About PEPFAR

In his State of the Union address on January 28, 2003, President Bush announced the President's Emergency Plan for AIDS Relief (PEPFAR/Emergency Plan). The Emergency Plan is the largest commitment ever by any nation for an international health initiative dedicated to a single disease -- a five-year, $15 billion, multifaceted approach to combating the disease around the world. The United States now leads the world in its level of support for the fight against HIV/AIDS.

On May 27, 2003, President Bush signed P.L. 108-25, the United States Leadership Against Global HIV/AIDS, Tuberculosis, and Malaria Act of 2003, the legislative authorization for the Emergency Plan.

On July 2, 2003, President Bush nominated Randall L. Tobias as the inaugural U.S. Global AIDS Coordinator to lead implementation of the Emergency Plan, and after Senate confirmation, Ambassador Tobias was sworn in on October 6, 2003.

On August 11, 2006, Ambassador Mark R. Dybul was sworn in as the current U.S. Global AIDS Coordinator.

Strategy

On February 23, 2004, one month after the first congressional appropriation of resources for the Emergency Plan, the Coordinator submitted to Congress the U.S. Five-Year Global HIV/AIDS Strategy (Five-Year Strategy). The Five-Year Strategy set forth in detail the goals of the Emergency Plan and strategies for achieving those goals, and it guides Emergency Plan activities.

Through the Emergency Plan, the U.S. Government is working with international, national and local leaders worldwide to support integrated prevention, treatment and care programs.

The Emergency Plan supports the multisectoral national responses in host nations through the principles known as the "Three Ones": - one national plan, one national coordinating authority, and one national monitoring and evaluation system. Rather than mandating that all contributors do the same things in the same ways, the Three Ones facilitate complementary and efficient action in support of host nations.