About the President’s Emergency Plan for AIDS Relief (PEPFAR)

• Angola
• Asia Regional (Burma, Cambodia, India, Indonesia, Kazakhstan, Kyrgyz Republic, Laos, Nepal, Papua New Guinea, Philippines, Tajikistan, Thailand)
• Botswana
• Burundi
• Cameroon
• Western Hemisphere Region (Barbados, Brazil, El Salvador, Guatemala, Guyana, Honduras, Jamaica, Nicaragua, Panama, Trinidad & Tobago, Suriname)
• Côte d'Ivoire
• Democratic Republic of the Congo
• Dominican Republic
• Eswatini
• Ethiopia
• Haiti
• Kenya
• Lesotho
• Malawi
• Mozambique
• Namibia
• Nigeria
• Rwanda
• South Africa
• South Sudan
• Tanzania
• Uganda
• Ukraine
• Vietnam
• West Africa Region (Burkina Faso, Ghana, Liberia, Mali, Sierra Leone, Senegal, Togo)
• Zambia
• Zimbabwe

PEPFAR's first focus was on emergency response. PEPFAR gave $15 billion over a five-year period to 15 countries in sub-Saharan Africa, Asia, and the Caribbean to:

• Provide treatment to 2 million HIV-infected people
• Prevent 7 million new HIV infections
• Care for 10 million people infected and affected by HIV/AIDS, including:
  • More than 4 million orphans and vulnerable children
  • Treatment to prevent mother-to-child HIV transmission for nearly 16 million pregnancies

PEPFAR was reauthorized in 2008, with up to $48 billion over five years to combat global HIV/AIDS, TB, and malaria. This second phase of PEPFAR focused on sustainability through local partnerships with goals to:

• Provide treatment for at least 3 million people
• Prevent 12 million new infections
• Care for 12 million people, including 5 million orphans and vulnerable children

U.S. government teams in 22 countries developed and signed Partnership Frameworks with host country governments. The Frameworks cemented mutual accountability and collaboration for priority HIV/AIDS activities. These agreements marked a hallmark event between 2009 and 2012.This launched a new era of health systems strengthening activities with partner governments. To increase the impact of PEPFAR's investments, there was a focus on:

• Scaling up access to antiretroviral therapy (ART)
• Preventing mother-to-child transmission
• Voluntary medical male circumcision

In 2013, PEPFAR entered its third phase, ‘Controlling the Epidemic,’ with a mandate to reach UNAIDS’ ambitious 90-90-90 goal: 90% of people with HIV diagnosed, 90% of them on ART, and 90% of them virally suppressed by 2020. 

This approach was driven by data to strategically target geographic areas and populations for maximum impact. The President’s FY 2016 budget request for PEPFAR was $6.5 billion with bilateral support provided to 41 countries and regional programs in Africa, the Middle East, Asia, Europe, the Americas, and the Caribbean.