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Treatment

PEPFAR's treatment programs provide essential medications to more than two million people. PEPFAR also contributes to the strengthening of the health systems needed to deliver these drugs in low-resource settings. In addition, PEPFAR serves populations with special treatment needs, like children. Together, all global efforts support approximately four million people on antiretroviral treatment, but at least five million more are still in need of ARV drugs. This figure will likely double with the recent revision of WHO recommendations for treatment initiation. As part of its reauthorization, PEPFAR was charged with supporting increased treatment commensurate with increased appropriations and efficiencies realized. PEPFAR's treatment strategy over the next five years emphasizes the following activities:

• Directly supporting more than 4 million people on treatment, more than doubling the number of patients directly supported by PEPFAR in its first five years;
• Scaling up treatment with a particular focus on serving the sickest individuals, pregnant women and those with HIV/TB coinfection;
• Increasing support for country-level treatment capacity by strengthening health systems and expanding the number of trained health workers; and
• Working with countries and international organizations to develop a shared global response to the burden of treatment costs in the developing world, and assisting countries in achieving their defined treatment targets.

Progress Achieved through September 30, 2009:

• 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.
• Tables with results achieved by PEPFAR treatment programs during Fiscal Year (FY) 2009 may be found here.

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For more information on PEPFAR's data collection, please visit: www.pepfar.gov/2009results/.

Programmatic Strategy: In this second phase of PEPFAR, a new program strategy is underway that supports the Administration's overall emphasis on improving health outcomes, increasing program sustainability and integration, and strengthening health systems. Some of these changes are already being implemented with planning and programming for FY 2010. Over the next year, PEPFAR will be working closely with country teams in order to translate, prioritize, and implement this strategy in a manner appropriate to the country context. More information on the broader strategic framework for PEPFAR activities can be found in the strategy annexes which will be made available at www.pepfar.gov/strategy.