This report inventories the U.S. federal government's current expenditures of resources for international health and considers ways of better resource utilization and coordination. Presented in eight chapters, the report considers three major issues: (1) how governmental and multilateral development strategies could be reoriented to affect health, (2) how the international health assistance welfare image could be dispelled and its economic development aspects emphasized, and (3) how individuals and organizations could be motivated to action at the grassroots level. In each chapter problems/constraints are examined, and recommendations are made for improved health services. Chapter 1 reviews the foundations for U.S. international health policy. The second chapter discusses international relations and health diplomacy. Chapter 3 emphasizes the importance of improving health care in the U.S. The following chapter explores the role of the private sector in international health. Chapter 5 provides a perspective on financial and commercial aspects of international health, and U.S. research efforts and their relationship to international health are investigated in chapter 6. Chapter 7 discusses U.S. foreign supporting assistance and its accompanying developmental strategy which emphasizes growth and coordination of basic human needs policy with U.S. human rights policy. The final chapter examines conditions that influence the availability of health manpower resources for international health programs. (CSS)