A Smiling Women Supported By PEPFAR In Mozambique


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18 Million Lives Saved

PEPFAR has truly been one of the great American triumphs of the 21st century.

Michael R. PompeoSecretary of State

When the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) was launched in 2003, an HIV diagnosis was a death sentence in much of the world; entire families and communities were falling ill. Over the past 17 years, death and despair have been overwhelmingly replaced with vibrant lives and hope. 

With the American people’s generosity, the United States has saved more than 18 million lives and prevented millions of HIV infections through PEPFAR. Working together with our partners in more than 50 countries, we have accelerated progress toward controlling the HIV/AIDS pandemic – community by community.

Secretary Michael R. Pompeo delivers remarks at the PEPFAR Faith Communities and HIV Technical Summit, at the Department of State in Washington, D.C. on November 27, 2018. [State Department photo/ Public Domain]

A Legacy of Strong Bipartisan Support

PEPFAR has maintained strong bipartisan support across three U.S. presidents and from nine U.S. congresses. In December 2018, the PEPFAR Extension Act of 2018 was signed into law to extend provisions of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 for an additional five years through 2023. PEPFAR’s lifesaving work is enabled through the U.S. government’s unwavering commitment to the program and the American people’s compassion and generosity, as PEPFAR ensures every U.S. taxpayer dollar is optimally focused for impact.

Results and Impact

Over the past 17 years, PEPFAR has had remarkable lifesaving results. As of September 30, 2018, PEPFAR supported lifesaving antiretroviral treatment (ART) for nearly 15.7 million people, including almost 700,000 children, helping secure the health and welfare of the family. PEPFAR has enabled more than 2.6 million babies to be born HIV-free to mothers living with HIV. The program has provided critical care and support for 6.3 million orphans, vulnerable children, and their caregivers so they can survive and thrive.

18.9 million voluntary medical male circumcisions to prevent infections in men and boys; 85% DREAMS districts where new HIV diagnoses continued to decline in the past year; 2.4 million babies born HIV-free; 95 million people received HIV testing services; 14.6 million women, men, and children on lifesaving antiretroviral treatment; 700 thousand children on lifesaving antiretroviral treatment; 6.8 million orphans, vulnerable children, and their caregivers received support; 270 thousand new health care workers trained

PEPFAR has helped prevent HIV infection in men and boys, including by supporting 22.8 million voluntary medical male circumcisions in eastern and southern Africa. Through the PEPFAR-led DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) public-private partnership, new HIV diagnoses among adolescent girls and young women declined by 25 percent or more in nearly all of the regions implementing DREAMS across 10 high-burden African countries. 

PEPFAR’s investments also strengthen the systems that drive effective, efficient, and sustainable health care. PEPFAR has helped train 280,000 health care workers in the last ten years to deliver and improve HIV care and other health services, creating a lasting health system for partner countries to confront other current and future health challenges. Link to PEPFAR’s data dashboard: Panorama Spotlight

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