gov API v2, spending by category (assistance listing) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 listing table, so small amounts in a state may be missing. See methodology.