This chapter examines the President’s Emergency Plan for AIDS Relief (PEPFAR) as a whole and focuses on themes that emerge across all four PEPFAR categories. The focus is on identifying improvements that would support the U.S. Global AIDS Initiative in making further progress toward its 5-year targets and the ultimate goal of the Leadership Act—U.S. leadership in addressing and controlling the HIV/AIDS pandemic.
In the 15 focus countries, the U.S. Global AIDS Initiative has, as intended, supported HIV/AIDS activities and programs on a national scale, and the Office of the Global AIDS Coordinator (OGAC) reports substantial early progress toward its targets. In roughly 2 years, OGAC reports that PEPFAR has supported antiretroviral therapy (ART) for more than 800,000 adults and children; HIV testing and counseling for nearly 19 million people; services to prevent mother-to-child transmission of HIV to more than 6 million women, including preventive antiretroviral medications (ARVs) for more than half a million women found to be HIV-positive (estimated by OGAC to have resulted in the prevention of HIV infection in more than 100,000 infants); public education campaigns, school curricula, and other types of information and education community outreach that are estimated to have reached more than 140 million adults and children; care and support