Since the inception of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the U.S. Government has considered both bilateral and multilateral efforts essential in achieving durable success in the fight against AIDS. The U.S. Government commitment to enhancing multilateral partnerships has been reaffirmed through PEPFAR. PEPFAR aims to work with and through others to build political will, establish international norms, ensure a broad-based multisectoral response, enhance country ownership and sustainability and support service delivery. In addition, through its work with multilateral partners, PEPFAR is able to leverage its investments, mobilize resources, and provide stable external financing.
PEPFAR uses the full range of diplomatic tools to engage multilateral organizations as partners in the fight against HIV/AIDS. Efforts are made to strengthen U.S. participation on governing boards and to consult closely and often with both the leadership and working levels of the multilateral and other international organizations working on HIV/AIDS.
The United States was instrumental in the creation of the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund), during the 2001 G8 summit in Genoa, Italy. The U.S. Government contributes a significant portion of the Global Fund's resources, in recognition of the fact that the success of the Global Fund is vital to the success of the U.S. Government bilateral HIV/AIDS, TB, and malaria programs and also to improving health outcomes in many countries.
PEPFAR also works closely with other multilateral institutions such as the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO). These institutions play vital roles in providing global leadership, expertise and resources, particularly in the areas of advocacy, government and civil society collaboration, HIV/AIDS and economic development, and health sector response (including HIV/AIDS surveillance, prevention, treatment, and care).