Over the past 18 years, PEPFAR has had remarkable lifesaving [856 KB]. As of September 30, 2020, the U.S. President Emergency Plan for AIDS Relief (PEPFAR) supported antiretroviral treatment for nearly 17.2 million million people.
PEPFAR has enabled 2.8 million babies to be born HIV-free to mothers living with HIV. The program has provided critical care and support for 6.7 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 25.3 million voluntary medical male circumcisions in east and Southern Africa. Since 2015, new HIV diagnoses among adolescent girls and young women have declined in all geographic areas implementing the PEPFAR-led DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) public-private partnership, 96 percent of which have had a decline of greater than 25 percent, and nearly two-thirds (62 percent) of which have declined by greater than 40 percent.
PEPFAR’s investments also have strengthened the systems that drive effective, efficient, and sustainable health care. PEPFAR has helped train nearly 290,000 health care workers 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.
Since its inception, PEPFAR has invested billions of dollars on horizontal, above-site health systems strengthening, including for horizontal laboratory systems. These efforts have improved the ability of countries with sizable HIV/AIDS burdens to address other outbreaks, such as Ebola, avian flu, cholera, and COVID-19, 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.