The U.S. President’s Emergency Plan for AIDS Relief

PEPFAR is on track to achieve its aggressive goals: supporting treatment for two million people, prevention of seven million new infections, and care for 10 million people infected or affected by HIV/AIDS, including orphans and vulnerable children.

Partnerships Create Hope

PEPFAR's success is based in the power of partnerships between the American people and the people of the world — governments, non-governmental organizations including faith- and community-based organizations, and the private sector. Together, these partnerships are building sys­tems and empowering individuals, communities and nations to tackle HIV/AIDS.

PEPFAR has acted quickly, but success is not mea­sured in dollars spent: it is measured in services provided and lives saved.

• Globally, PEPFAR has supported life-saving antiretroviral treatment for approximately 1,445,500 men, women and children through September 30, 2007.

• Of these, over 1.3 million live in sub-Saharan Africa .
   
• When President Bush announced PEPFAR, it was estimated that only 50,000 people were receiving treatment for HIV/AIDS in sub-Saharan Africa.

Working in partnership with host nations worldwide, PEPFAR also has supported through September 30, 2007:

• Prevention of mother-to-child HIV transmission services for women during more than 10 million pregnancies ;
   
• Antiretroviral prophylaxis for women in more than  827,000 pregnancies ;
   
• Prevention of an estimated 157,000 infant infections;
   
• Care for nearly 6.6 million , including care for more than 2.7 million orphans and vulnerable children;
   
• More than 33 million counseling and testing sessions; and
• 58 million people reached by programs to prevent sexual transmission in 2007.
  
  • The U.S. Government has also supplied 1.9 billion condoms since 2004.

An Integrated Approach to Prevention, Treatment and Care

• 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. Government supports the most diverse range of prevention and care strategies of any international partner.
   
• Prevention 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.
   
• PEPFAR also supports programs to care for people living with and affected by HIV/AIDS, including orphans and vulnerable children, and to provide HIV counseling and testing in a growing number of countries.

Making a Difference: Funding

The United States leads the world in its financial support to the fight against the global HIV/AIDS crisis. With the strong support of Congress and the American people, 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.

• U.S. funding for PEPFAR has risen from $2.3 billion in FY 2004, to nearly $6.0 billion in FY 2008.

• President George W. Bush has requested that Congress reauthorize PEPFAR for five additional years and $30 billion additional dollars, which would bring the American people's 10-year commitment on global HIV/AIDS to more than $48 billion.

PEPFAR: Part of a New Era of Development

The Emergency Plan is part of a broader renaissance in partnerships for international development.

• 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 nutrition, education and gender.

• Through PEPFAR, the United States is the largest contributor to the Global Fund to Fight AIDS, Tuberculosis and Malaria. 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 to the Fund .

• All told, President Bush has presided over a doubling of support for development, a quadrupling of resources for Africa, the creation of innovative programs like the Millennium Challenge Corporation, the President's Malaria Initiative, the Women's Justice and Empowerment Initiative and the African Education Initiative, as well as more than doubling trade with Africa and supporting 100 percent debt relief to the poorest countries.

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