This Operational Plan of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) serves as the second PEPFAR Operational Plan for fiscal year (FY) 2010. The PEPFAR Operational Plan links all sources of PEPFAR funding, some of which are notified and detailed to Congress by other parts of the United States Government (USG). It also provides descriptions to support notification to Congress for funds from the Global Health and Child Survival (GHCS-State) account and descriptions of activities supporting PEPFAR from other appropriation accounts. It is organized into seven sections.
This introduction, Section I, describes how this year’s Operational Plan has been organized, provides a brief note on the progress of PEPFAR and highlights several overarching updates within PEPFAR programs. These updates include the release of the PEPFAR Five-Year Strategy and the Global Health Initiative, the development of Partnership Frameworks, and changes to Management and Operations data collection for FY 2010.
The budget presentation of this year’s Operational Plan can be found in Section II, the Summary Plan Presentation, which provides summary budget information describing how PEPFAR resources will be implemented. Through a series of annotated tables and graphs, the summary plan illustrates national and regional priorities for resource distribution and PEPFAR investment by region. Summary budget information is also provided for Headquarters Operational Plan activities.
Sections III-VI contain the supporting narratives for the Summary Plan Presentation. Section III provides an overview of the country and regional programs preparing PEPFAR operational plans. Section IV provides a more limited overview of the PEPFAR activities in the PEPFAR countries that do not prepare PEPFAR operational plans but receive funding through the GHCS-State account. Section V describes the programs planned in the Headquarters Operational Plan, which includes all PEPFAR funded activities not currently planned by country or regional teams. Section VI provides a description of funding for international partners. Section VII, the appendices, contains supplemental budget tables, an acronym list, reference links to additional resources found at pepfar.gov, and additional narrative supporting documents.
This April 2011 PEPFAR Operational Plan serves as the second and final iteration of the document. This plan outlines the annual HIV/AIDS investment which is anticipated to have an immediate impact on people and strengthen the capacity of partner nations to expand programs. The FY 2010 figures reflect funds appropriated in the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2010 (Division F, P.L. 111-117), under the heading “Global Health and Child Survival,” the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010 (Division D, P.L. 111-117), and for Department of Defense, the Department of Defense Appropriations Act, 2010 (Division A, P.L. 111-118) under the heading “Defense Health Program.”
Progress to Date
On World AIDS Day 2010, reflecting America’s commitment to saving lives affected by HIV/AIDS, PEPFAR announced encouraging new results achieved by its efforts to support countries in providing HIV prevention, treatment and care to their people. Among these results, the U.S. is directly supporting life-saving antiretroviral treatment for more than 3.2 million men, women and children worldwide as of September 30, 2010, up from less than 2.5 million in 2009. In the coming years, the U.S. has committed to directly support more than four million people on treatment, more than doubling the number of people directly supported on treatment during the first five years of PEPFAR.
Support for prevention of new HIV infections, and for care and support for those affected by HIV, are other areas in which PEPFAR programs show encouraging progress. PEPFAR directly supported antiretroviral prophylaxis to prevent mother-to-child HIV transmission for more than 600,000 HIV-positive pregnant women in fiscal year 2010, allowing more than 114,000 infants to be born HIV-free. Through its partnerships with more than 30 countries, PEPFAR directly supported 11 million people with care and support, including nearly 3.8 million orphans and vulnerable children, in fiscal year 2010 alone. PEPFAR directly supported HIV counseling and testing for nearly 33 million people in fiscal year 2010, providing a critical entry point to prevention, treatment, and care.
Combating HIV/AIDS is a shared global responsibility. In addition to PEPFAR’s direct impact, many also benefit from programs supported by the U.S. and other donors through the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Of the estimated 5.2 million individuals in low- and middle-income countries who currently receive treatment, nearly 4.7 million receive support through PEPFAR bilateral programs, the Global Fund, or both. The U.S. is the first and largest donor to the Global Fund, having provided more than $5.1 billion to date and announced an historic multi-year pledge of $4 billion for 2011-2013, a 38 percent increase in U.S. support.
From FY 2010 onward, PEPFAR will report on partner countries’ national achievements in service delivery and health systems strengthening, as well as PEPFAR direct contributions to those achievements. The new national health systems indicators are being developed in collaboration with partner countries and multilateral organizations, and as part of the Global Health Initiative.
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