America's Commitment to the Fight Against Global AIDS

Fact Sheet
Bureau of Public Affairs
December 1, 2009

“In its next phase, PEPFAR programs will support a comprehensive, whole-of-government approach in many countries, to increase awareness, reduce stigma, and get services to people at earlier stages. We must support services that are open and accessible to all, regardless of HIV status, sexual orientation, or gender. We will work to end the discrimination and marginalization of most-at-risk populations.” — Secretary of State Hillary Rodham Clinton

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) was launched in 2003 to combat global HIV/AIDS, and is the largest commitment by any nation to combat a single disease in history. Under PEPFAR, the U.S. Government has already committed more than $25 billion to the fight against global HIV/AIDS.

Country-Level Leadership for a Sustained Response

America is committed to making sure global health investments are lasting. To achieve this end, the U.S. is placing a renewed emphasis on supporting partner country ownership of AIDS programs and ensuring the sustainability of local efforts. This emphasis will also maximize our development efforts and expand opportunity to more people in more places around the world.

PEPFAR will increase support for partner government capacity to plan, oversee and manage programs; to deliver quality services with the participation of local civil society and communities; and ultimately, to finance health programs. Strong national government commitment is essential because each government is ultimately responsible for promoting the health of its population.

The Administration and the Global Health Initiative

President Obama has committed to spending $63 billion over six years on international health activities under the Global Health Initiative. This is a stunning level of investment and a demonstration of this Administration’s strong commitment to improving health in the developing world.

The Global Health Initiative will continue America’s commitment to priorities like HIV/AIDS, tuberculosis and malaria, and will integrate current programs with those that address maternal and child health, family planning and neglected tropical diseases.

 PEPFAR Latest Results

  • Through its partnerships with more than 30 countries, as of September 30, 2009, PEPFAR directly supported life-saving antiretroviral treatment for over 2.4 million men, women and children. They represent more than half of the estimated four million individuals in low and middle-income countries on treatment.

  • In addition, through September 30, 2009, PEPFAR partnerships have directly supported care for nearly 11 million people affected by HIV/AIDS, including 3.6 million orphans and vulnerable children.

  • In FY 2009, PEPFAR directly supported prevention of mother-to-child transmission programs that allowed nearly 100,000 babies of HIV-positive mothers to be born HIV-free, adding to the nearly 240,000 babies born without HIV due to direct PEPFAR support during FYs 2004-2008.

  • In FY 2009, PEPFAR also directly supported HIV counseling and testing for nearly 29 million people, providing a critical entry point to prevention, treatment, and care.