The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) is the U.S. Government initiative to help save the lives of those suffering from HIV/AIDS around the world. This historic commitment is the largest by any nation to combat a single disease internationally, and PEPFAR investments also help alleviate suffering from other diseases across the global health spectrum. PEPFAR is driven by a shared responsibility among donor and partner nations and others to make smart investments to save lives.
The Office of the U.S. Global AIDS Coordinator manages PEPFAR. The Coordinator is appointed by the President and confirmed by the Senate to coordinate and oversee the U.S. global response to HIV/AIDS. Reporting directly to the Secretary of State, the U.S. Global AIDS Coordinator:
- Leads the U.S. Government's international HIV/AIDS efforts;
- Ensures program and policy coordination among the relevant USG agencies and departments and nongovernmental organizations, avoiding duplication of effort;
- Pursues coordination with other countries and international organizations;
- Resolves policy, program, and funding disputes among the relevant USG agencies and departments;
- Directly approves all activities of the United States relating to combating HIV/AIDS in 15 focus countries; and
- Promotes program accountability and monitor progress toward meeting the Emergency Plan's goals.
Deborah L. Birx, M.D. is Ambassador-at-Large and Coordinator of the United States Government activities to combat HIV/AIDS globally. As Global AIDS Coordinator, Ambassador Birx oversees the implementation of PEPFAR, as well as all U.S. Government engagement with the Global Fund to Fight AIDS, Tuberculosis and Malaria. (Read Ambassador Birx’s bio here. Read blog posts on blog.AIDS.gov by Ambassador Birx)
Global Health Initiative
PEPFAR is the cornerstone and largest component of the U.S. President’s Global Health Initiative (GHI). GHI is the umbrella that links the efforts of U.S. Government health programming into a unified health strategy. GHI pulls together U.S. Government efforts to dramatically reduce the burden of illness and death from some of the world’s most devastating diseases: HIV and AIDS, tuberculosis, malaria, and neglected tropical diseases. GHI has also established ambitious goals to address unacceptable rates of maternal and child mortality. In addition, GHI is working to expand local capacity and self-sufficiency in partner countries. A complete list of targets can be found on GHI.gov.
PEPFAR 3.0 – Controlling the Epidemic: Delivering on the Promise of an AIDS-free Generation documents PEPFAR’s progress and unveils the program’s strategy for working with partners to achieve an AIDS-free generation. As explained in the report, PEPFAR has moved from phase 1 (2003-2007) – the emergency response phase that brought HIV prevention, treatment and care services to millions to phase 2 (2008-2012) – the sustainability phase, where PEPFAR worked with partner countries among other partners to address the epidemic. The program is now in phase 3 (2013-present) and is focused on transparency and accountability for impact, as well as accelerating core interventions for epidemic control. PEPFAR is investing resources strategically and geographically to reach populations at greatest risk with evidence-based programs. The report also provides insight into PEPFAR’s five Action Agendas—the foundation on which an AIDS-free generation will be achieved. The Action Agendas are:
- Impact Action Agenda – focusing resources to control the epidemic.
- Efficiency Action Agenda – saving lives through smart investments.
- Sustainability Action Agenda – sharing responsibility and ensuring maximum coordination with host countries.
- Partnership Action Agenda – working with partners to achieve an AIDS-free generation.
- Human Rights Action Agenda – securing, protecting, and promoting human rights.
For more information, see PEPFAR’s Strategy.
Learn about the U.S. government agencies that have come together in the common cause of turning the tide against the HIV/AIDS pandemic.
View information about PEPFAR-supported efforts and related resources in participating countries.
PEPFAR’s Program Results
Annually, PEPFAR reports on results achieved by its programs across the range of prevention, treatment and care programs. Reflecting America’s commitment to saving lives affected by HIV/AIDS, PEPFAR is supporting countries in providing HIV prevention, treatment and care to their people.
- As of September 30, 2014, PEPFAR is supporting life-saving antiretroviral treatment for 7.7 million men, women and children worldwide (of which, 4.5 million are receiving direct support and an additional 3.2 million are benefiting from essential technical support to partner countries).
- PEPFAR is now differentiating the type of support provided to beneficiaries, recognizing the greater share of investment made by financial collaboration countries to reach these results. We congratulate countries, including Botswana, Namibia, and the Republic of South Africa, for their expanded leadership in this regard.
- The majority of people that PEPFAR directly supports with antiretroviral treatment are in low-income countries.
- In Fiscal Year (FY) 2014,PEPFAR supported HIV testing and counseling for more than 14.2 million pregnant women.
- For 749,313 of the women who tested positive for HIV, PEPFAR provided antiretroviral medications to prevent mother-to-child transmission (PMTCT) of the virus. Due to PEPFAR support, 95 percent of these babies were born HIV-free (including 240,000 that would otherwise have been infected).
- Over the past two years, over 1.5 million HIV-positive pregnant women received prevention and treatment services to prevent mother-to-child transmission.
- As of September 30, 2014, PEPFAR will have supported more than 6.5 million voluntary medical male circumcision (VMMC) procedures in eastern and southern Africa.
- In FY 2014, PEPFAR provided care and support for more than 5 million orphans and vulnerable children.
- In FY 2014, PEPFAR supported HIV counseling and testing for more than 56.7 million people, providing a critical entry point to prevention, treatment, and care.
- As of September 30, 2014, PEPFAR is supporting training for more than 140,000 new health care workers in PEPFAR-supported counties to deliver HIV and other health services.
Read more about PEPFAR's results and progress to date.
Last revised: 02/10/2015