Over the past 17 years, PEPFAR has had remarkable lifesaving results. As of September 30, 2019, the U.S. President Emergency Plan for AIDS Relief (PEPFAR) supported antiretroviral treatment for nearly 15.7 million million people, including nearly 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.
PEPFAR has helped prevent HIV infection in men and boys, including by supporting nearly 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 have declined by 25 percent or more in nearly all of the intervention regions implementing DREAMS across 10 high-burden African countries.
PEPFAR’s investments also have strengthened the systems that drive effective, efficient, and sustainable health care. PEPFAR has helped train nearly 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 inclusive of physical and human resource infrastructure for partner countries to confront other current and future health challenges.
In 2018, PEPFAR invested nearly $900 million on horizontal, above-site health systems strengthening, including over $141 million for horizontal laboratory systems. These efforts have improved the ability of countries with sizable HIV/AIDS burdens to swiftly address other outbreaks, such as Ebola, avian flu, and cholera, and strengthened the platform for global health security and protecting America’s borders.
PEPFAR supports and funds community-led monitoring (CLM) through local independent civil society organizations to routinely and systematically monitor quality and accessibility of treatment services and the patient-provider experience at the facility level. As a critical partner in the HIV response, community-led monitoring is central to PEPFAR’s client-centered approach to delivering quality HIV services that communities and clients want to access and use.