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“The money that you have spent is being spent wisely and saving lives. Some call this a remarkable success. I call it a good start.”
- President George W. Bush, World AIDS Day, November 30, 2007 Making a Difference: Funding
Under the U.S. President’s Emergency Plan for AIDS Relief (Emergency Plan/PEPFAR), the U.S. Government has committed $18.8 billion to the fight against global HIV/AIDS, exceeding its original commitment of $15 billion over five years. This commitment reaffirms the United States’ historic leadership in the global fight against HIV/AIDS.
President George W. Bush has requested that Congress reauthorize PEPFAR for five additional years and $30 billion additional dollars, which would bring the American people’s 10-year commitment on global HIV/AIDS to more than $48 billion.
The American people, through PEPFAR, have provided resources and support for communities around the world to meet the challenge of the HIV/AIDS pandemic. These partnerships are having a global impact and transforming the face of our world today.
- PEPFAR’s planning and reporting process uses operational plans, target-setting and results reporting to translate lessons learned into action, maximizing resource impact. Globally, the Emergency Plan supported life-saving antiretroviral treatment for approximately 1,445,500 men, women and children through September 30, 2007.
- U.S. funding for PEPFAR has risen from $2.3 billion in FY 2004, to $2.7 billion in FY 2005, to $3.3 billion in FY 2006, to $4.5 billion in FY 2007. For FY 2008, President Bush has enacted nearly $6.0 billion. For FY 2009, President Bush has requested $6.0 billion.
- After the first 36 months of PEPFAR, more than 95 percent of funding was obligated and approximately 60 percent was outlayed – a remarkable testament to the dedication of U.S. Government personnel to save as many lives as possible, as rapidly as possible.
"Connecting the Dots" of International Development
The Emergency Plan is part of a broader renaissance in partnerships for international development.
- All told, the President has presided over a tripling of official development assistance (ODA) for Africa – and this has meant not only dollars but a new ethic of partnership that rejects the flawed "donor-recipient" mentality.
- The $15 billion PEPFAR commitment joins other key initiatives: a doubling of U.S.-Africa trade, the Millennium Challenge Account, the President’s Malaria Initiative, the Africa Education Initiative, the Women’s Empowerment and Justice Initiative, and other efforts.
- The Emergency Plan is central to U.S. efforts to “connect the dots” of international development. Emergency Plan programs are increasingly linked to other important programs – including those of other U.S. Government agencies and other international partners – that meet the needs of people infected or affected by HIV/AIDS in such areas as clean water, nutrition, education and gender.
- The United States is the largest contributor to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). In 2003, as part of PEPFAR, the U.S. Government pledged an additional $1 billion to the Global Fund over a five-year period. To date, the U.S. has contributed more than $2.5 billion.
Allocation of PEPFAR Funds
The breakdown of the cumulative total of PEPFAR funds for FY 2004 - 2008:
- 58 percent of PEPFAR funds will support bilateral programs in the 15 focus countries.
- 16 percent of PEPFAR funds will support the Global Fund.
- 11 percent of PEPFAR funds will support other bilateral programs.
- 15 percent of PEPFAR funds will support other activities, including NIH research and tuberculosis/HIV programs.
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