The Issue
- Each day, about 7,400 individuals lose their lives to AIDS around the world.
- According to the UNAID and World Health Organization’s “2007 AIDS Epidemic Update,” more than 25 million people have died from AIDS, and more than 40 million people live with HIV worldwide.
The Response: President’s Emergency Plan for AIDS Relief
- Announced in 2004, the President's Emergency Plan for AIDS Relief (PEPFAR) is the largest commitment ever by a single nation toward an international health initiative—a multifaceted approach to combating HIV/AIDS around the world.
- The American people have committed $18.8 billion to the fight against global HIV/AIDS.
- Recognizing that indigenous nongovernmental organizations (NGOs) are the primary and sustainable service providers, PEPFAR caps grant awards to any single in-country organization at 8% of overall funding. This requires the U.S. Government and in-country leadership to identify new grassroots partners to administer PEPFAR’s treatment, prevention, and care efforts.
- Within the first several years of implementation, more than 80% of PEPFAR grantees were indigenous nonprofit organizations rooted in local communities, drawing on their unique capabilities to contribute an effective multisectoral response to the HIV/AIDS pandemic.
- Part of this response involves promoting an abstinence-first message through the implementation of ABC principles, a policy at the core of PEPFAR’s success.
- PEPFAR’s New Partners Initiative (NPI) provides HIV/AIDS prevention and care services in PEPFAR’s 15 focus countries. Under NPI, PEPFAR awards a series of grants totaling approximately $200 million to new partners. To ensure the sustainability of the response, NPI offers assistance to successful applicants, focusing on successful program implementation, needs analysis, and organizational growth and improvement.
The Results
- In FY 2007, more than 80% of PEPFAR partners across all focus countries were indigenous organizations, supporting more than 15,000 project sites for prevention, treatment, and care. More than 22% of all partners are faith-based organizations.
- As of September 2007, the initiative has supported
- care for nearly 10.1 million people, including care for more than 4 million orphans and vulnerable children;
- over 57 million counseling and testing sessions to date for men, women, and children;
- life-saving antiretroviral treatment for about 2 million men, women, and children in sub-Saharan Africa alone and hundreds of thousands more worldwide; and
- helped ensure that nearly 240,000 babies have been born HIV-free due to support for programs that prevent transmission from mother to child;
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