Sustainability & Partnerships

Sustainability & Partnerships: Strengthening Transparency & Accountability

We have the knowledge and tools to end HIV, TB, and malaria as epidemics by 2030, but we need to invest smartly and with focus to make it happen.
—Mark Dybul, Director of Georgetown University's Center for Global Health and Quality


Date: 2016 Description: Ambassador Pittman signs PEPFAR grant U.S. Embassy Maputo

In alignment with the United Nations Sustainable Development Goals, PEPFAR puts partnerships at the center of our work. We share responsibility with our partners – host countries, multilateral institutions, the private sector, faith groups, and community and civil society organizations – toward the goal of ending AIDS as a public health threat.

We know the potential for sustainability, innovation, and scalability is much greater with the support and collaboration of our partners. PEPFAR is committed to full transparency, data sharing, and engagement with them, which leads to greater coordination and impact. To ensure a sustainable effort, we are strengthening our country partnerships by empowering ministries of health and finance with the data and expertise necessary for evidence-based decision-making.

Ending AIDS as a public health threat cannot be accomplished by any single actor alone. Rather, it requires all sectors working together to provide financing, demonstrate political will, carry out interventions both within and outside of the health sector, and – most importantly – involve those living with and affected by HIV/AIDS.

Country Partnerships

Date: 2015 Description: Amb. Schultz speaks ?????????????????? U.S. Embassy Zambia

Developing a shared responsibility through ongoing diplomatic and programmatic relations with host country governments is critical to reaching the global goal of ending AIDS by 2030. In doing so, governments must demonstrate political will and mobilize resources to establish and effectively implement fundamental policy and programmatic reforms that increase access to quality life-saving services.

PEPFAR supports partner countries’ efforts to achieve epidemic control while also promoting the long-term sustainability of their HIV/AIDS responses. As highlighted in PEPFAR’s Sustainability Action Agenda, our goal is to engage both partner governments and community and civil society organizations in service and systems strengthening as they assume greater responsibility for controlling their HIV/AIDS epidemic. PEPFAR Sustainability Position Paper»

PEPFAR collaborates with stakeholders to periodically complete the Sustainability Index and Dashboard (SID). The SID is a measurement tool that provides a snapshot of the elements central to a sustained and controlled epidemic, informs PEPFAR planning, and facilitates a dedicated dialogue on sustainability issues among our country partners. SID Report»

In addition, PEPFAR is partnering with the U.S. Department of the Treasury to leverage its bilateral economic dialogue with finance ministries, deploy U.S. technical assistance advisors to work with partner finance ministries, and access the Treasury Department’s expertise in economic and fiscal analysis.

Multilateral Partnerships

Date: 2015 Description: Michel Sidibe UNAIDS

The U.S. government works with multilateral institutions essential in achieving control of the AIDS epidemic. PEPFAR strategically collaborates to build political will, establish international norms, ensure a broad-based multi-sectoral response, enhance country ownership and sustainability, and support service delivery.

In addition, through our work with multilateral partners, PEPFAR is able to leverage our investments, mobilize resources, and provide stable external financing. PEPFAR is the largest supporter of the Global Fund for AIDS, Tuberculosis and Malaria (the Global Fund).

We also have long-standing partnerships with other multilateral organizations, including the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization. We are expanding our multilateral partnerships with the goal of strengthening these institutions and complementing their work to maximize impact.

Multi-Sectoral Partnerships

Date: 2016 Description: Girls in front of DREAMS banner in Tanzania Dazon Dixon Diallo/SisterLove

PEPFAR builds meaningful and wide-ranging partnerships so we can make an impact greater than the sum of our investments. High-impact partnerships are important catalytic engines that drive innovation, introduce new technologies, and create sustainable solutions to end AIDS by 2030.

PEPFAR fosters public-private partnerships that support and complement our prevention, care, and treatment work. These partnerships pilot new scale-up of existing interventions and benefit from significant private sector resources.

PEPFAR's wide-ranging partners include nonprofit, civil society, and faith-based organizations; foundations; businesses; health providers; business and trade associations; unions; venture capitalists; and social entrepreneurs.

Community and Civil Society Engagement

Date: 2013 Description: Kenya Young People Anti GBV Shirts Eric Onyiego/USAID Kenya

PEPFAR has several dedicated initiatives to strengthen civil society engagement and to expand access to, and uptake of, HIV services by key populations. The long-term sustainability of these programs is dependent on the full engagement of civil society at every point in their development and implementation.

We also know that HIV/AIDS interventions are only successful if they are tailored to the unique needs of the communities we serve. And when any member of a community is stigmatized, or unable to access services due to discrimination, the health and human dignity of everyone in that community are threatened.

Faith-Based Organizations

Date: 2015 Description: Reverend in discussion in Kenya Veronica Davison/PEPFAR

Faith-based organizations are among our central partners in the development of policies guiding PEPFAR. These organizations are also essential for helping PEPFAR deliver prevention, care, and treatment services.

At the United Nations General Assembly meeting in September 2015, PEPFAR and UNAIDS launched a two-year, $4 million initiative, informed by the report Building on Firm Foundations: The 2015 Consultation on Strengthening Partnerships Between Faith-Based Organizations and PEPFAR to Build Capacity for Sustained Responses to HIV/AIDS.

Reaching Diplomats and the Private Sector

PEPFAR has deepened our engagement with U.S. ambassadors in host countries around the world. U.S. ambassadors lead across all aspects of our programs, including by advancing key policies essential for gender equity and PEPFAR’s success.

Through PEPFAR’s Office of Global Health Diplomacy (GHD), we have expanded our reach in Washington, D.C., holding key events with diplomats to demonstrate the impact of U.S. health investments and partnerships. For example, GHD partners with the private sector, the Washington-based diplomatic corps, and the Business Council for International Understanding (BCIU) to host a regular speaker series on topics related to global health.


PEPFAR has publicly opened our data, leading by example to drive greater program efficiency, transparency, coordination, and mutual accountability. With the PEPFAR Dashboards, you can explore PEPFAR's global investments and achievements in responding to the HIV epidemic. Take a look at the slideshow below to learn more about how PEPFAR is making an impact in the global HIV response.

Partnerships and Initiatives

  • Date: 2016 Description: logo for the DREAMS Initiative. DREAMS - Working together for an AIDS-Free Future for Girls & Women PEPFAR

    DREAMS, an ambitious partnership, supports adolescent girls in becoming Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women. With the support of private sector partners, PEPFAR aims to reduce new HIV infections among adolescent girls and young women within the highest-burden areas of 10 sub-Saharan African countries.
  • Date: 09/08/2016 Description: AstraZeneca logo AstraZeneca

    Through a $10 million, five-year global public-private partnership, PEPFAR and AstraZeneca will expand access to HIV/AIDS and hypertension services in Africa by offering them in an integrated manner at existing PEPFAR-supported HIV/AIDS sites
  • Date: 06/08/2016 Location: AIDS-Free logo Description: AIDS-Free logo PEPFAR & UNAIDS

    Start Free, Stay Free, AIDS Free is a super fast-track framework for ending AIDS in children, adolescents, and young women.
  • Date: 04/01/2016 Description: Pink Ribbon Red Ribbon logo PRRR

    Pink Ribbon Red Ribbon is a public-private partnership with the shared goal of reducing deaths – especially in high-risk HIV-positive women – from cervical cancer and breast cancer in low- and middle-income countries.
  • Date: 2016 Description: Saving Mothers Giving Life Saving Mothers Giving Life

    PEPFAR’s investment in Saving Mothers, Giving Life increases the number of pregnant women reached with HIV services, reduces maternal mortality, and improves health systems that impact maternal health.
  • Date: 07/20/2016 Description: EJAF logo ?????????????????? EJAF

    PEPFAR and the Elton John AIDS Foundation have a $10 million partnership to help fund organizations working to meet the HIV-related needs of LGBT people.
  • Date: 2016 Description: MTV Shuga logo ?????????????????? MTV

    MTV Shuga, a long-running drama series and multimedia campaign, follows the lives of young people and raises HIV/AIDS awareness across sub-Saharan Africa.
  • Together for Girls is a global public-private partnership dedicated to ending violence against children, with a focus on sexual violence against girls.