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The HIV/AIDS Program: About the Global HIV/AIDS Program


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.

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.


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
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