The U'S' Presidents Emergency Plan

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The U.S. Presidents Emergency Plan

• Announced in the 2003 State of the Union Address
• Five-year, 15 billion multifaceted approach to
  fighting HIV/AIDS in over 120 countries
• Through the Emergency Plan, we are working with
  international, national and local leaders
  worldwide to support integrated prevention,
  treatment and care programs
• Largest commitment ever by a single nation
  towards an international health initiative
• U.S. now leads the world in its level of support
  for the fight against HIV/AIDS

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The U.S. Commitment

• At the inception of PEPFAR, the U.S. developed a
  five-year strategy that devoted 15 billion to
  programs in the following way
• 10 billion for the 15 focus countries
• 4 billion for other PEPFAR countries and for
  additional activities including HIV/AIDS
  research and
• 1 billion over five years for the Global Fund
  to Fight AIDS, Tuberculosis, and Malaria.
• The United States is on track to meet this
  commitment and has already exceeded its
  contribution to the Global Fund.

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Office of the U.S. Global AIDS Coordinator

• Lead U.S. Government international HIV/AIDS
  efforts
• Ensure U.S. Government program and policy
  coordination
• Pursue coordination with other countries and
  international organizations
• Resolve policy, program and funding issues among
  U.S. Government agencies
• Directly approve all U.S. Government focus
  country HIV/AIDS activities
• Promote accountability and monitor progress
  toward meeting Emergency Plan goals

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One U.S. Government Response

• Carrying out bilateral programs in partnerships
  with host nations are the
• Department of State
• including U.S. Agency for International
  Development
• Department of Defense
• Department of Commerce
• Department of Labor
• Department of Health and Human Services (HHS)
• including the CDC, FDA, NIH and Health Resources
  and Services Administration
• Peace Corps

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PEPFAR Worldwide Activities
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The Focus Countries
Focus on 15 most heavily impacted countries in
the world with approximately 50 of all HIV
infections worldwide
The U.S. goals are to support, in an accountable
and sustainable way

• Prevention of 7 million new HIV infections

• Treatment of 2 million HIV-infected people

• Care for 10 million people infected with and
  affected by HIV/AIDS, including orphans and
  vulnerable children

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Emergency Plan Approach

• Apply the Principle of Three Ones
• 1 national plan, 1 coordinating mechanism, 1 ME
  plan
• Monterrey Accord national ownership is the key
  to sustainability
• Build capacity of indigenous partners
• Use the Network Model
• Strengthen infrastructure and human capacity
• Implement according to national guidelines
• Monitor using international indicators
• Fund programs based on results

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Sense of Congress for Distribution of Funds
33 of prevention funds should be for
abstinence-until-marriage programs 75 of
treatment funds should be for purchase and
distribution of ARVs
Source Public Law 108-25
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Select Emergency Plan Achievements

• As of March 31, 2006, PEPFAR supported treatment
  for 561,000 people in the 15 focus countries.
• Through March 31, 2006, PEPFAR supported PMTCT
  services for women during over 4.5 million
  pregnancies.
• Through September 30, 2005, PEPFAR supported
  community outreach activities to over 42 million
  people to prevent sexual transmission of HIV.
• Through September 30, 2005, PEPFAR supported care
  for over 1.2 million orphans and vulnerable
  children. Supported care for over 1.7 million
  people living with HIV/AIDS, including over
  368,000 who received care and treatment for
  tuberculosis.
• In fiscal year 2005, more than 80 of our 1,200
  partners working on the ground were indigenous
  organizations.

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Thank you
For further information, please
visit www.PEPFAR.gov