Thirteenth Annual Report to Congress (2017)
Since its inception in 2003, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has received strong bipartisan support in Congress and through administrations, including two reauthorizations with significant majorities. The United States is unquestionably the world’s leader in responding to the global HIV/AIDS crisis. Originally conceived as a compassionate effort to save the lives of those in countries hardest hit by HIV/AIDS with urgently needed treatment and care, PEPFAR is now also undertaking the challenge of actually controlling the pandemic.
PEPFAR’s critical program and business processes entail targeting investment using granular, site-level data; working with partners to deliver mission-critical services while increasing performance and efficiency; and intensive quarterly monitoring of the entire program. With a strong focus on transparency, accountability, and efficiency, these efforts have made PEPFAR a model for development programs everywhere – achieving significantly more impact in a budget-neutral environment.
PEPFAR has transformed the global HIV/AIDS response and is currently supporting nearly 11.5 million people with life-saving antiretroviral treatment, exceeding our 2016 target of 11.4 million. This is a 50 percent increase since 2014. With PEPFAR support, nearly 2 million babies have been born HIV-free to pregnant women living with HIV – almost twice as many as in 2013 – and their mothers have been kept healthy and alive to protect and nurture them. Considering there were fewer than 50,000 people on treatment in sub-Saharan Africa when PEPFAR began, the magnitude of this work becomes clear.
Strong, capable and committed, PEPFAR has the tools and the drive to finish the mission at hand – to end the epidemic as we know it.