PEPFAR Overview (Updated September 2008)

The U.S. Commitment to Global HIV/AIDS  The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the largest commitment ever by a single nation toward an international health initiative — a comprehensive approach to combating HIV/AIDS around the world. PEPFAR employs the most diverse prevention, treatment and care strategy in the world, with an emphasis on transparency and accountability for results. The goals of PEPFAR include support for treatment for 2 million HIV infected people, support for prevention of 7 million new infections, and support for care for 10 million people infected or affected by HIV/AIDS. Latest Treatment Results The heart of PEPFAR is to work shoulder to shoulder with partners in host nations in support of the national strategy in each country. Thanks to the compassionate action of the American people and the strong bipartisan support of Congress, PEPFAR is reaching a growing number of people around the world. Globally, PEPFAR supported life-saving antiretroviral treatment for approximately 1.73 million men, women and children through March 31, 2008.   Of this, PEPFAR supported life-saving antiretroviral treatment for more than 1.64 million people through bilateral programs in PEPFAR’s 15 focus countries in sub-Saharan Africa, Asia and the Caribbean.   When President Bush announced PEPFAR, it was estimated that only 50,000 people were receiving treatment for HIV/AIDS in sub-Saharan Africa. By supporting the most comprehensive, evidence-based program in the world, targeting interventions based on the epidemiology of HIV infection in each country, PEPFAR has supported in the 15 focus countries: Through March 31, 2008: Prevention of mother-to-child HIV transmission services for women during nearly 12.7 million pregnancies   Antiretroviral prophylaxis for women in more than 1 million pregnancies   Prevention of an estimated 194,000 infant infections Through September 30, 2007: Care for more than 6.6 million, including care for more than 2.7 million orphans and vulnerable children   Over 33 million counseling and testing sessions for men, women and children In Partnership with Our Host Nations  An estimated 33 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. 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: 87 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. 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. thus 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. In 2001, the United States Government’s total contribution to this fight was $840 million.   Since the announcement of PEPFAR, U.S. global AIDS spending has significantly increased: $2.3 billion in fiscal year 2004 $2.7 billion in fiscal year 2005 $3.3 billion in fiscal year 2006 $4.5 billion in fiscal year 2007 $6.0 billion in fiscal year 2008 The U.S. is the largest contributor to the Global Fund to fight AIDS, Tuberculosis and Malaria. To date, the U.S. has contributed more than $2.5 billion.