The U.S. Commitment to Global HIV/AIDS

January 2009

U.S. President's Emergency Plan for AIDS Relief

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 success of PEPFAR is firmly rooted in a commitment to results. Through partnerships between the American people and the people of the countries in which we are privileged to serve, we are building sustainable systems and empowering individuals, communities, and nations to battle HIV/AIDS.

  • Globally, PEPFAR supported life-saving antiretroviral treatment for approximately 2.1 million men, women and children through September 30, 2008.
  • Of this, PEPFAR supported life-saving antiretroviral treatment for more than 2 million people through bilateral programs in PEPFAR's 15 focus countries in sub-Saharan Africa, Asia and the Caribbean.
  • When PEPFAR was announced, 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, evidence-based program in the world, targeting interventions based on the epidemiology of HIV infection in each country, PEPFAR has supported through September 30, 2008:

  • Prevention of mother-to-child HIV transmission services for women during nearly 16 million pregnancies
  • Antiretroviral prophylaxis for nearly 1.2 million pregnant women found to be HIV-positive, allowing nearly 240,000 infants to be born HIV-free
  • Care for nearly 10.1 million people affected by HIV/AIDS worldwide, including nearly 4 million orphans and vulnerable children
  • Over 57 million counseling and testing sessions for men, women and children

A Commitment Renewed

On July 30, 2008, the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 was signed into law, authorizing up to $48 billion over the next 5 years to combat global HIV/AIDS, tuberculosis, and malaria. Through FY2013, PEPFAR plans to work in partnership with host nations to support:

  • Treatment for at least 3 million people
  • Prevention of 12 million new infections
  • Care for 12 million people, including 5 million orphans and vulnerable children

To meet these goals and build sustainable local capacity, PEPFAR will support training of at least 140,000 new health care workers in HIV/AIDS prevention, treatment and care.

In Partnership With Our Host Nations

An estimated 33 million people currently live with HIV worldwide. Reliance on local organizations is essential for PEPFAR to fulfill its promise to partner with host nations to develop sustainable responses to 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: 86 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, 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.

Total USG Contribution to Global HIV/AIDS: 2001-2008 (in Billions)

  • 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 first and largest contributor to the Global Fund to fight AIDS, Tuberculosis and Malaria and has given almost $3.3 billion since 2001, or about 27 percent of total contributions.

This article was provided by U.S. President's Emergency Plan for AIDS Relief.


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