The
World Health Organization estimated that
33.2 million people were living with HIV,
globally, in 2007. In addition an estimated
2.5 million individuals were newly infected,
and 2.1 million people died of AIDS in 2007.
Sub-Saharan
Africa is the most affected region in the
global AIDS epidemic. Sub-Saharan Africa
accounts for more than two thirds (68%)
of all people infected with HIV. An estimated
22.5 million individual were infected; 1.7
million individuals were newly infected;
and 1.6 millions deaths were due to AIDS.
THE
PRESIDENT'S EMERGENCY PLAN FOR AIDS
RELIEF |
In
the State of the Union address on January
28, 2003, President Bush announced the
President's Emergency Plan for AIDS
Relief (PEPFAR), the largest commitment
ever by any nation for an international
health initiative dedicated to a single
disease. On May 27, 2003, President
Bush signed P.L.
108-25, the United States Leadership
Against Global HIV/AIDS, Tuberculosis.
PEPFAR
allocated $15 billion over a 5-year
period. PEPFAR's goals were to provide
treatment to 2 million HIV-infected
people; prevent 7 million new HIV
infections; and provide care to 10
million people infected and affected
by HIV/AIDS, including orphans and
vulnerable children.
As
a result of PEPFAR funding and support,
approximately 1,445,500 individuals
were supported with life-saving antiretroviral
treatment through 2007. More than
6.6 million individuals received care
including 2.7 million orphans and
vulnerable children.
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HRSA'S
ROLE IN PEPFAR |
Many
federal agencies embarked on the PEPFAR's
implementation including the U.S.
State Department, Centers for Disease
Control and Prevention (CDC) and Health
Resources and Services Administration
(HRSA). Under HIV/AIDS Bureau within
HRSA, the Global HIV/AIDS Program
implements its international portfolio.
In
fiscal year 2007 HRSA Global HIV/AIDS
Program was the third largest provider
of PEPFAR funds to the implementing
organizations.
HRSA
Global HIV/AIDS Program is committed
to improving care and treatment and
support services for people living
with HIV/AIDS. The Global HIV/AIDS
Program promotes the following strategy
to best serve people affected by HIV/AIDS:
Clinical
System Strengthening
- Strengthening
clinical and administrative systems
and services to build networks of
comprehensive HIV/AIDS care
- Designing
innovative care and support models
to remove barriers to care
- Strengthening
quality improvement integration
to enhance clinical services
Human
Resources for Health
- Supporting
training activities and partnerships
to develop human and organizational
capacity
- Assessing
the effectiveness of specific models
of care to promote adaptation of
best practices
- Enhancing
the capacity of HRSA's partners
to collect, monitor, and evaluate
data for quality service
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HRSA GLOBAL HIV/AIDS PROGRAM INTERNATIONAL
COLLABORATIONS |
To
promote HRSA Global HIV/AIDS Program's
commitment and strategy, HRSA coordinates
in-country implementation; facilitates
governmental relations with host country
and U.S. governmental representatives,
and manages the grants/cooperative agreements.
In addition HRSA Global HIV/AIDS Program
supports activities:
Care
and Treatment
- AIDSRelief
Consortium: Catholic Relief Services
- Harvard
University - School of Public Health
- Quality
Improvement Center: New York AIDS
Institute
Capacity
Development
- International
-Training and Education Center on
HIV: University of Washington
- The
Twinning Center: American International
Health Alliance
- Global
HIV/AIDS Nursing Capacity Building
Program: Georgetown University
Monitoring
and Evaluation
New
Partners Initiative
- Visions
in Action and Catholic University
of Mozambique
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