Letter from Ambassador Eric Goosby

Dear Members of Congress:

On behalf of President Barack Obama and Secretary of State Hillary Rodham Clinton, I am pleased to share with you the five-year strategy mandated by the Tom Lantos and Henry Hyde United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008.

Since assuming the post of Ambassador-at-Large and Global AIDS Coordinator in June, I have had the opportunity to witness firsthand the breadth and depth of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). In my visits to the field and interactions with the remarkable people of the agencies that implement PEPFAR, I have been impressed by the skills and dedication of those leading the U.S. response to the global AIDS pandemic. The millions of lives that have been touched are a testament to the effectiveness of this collective effort - and to the generosity of the American people. At the same time, I have been struck by the need that still exists in countries around the world. We must support expanded prevention efforts, particularly for women and men at high risk of infection. We have opportunities to prevent mother-to-child transmission and address the urgent needs around HIV and tuberculosis coinfection. We need to improve testing and outreach to identify those in need of treatment and care. The AIDS emergency is not over, and the need for our commitment is now more critical than ever.

The United States and our partner countries have accomplished much during the first phase of PEPFAR, and the Obama administration is committed to building upon these successes. Over the next phase of PEPFAR, I look forward to working with our partners - countries, multilateral organizations, civil society, and other donors - to support effective, country-led responses to the AIDS crisis.

This strategy reflects lessons learned from the first five years, valued insights from a broad range of PEPFAR stakeholders, and new directions informed by an evolving AIDS response. Building on the reauthorization legislation and the principles outlined for the Global Health Initiative, I believe this strategy provides us with a framework for action that fosters true country leadership and sustainability. In the end, the goal of this strategy is to expand our impact within infected and affected populations around the world. It is meant to support the mother on treatment who is the provider for her family, the man or woman at high risk of infection who receive prevention messages, the orphan who is both attending school and caring for siblings, the couple who receive testing and counseling so they can make healthy decisions together. These people are the motivation for this strategy and the programmatic decisions we will make as we move to the next phase of the program.

With your continued support, I look forward to working in partnership with countries to implement this strategy and demonstrate the generosity and hope of the American people.

Ambassador Eric Goosby

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