TABLE 1-2 Summary of PEPFAR’s Goals, Budgetary Requirements, and Targets

Goals from PEPFAR Five-Year Strategies
PEPFAR I PEPFAR II

1. Encourage bold leadership at every level to fight HIV/AIDS

2. Apply best practices within bilateral HIV/AIDS prevention, treatment, and care programs, in concert with the objectives and policies of host governments' national HIV/AIDS strategies

3. Encourage partners, including multilateral organizations and other host governments, to coordinate at all levels to strengthen response efforts, to embrace best practices, to adhere to principles of sound management, and to harmonize monitoring and evaluation efforts to ensure the most effective and efficient use of resources

1. Transition from an emergency response to promotion of sustainable country programs

2. Strengthen partner government capacity to lead the response to the HIV epidemic and other health demands

3. Expand prevention, care, and treatment in both concentrated and generalized epidemics

4. Integrate and coordinate HIV/AIDS programs with broader global health and development programs to maximize impact on health systems

5. Invest in innovation and operations research to evaluate impact, improve service delivery, and maximize outcomes

PEPFAR Budgetary Allocation Requirements
Authorizing Legislationa 2003 Reauthorization Legislationb 2008
Therapeutic medical care: Not less than 55 percent, of which at least 75 percent for the purchase and distribution of antiretrovirals and at least 25 percent for related care Care and Treatment: More than 50 percent for antiretroviral treatment for HIV/AIDS; clinical monitoring of HIV-seropositive people not in need of antiretroviral treatment; care for associated opportunistic infections; nutrition and food support for people living with HIV/AIDS; and other essential HIV/AIDS-related medical care for people living with HIV/AIDS
Palliative care: 15 percent
Prevention: 20 percent, of which not less than 33 percent for abstinence-until-marriage programs Prevention: Balanced funding for prevention activities for sexual transmission of HIV/AIDS, based on objective epidemiological evidence and in consultation with the governments of partner countries involved in HIV/AIDS prevention activities. For countries with a generalized epidemic, justification is required if less than 50 percent of this funding is allocated for promoting abstinence, delay of sexual debut, monogamy, fidelity, and partner reductionc
Orphans and vulnerable children: Not less than 10 percent Orphans and vulnerable children: Not less than 10 percent


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