Partnering to Achieve Epidemic Control in South Africa

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Date: 02/11/2015 Description: PEPFAR South Africa logo © PEPFAR logo

The United States (U.S.) is proud to support South Africa’s leadership in the global HIV/AIDS response. The Partnership Framework Implementation Plan (PFIP), signed by representatives of the U.S. government and South African government (SAG) in 2012, outlines joint investments that will further reduce HIV infections and strengthen health systems. The PFIP is a commitment by both governments to continue supporting the HIV/AIDS response, where the U.S. contribution will transition to technical assistance as the SAG increases its monetary investment. PEPFAR will continue to align investments with national priorities and to coordinate with the SAG, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and other development partners to reduce new infections and save lives.

Specific priorities include:

  • Managing transition of clinical services to the SAG, focusing on priority areas including TB/HIV co-infection and pediatric and adolescent services
  • Supporting HIV prevention services including HIV testing and counseling, voluntary medical male circumcision, and prevention of mother-to-child HIV transmission (PMTCT)
  • Strengthening the health and social welfare system and workforce for orphans and vulnerable children (OVC) services
  • Implementing cross-cutting activities for HIV/AIDS-related surveillance, laboratory systems strengthening, human resource capacity building, health information systems, and supply chain management
  • Working together with South Africa to refocus PEPFAR resources to save lives and sustainably control the HIV/AIDS epidemic by scaling up interventions in high-burden areas – in line with the UNAIDS Fast-Track strategy and 90-90-90 targets for 20201, 2

HIV/AIDS in South Africa

Number of people living with HIV (all ages), 20143


Deaths due to AIDS (all ages), 20143


Number of orphans due to AIDS (0-17), 20134


Estimated antiretroviral (ARV) coverage (adults ages 15+), 20143


Estimated percentage of pregnant women living with HIV who receive ARVs for PMTCT, 20143


Saving Lives

In 2014, PEPFAR’s co-investment in support of the SAG and implementing partners has contributed to the following achievements:

  • Life-saving antiretroviral treatment (ART) for more than 2.6 million people
  • Voluntary medical male circumcision for HIV prevention for more than 327,473 men
  • HIV testing and counseling for more than 7.9 million people
  • Care and support for 301,049 OVC affected by HIV/AIDS
  • ART for 212,441 pregnant women living with HIV to reduce the risk of mother-to-child transmission

Get the most up-to-date data on program results, expenditures, and planned funding at

PEPFAR Planned Funding in South Africa, Fiscal Year (FY) 2004-2013 (USD in millions)5






















  1. UNAIDS. (2014). Fast-Track - ending the AIDS epidemic by 2030. Geneva: Author.
  2. UNAIDS. (2014). 90-90-90: An ambitious treatment target to help end the AIDS epidemic. Geneva: Author.
  3. UNAIDS. (2014). The gap report. Geneva: Author.
  4. UNAIDS. (2013). South Africa: HIV and AIDS estimates. Retrieved February 6, 2015, from
  5. Data represent only planned new bilateral funding approved in the PEPFAR Country Operational Plans each fiscal year, and do not include any prior year funds approved for implementation. The total programmatic funding level for a fiscal year plan may include both the new bilateral funds as well as prior year available funds, which is not reflected. U.S. Government interagency website managed by the Office of U.S. Global AIDS Coordinator
and the Bureau of Public Affairs, U.S. State Department.
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