World AIDS Day 2006: The Promise of Partnerships - Latest PEPFAR Results (December 2006)

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World AIDS Day 2006: The Promise of Partnerships

"HIV/AIDS is a global health crisis and a constant struggle for many of our families, friends, and neighbors. On World AIDS Day, we underscore our commitment to fight the AIDS pandemic with compassion and decisive action."

-President George W. Bush, World AIDS Day, December 1, 2006

Latest Treatment Results

Thanks to the compassionate action of the American people and the strong bipartisan support of Congress, the President’s Emergency Plan for AIDS Relief (Emergency Plan/PEPFAR) is reaching a growing number of people around the world.

  • As of September 30, 2006, President Bush’s Emergency Plan for AIDS Relief (PEPFAR) supported life-saving antiretroviral treatment for approximately 822,000 men, women and children through bilateral programs in PEPFAR’s 15 focus countries in sub-Saharan Africa, Asia and the Caribbean.
     
  • Of the 822,000 individuals on treatment, 61 percent are women and 9 percent are children age 14 and under.
     
  • When the President announced PEPFAR, it was estimated that only 50,000 people were receiving treatment for HIV/AIDS in sub-Saharan Africa. 
Number of Individuals Receiving Antiretroviral Treatment

By supporting the most comprehensive and diverse portfolio of HIV/AIDS prevention strategies of any international partner, the Emergency Plan has supported through September 30, 2006:

  • Prevention of mother-to-child HIV transmission services for women during more than 6 million pregnancies;
     
  • Antiretroviral prophylaxis for women during 533,300 pregnancies;
     
  • Prevention of an estimated 101,500 infant infections;
     
  • Care for nearly 4.5 million, including care for more than 2 million orphans and vulnerable children;
     
  • 18.7 million counseling and testing sessions for men, women and children.
     
     
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    In Partnership with Our Host Nations

    More than 39 million people currently live with HIV worldwide. America has kept its promise, and continues to lead the world in its level of support for effective partnerships against HIV/AIDS.

    • The international 2006 World AIDS Day theme is “Stop AIDS: Keep the Promise,” and the U.S., with the strong support of Congress and the American people, is doing just that. PEPFAR is on track to exceed the President’s $15 billion, five year promise. This is a commitment from which the U.S. will not turn away.
    • PEPFAR supports diverse prevention, treatment and care programs, with an emphasis on transparency and accountability for results. PEPFAR works with host nations to build capacity in-country: over 80 percent of partners are indigenous organizations.
    • Every day the U.S. and its partners are learning new best practices that are benefiting the entire world in the battle against this disease. The U.S. will continue to share and use these lessons to guide our work with partner nations in order to address the ongoing emergency, while building local capacity for the long term.
    • The country-by-country results below reflect the work of talented and dedicated people in-country, including faith-based and community- based organizations, who are working partnership with PEPFAR.

    An Integrated Approach

    • Treatment brings hope that drives efforts in other areas such as prevention, counseling and testing, and care. Ultimately, however, HIV/AIDS will not be defeated by treatment or care programs alone. The U.S. thus supports the most diverse range of prevention and care strategies of any international partner.
    • Those strategies include the ABC (Abstain, Be faithful, and the correct and consistent use of Condoms) approach to prevent sexual transmission, prevention of mother-to-child transmission programs, as well as activities that focus on blood safety and safe medical injections, on intravenous drug users, on HIV-discordant couples, on women, on men, and on alcohol abuse.

    Number of individuals receiving antiretroviral treatment as of September 30, 2006

      Downstream1 Upstream2 Total 
    Botswana 0 67,500 67,500
    Cote d'Ivoire 20,900 6,700 27,600
    Ethiopia 40,000 0 40,000
    Guyana 1,600 0 1,600
    Haiti 8,000 0 8,000
    Kenya 87,800 10,000 97,800
    Mozambique 16,700 17,500 34,200
    Namibia 26,300 0 26,300
    Nigeria 50,100 17,000 67,100
    Rwanda 14,700 15,300 30,000
    South Africa 98,600 111,700 210,300
    Tanzania 37,000 7,300 44,300
    Uganda 51,400 37,800 89,200
    Vietnam 3,700 2,900 6,600
    Zambia 71,500 0 71,500
    Total 528,300 293,700 822,000
    NOTE: Numbers may be adjusted as attribution criteria and reporting systems are refined. Numbers above 100 are rounded to the nearest 100.
    1 Included in downstream results are individuals reached through service delivery sites that are directly supported by USG interventions/activities (e.g. commodities, drugs, supplies, supervision, training or quality assurance) at the point of service delivery. Results are considered "downstream" if they can be associated with counts of uniquely identified individuals receiving services at unique program or service delivery points.
    2 Included in upstream results are estimates of individuals served as a result of the USG's contribution to systems strengthening beyond those counted as receiving direct USG support. Systems strengthening includes support to national, regional, or local activities such as policy development; institutional capacity building; logistics; protocol or guideline development; advocacy; laboratory support; national, regional training; and national management information systems. Upstream support is vital to creating sustainable national systems.  In Botswana, for example, the government has led an aggressive and highly successful multi-sectoral response with its own resources and significant downstream contributions from the private sector. The USG has provided funding for purchase of antiretroviral drugs, significant contributions to the development and implementation of national systems for training, quality assurance, and guidelines applied to clinical delivery of ART, HIV laboratory, and monitoring and evaluation of ART. These contributions strengthen the overall success of Botswana's national strategy. 
           

       
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