Making a Difference: Funding (Updated September 2008)

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President George W. Bush's
Emergency Plan for AIDS
Relief is the largest commitment
ever by any nation for an
international health
initiative dedicated to
a single disease.

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“The money that you have spent is being spent wisely and saving lives. Some call this a remarkable success. I call it a good start.”

- President George W. Bush, World AIDS Day, November 30, 2007

Making a Difference: Funding 

Under the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Government has committed $18.8 billion to the fight against global HIV/AIDS, exceeding its original commitment of $15 billion over five years. This commitment reaffirms the United States’ historic leadership in the global fight against HIV/AIDS.

On July 30, 2008, President George W. Bush signed into law H.R. 5501, the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008. This legislation will increase the U.S. financial commitment to the fight against global HIV/AIDS, tuberculosis, and malaria, authorizing up to $48 billion to combat the three diseases over the next five years.

The American people, through PEPFAR, have provided resources and support for communities around the world to meet the challenge of the HIV/AIDS pandemic. These partnerships are having a global impact and transforming the face of our world today.

  • PEPFAR’s planning and reporting process uses operational plans, target-setting and results reporting to translate lessons learned into action, maximizing resource impact. Globally, PEPFAR supported life-saving antiretroviral treatment for approximately 1.73 million men, women and children through March 31, 2008.
  • U.S. funding for PEPFAR has risen from $2.3 billion in FY 2004, to $2.7 billion in FY 2005, to $3.3 billion in FY 2006, to $4.5 billion in FY 2007. For FY 2008, President Bush has enacted nearly $6.0 billion. For FY 2009, President Bush has requested $6.0 billion.
  • After the first 36 months of PEPFAR, more than 95 percent of funding was obligated and approximately 60 percent was outlayed – a remarkable testament to the dedication of U.S. Government personnel to save as many lives as possible, as rapidly as possible.
Total USG Contribution to Global HIV/AIDS: 2001-2008 (in Billions)

"Connecting the Dots" of International Development

PEPFAR is part of a broader renaissance in partnerships for international development.

  • All told, the President has presided over a tripling of official development assistance (ODA) for Africa – and this has meant not only dollars but a new ethic of partnership that rejects the flawed "donor-recipient" mentality.
  • The $15 billion PEPFAR commitment joins other key initiatives: a doubling of U.S.-Africa trade, the Millennium Challenge Account, the President’s Malaria Initiative, the Africa Education Initiative, the Women’s Empowerment and Justice Initiative, and other efforts.
  • PEPFAR is central to U.S. efforts to “connect the dots” of international development. PEPFAR programs are increasingly linked to other important programs – including those of other U.S. Government agencies and other international partners – that meet the needs of people infected or affected by HIV/AIDS in such areas as clean water, nutrition, education and gender.
  • The United States is the largest contributor to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). In 2003, as part of PEPFAR, the U.S. Government pledged an additional $1 billion to the Global Fund over a five-year period. To date, the U.S. has contributed more than $2.5 billion.

Allocation of PEPFAR Funds

The breakdown of the cumulative total of PEPFAR funds for FY 2004 - 2008:

  • 58 percent of PEPFAR funds will support bilateral programs in the 15 focus countries.
  • 16 percent of PEPFAR funds will support the Global Fund.
  • 11 percent of PEPFAR funds will support other bilateral programs.
  • 15 percent of PEPFAR funds will support other activities, including NIH research and tuberculosis/HIV programs.
Emergency Plan Funding Trends($ in millions) U.S. Government interagency website managed by the Office of U.S. Global AIDS Coordinator and the Bureau of Public Affairs, U.S. State Department.
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