This June 2007 Operational Plan serves as the third Operational Plan for FY 2007. It follows �The President�s Emergency Plan for AIDS Relief � U.S. Five-Year Global HIV/AIDS Strategy� and seeks to have an immediate impact on people and strengthen the capacity of host nations to expand programs. In FY 2007, the Emergency Plan will support care for approximately 4,980,053 individuals infected and affected by HIV/AIDS including orphans and vulnerable children (OVCs), and will support antiretroviral treatment (ART) for approximately 1,192,564 individuals.
Section III of this document provides information on each country�s contribution to the total number of individuals to be receiving care and antiretroviral treatment using FY 2007 funding.
The FY 2007 budget for the Emergency Plan is $4.556 billion (see Table 1). This FY 2007 Operational Plan describes the planned uses of $3.652 billion of Emergency Plan funding (see Table 2) to expand integrated care, treatment and prevention programs in fifteen focus countries; to finance central programs that help focus countries achieve their goals; to provide U.S. Government (USG) contributions to international partnerships, including the Joint United Nations Program on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM); to fund technical oversight and management, and to develop and maintain the Emergency Plan�s strategic information and evaluation systems.
The planned uses of the remaining $904 million of Emergency Plan funding include support for existing bilateral HIV/AIDS programs around the world; international HIV/AIDS research through the HHS National Institutes of Health; HIV vaccine and microbicide research and development through USAID; and TB programs. These programs are described in a variety of congressional budget justification documents and briefing materials of USAID, HHS, Department of Defense (DOD), Department of Labor (DOL), and State.
The $3.652 billion described in this June FY 2007 Operational Plan is composed of:
The FY 2007 figures reflect actual appropriation levels.
The Emergency Plan focus countries, which are all severely impacted by HIV/AIDS, are Botswana, C�te d�Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Vietnam and Zambia.
PROGRESS TO DATE
Please see �The Power of Partnerships: The President�s Emergency Plan for AIDS Relief� for a complete description of progress and achievements during FY 2006. Through September 30, 2006, the Emergency Plan supported care for nearly 4.5 million people, including care for more than 2 million orphans and vulnerable children. As of September 2006, the Emergency Plan supported antiretroviral treatment for approximately 1,101,000 men, women, and children through bilateral programs in the 15 focus countries; of those receiving downstream support, 61 percent were women and 9 percent were children age 14 and under. The Emergency Plan also has supported prevention of mother-to-child HIV transmission services for women during more than 6 million pregnancies, antiretroviral prophylaxis for HIV-positive women during 533,700 pregnancies, averting an estimated 101,500 infant HIV infections (cumulative for fiscal years 2004 through 2006).
DISTRIBUTION OF HIV/AIDS FUNDS
The distribution of the FY 2007 Emergency Plan funds among prevention, treatment, and care is moving in the direction outlined in the authorization of the Emergency Plan.
See Table 3 for the allocation of funds among program areas for activities that have been approved to date. 21 percent of the budget is allocated to prevention activities; 32 percent of the budget is allocated to care; and 47 percent is allocated to treatment. Of note, Abstinence, Be Faithful (AB) activities account for 7 percent of the total prevention, care, and treatment budget, 33 percent of all prevention activities, and 57 percent of programs that address prevention of sexual transmission of HIV/AIDS. Activities for orphans and vulnerable children (OVCs) account for 10 percent of the total prevention, care, and treatment budget. Please note that pediatric AIDS treatment funding that is attributed to OVC programs is included in the care program area total and is not included in the treatment program area total.
The $316 million in additional funds being notified in concert with this update of the Operational Plan were targeted at increased coverage in TB/HIV, Prevention of Mother-to-Child Transmission (PMTCT) and OVC programs. In addition, $15,600,000 will be allocated to support a set of pilot medical male circumcision activities in seven focus countries and three other PEPFAR countries.
This Operational Plan includes all sources of funding, some of which are notified to Congress by other parts of the USG. The Operational Plan provides descriptive material to buttress notifications to Congress for funds from the Global HIV/AIDS Initiative (GHAI) account.
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