Public Law No: 110-293; July 30, 2008. v. ALLIANCE FOR OPEN SOCIETY INTERNATIONAL, INC., ET AL", "U.S. Push for Abstinence in Africa Is Seen as Failure Against H.I.V.". Office of the Global AIDS Coordinator (OGAC), Housed in the Department of State, the Office of the Global AIDS Coordinator oversees the implementation of PEPFAR and ensures coordination among the various agencies involved in the U.S global response to HIV/AIDS. PEPFAR Conference on Retroviruses and Opportunistic Infections. PEPFAR, launched in 2003 with an expensive vertically-oriented model, is now returning to its narrow HIV focus, despite the success of broader investments such as integrated maternal and child health that have decreased The previous 33% earmark has since been replaced by a requirement that if more than 50% of PEPFAR funds are allocated to non-abstinence promotion measures, the US Global AIDS Coordinator must report to Congress. WebExciting news from #SAAIDS2023! Much conflict in Africa and elsewhere comes about because citizens have no faith in their government. KFF. #PEPFARtrivia . Advocates for Youth expresses concern about the new PEPFAR Strategy launched last month by U.S. Secretary of State, Rex Tillerson. PEPFAR. See: PEPFAR Financial Classifications Reference Guide, March 2023. HIV, the virus that causes AIDS (acquired immunodeficiency syndrome), has become one of the worlds most serious health and development challenges. Adherence to treatment leads to long, healthy lives free from infections. DoL programs (in over 23 countries) consist of three main components: increasing knowledge aboutHIV/AIDS, implementing workplace policies to reduce stigma and discrimination and building capacity of employers to provide support services. Deaths from HIV have declined 68 percent since their peak in 2004, largely thanks to PEPFAR. PEPFAR. The United States has made a very substantial commitment in Zambia. Overall PEPFAR funding technically includes support for bilateral HIV and TB activities, as well as contributions to multilateral organizations (specifically, the Global Fund and UNAIDS). No other U.S. global health programincluding subsequent emergency responseshas been as fast to create a fit-for-purpose structure and to name a single leader with presidential support and statutory powers to set policy and arbitrate disagreements between agencies. PEPFAR. On the Hill, PEPFAR watchers have concerns that, as one Congressional staffer put it to me, the reorganization is "not really taking stock of the political risks that exist" to the PEPFAR program that come with changing its position and the powers of its leader at this pivotal time. Given the choice between pushing a country to protect the lives and rights of transgender people and maintaining access to their genomic data on new pathogenswould this new dual-hatted ambassador have the courage (and the backing) to stand for human rights? U.S. Congress. In June 2022, the university launched the Global Health Institute to apply research, teaching and service of the universitys many global health centers and The COVID-19 pandemic further complicated global HIV efforts, and PEPFAR has acted to respond to COVID-19 in countries that receive support in order to minimize HIV service disruptions and leverage the programs capabilities to address COVID-19 more broadly. (And the funds made available to PEPFAR, a U.S.-controlled bilateral program, would almost certainly not have been dispensed for two decades to the essential multilateral, the Global Fund. In order to achieve PEPFARs goal by 2030, the CDC recommends the global communitycontinue efforts and investment, address health inequities, strengthen global health security, and collaborate with international partners. Smith stayed seven monthsshe'd always intended to return to ONEand when she departed, it was no clearer who, across NSC, White House, USAID, and the State Department, was actually in charge of the U.S. global COVID-19 response. KFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 WebLaunched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and U.S. Congress. However, the new reporting requirement continues to emphasize abstinence and fidelity to the exclusion of comprehensive approaches, such as those that include education about male and female condoms. It aligns disparate functions under a single bureau, and it signals both an understanding of the power of the PEPFAR head position and a vote of confidence in the current PEPFAR head, Ambassador John Nkengasong, the founding head of the Africa Centres for Disease Control and Prevention, and a distinguished scientist. An HIV diagnosis was a death sentence when George W. Bush launched PEPFAR in 2003. There is absolutely no language in these laws or in the State Department congressional notification that clarifies what each of these positions will take on. U.N. World Food Program Chief Economist Arif Husain discusses the state of global hunger, why its vital that we rethink our response to conflict and what can be done in the immediate to stave off the worst. Meanwhile, the "omnibus" budget bill signed into law in the waning hours of 2022 established an Office of Pandemic Preparedness and Response Policy within the Executive Office at the White House. PEPFAR has been criticized for having a negative impact on the health systems in regions receiving its funding through its recruitment practices. President's Emergency Plan for AIDS Relief. [citation needed], The U.S. President's Emergency Plan for AIDS Relief: Five-Year Strategy report from 2009 outlines the PEPFAR strategy and programs for the fiscal years 2010-2014. The legislation also established the State Department Office of the Global AIDS Coordinator to oversee all international AIDS funding and programming. "Fighting the Axis of Illness: HIV/AIDs, Human Rights, and U.S. Foreign Policy", "Review of the Centers for Disease Control and Prevention's Oversight of the President's Emergency Plan for AIDS Relief Funds for Fiscal Years 2007 Through 2009 (A-04-10-04006)", "The Centers for Disease Control and Prevention's Namibia Office Did Not Always Properly Monitor Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04020)", A USA government fact sheet on the project, AIDS.govThe U.S. Federal Domestic HIV/AIDS Resource, HIVtest.orgFind an HIV testing site near you, National Addiction and HIV Data Archive Program, WHO disease staging system for HIV infection and disease, Diffuse infiltrative lymphocytosis syndrome, People With AIDS Self-Empowerment Movement, European and Developing Countries Clinical Trials Partnership, Joint United Nations Programme on HIV/AIDS (UNAIDS), President's Emergency Plan for AIDS Relief (PEPFAR), List of countries by HIV/AIDS adult prevalence rate, List of HIV/AIDS cases and deaths registered by region, Medicare Prescription Drug, Improvement, and Modernization Act, Fair and Accurate Credit Transactions Act, Emmett Till Unsolved Civil Rights Crime Act, Emergency Economic Stabilization Act of 2008, President's Council on Service and Civic Participation, https://en.wikipedia.org/w/index.php?title=President%27s_Emergency_Plan_for_AIDS_Relief&oldid=1155400740, HIV/AIDS organizations in the United States, Short description is different from Wikidata, Articles with unsourced statements from September 2022, Articles with unsourced statements from March 2022, Creative Commons Attribution-ShareAlike License 4.0. Abebe Abebayehu on Twitter: "RT @USEmbassyAddis: More than two years into the pandemic, Arab states continue to struggle with the economic and social impacts of COVID-19. Twenty years later, PEPFAR is estimated to have saved 25 million lives and is credited for helping turn the tide on the global HIV pandemic. DREAMS Country Fact Sheets; June 27, 2020; PEPFAR, Results and Impact PEPFAR webpage, https://www.state.gov/results-and-impact-pepfar/; PEPFAR, DREAMS Partnership webpage, https://www.state.gov/pepfar-dreams-partnership/. [7] She held the position until January 2021 when Angeli Achrekar filled the Acting role, from being Principal Deputy. Now, 20 years in, PEPFAR reports saving more than 25 million lives and is currently providing HIV prevention and treatment services to millions. Lets consider one country in particular, Zambia, which was one of the hardest hit. Special care is given to orphans and vulnerable children (OVCs) and services are provided that meet the unique needs of women and girls, including victims of sex trafficking, rape, abuse, and exploitation (see fact sheet on Gender and HIV/AIDS). WebOn May 27, 2003, the United States Leadership Against Global HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Public Law 10825) was signed into law creating the Presidents pepfar Deaths from HIV have declined 68 percent since their peak in 2004, largely thanks to PEPFAR. U.S. Congress. U.S. Congress. Press The 15 "focus countries" were Botswana, Cte d'Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Vietnam, and Zambia. The Presidents Emergency Plan for AIDS Relief (PEPFAR) forged a new path for pandemic response from its inception. [citation needed], On June 15, 2011, the Department of Health and Human Services Office of Inspector General (OIG) published a report critical of the Centers for Disease Control and Prevention's (CDC's) administration of PEPFAR funds. This week, @PEPFAR and @HealthZA launched the U=U campaign, set to change the HIV treatment landscape in #SouthAfrica. She also told him that HIV/AIDS was a central problem in Africa but that the United States was spending only $500 million per year on global AIDS, with the money spread across six federal agencies, without a clear strategy for curbing the epidemic.[5]. The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. #PEPFARtrivia . In addition, international HIV research activities are supported by the NIH Office of AIDS Research (OAR) through its annual appropriated budget, but these amounts are not considered part of PEPFAR. Now, twenty years after its creation, PEPFAR is at a turning point. Deaths from HIV have declined 68 percent since their peak in 2004, largely thanks to PEPFAR. Global Health Budget by Program Area, https://www.state.gov/biographies/john-n-nkengasong/, PEPFAR Financial Classifications Reference Guide, https://www.state.gov/results-and-impact-pepfar/, https://www.state.gov/pepfar-dreams-partnership/, https://www.state.gov/where-we-work-pepfar/, https://www.cdc.gov/globalhivtb/where-we-work/index.html, Who are PEPFARs Beneficiaries? The State Department reorganization is not a done deal. KFF. Although the U.S. has been involved in efforts to address the global AIDS crisis since the mid-1980s, the creation of the Presidents Emergency Plan for AIDS Relief (PEPFAR) in 2003 marked a significant increase in funding and attention to the epidemic. @PEPFAR, launched in 2003, has provided life-saving HIV treatment to more than 20 million people worldwide and is the largest commitment by any nation to combat a single disease. There were hearings, briefings, debates and lots of negotiations behind-the-scenes, the typical process for considering legislation. Eliminating health disparities will be impossible without addressing the social stigma that's still associated with HIV, saidMaranda Ward,assistant professor of clinical research and leadership at George Washington University. the Biggest Public Health Initiatives in Adherence to treatment leads to long, healthy lives free from infections. GOP fires on Bush AIDS program - POLITICO And instead of placing the program within one of the fractious U.S. agencies that might claim to have the skills needed to respond to global AIDS, PEPFAR was established by law as an office in the U.S. State Department, with an ambassador-level head reporting to the Secretary of State andin the Bush erawith a direct line to a receptive president. PEPFAR is Saving Lives in South Africa - U.S. Embassy In twenty years, the program has put more than twenty million people living with HIV on antiretroviral (ARV) drugs. Nor does working out of the State Department. WebCDC supports development of first Demographic and Health Survey in developing countries to 2003 President Bush announces U.S. Presidents Emergency link HIV results with demographic and behavioral factors.Plan for AIDS Relief (PEPFAR); CDC has key role in PEPFAR directly supported HIV testing and counseling for more than 11 million pregnant women in fiscal year 2012. The percentage of people receiving treatment through PEPFAR who reported having the virus under control known as viral suppression increased from 80% to 95% between 2015 and 2022. In the immediate, swift and bold action is required by both wealthy and low-income nations to avert further humanitarian and economic catastrophe. [1][4], PEPFAR began with President George W. Bush and his wife, Laura, and their interests in AIDS prevention, Africa, and what Bush termed compassionate conservatism. According to his 2010 memoir, Decision Points, the two of them developed a serious interest in improving the fate of the people of Africa after reading Alex Haleys Roots, and visiting The Gambia in 1990. This can cause a chilling effect for organizations receiving PEPFAR funding, who may censor their prevention activities and fall short of providing comprehensive HIV prevention services to women, men, and young people. The 15 African countries that are implementing DREAMS include Botswana, Cote dIvoire, Eswatini, Haiti, Kenya, Lesotho, Malawi, Mozambique, Namibia, Rwanda, South Africa, Tanzania, Uganda, Zambia, and Zimbabwe. Sure, nothing is perfect, but given the challenges of operating in some of the most impoverished countries in the world, PEPFAR has been hugely impressive., Another legacy is strengthening the health systems of host countries. All rights reserved. leveraging public health systems to respond to health threats, HIV testing services (facility- and community-based), Risk reduction for youth, including sexual violence prevention, Sexual prevention programs, including condom and lubricant programming, contraceptive counseling, and pre-exposure prophylaxis (PrEP), Harm reduction efforts and injection safety for injecting drug users (IDUs) and non-injecting drug use, Voluntary medical male circumcision (VMMC), Antiretroviral (ARV) drugs for adults and children, Care and support for adults and children living with HIV, TB screening and TB preventative therapy for people living with HIV, Cervical cancer screening and treatment for women living with HIV, Economic strengthening programs, including cash transfers, Youth livelihood initiatives for out-of-school adolescents, Food and nutrition support, including nutrition counseling, micronutrient supplementation, and support for pregnant and postpartum women, Psychosocial support, including peer support groups, Assessing laws, regulations, and policy environment related to preventing stigma, violence, and HIV. Meanwhile, climate change is devastating the region and its governments are ill-equipped to address massive problems like water scarcity and scorching temperatures. WebPEPFAR, launched in 2003, has played an important role in the HIV response in the countries it supports, with funding to date of over US$100 billion. Last month, the Presidents Emergency Plan for AIDS Relief (PEPFAR) launched its PEPFAR Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020).This strategy included investing in more than 50 Proposed changes to the mold-breaking program could break it for good. addressing the short- and long-term impacts of COVID-19 on the HIV response in PEPFAR countries; accelerating progress toward epidemic control in the context of flat funding; achieving the optimal mix of services provided, populations served, and geographies targeted; supporting and strengthening community-led responses and sustainability; defining PEPFARs role in pandemic preparedness and broader health systems strengthening efforts, while ensuring synergies with other U.S. global health and development programs; and. Global AIDS Coordinator", "PEPFAR 3.0 - Controlling the Epidemic: Delivering on the Promise of an AIDS-free Generation", "The President's Emergency Plan for AIDS Relief (PEPFAR)", "Harmonization of community health worker programs for HIV: A four-country qualitative study in Southern Africa", "International HIV/AIDS, Tuberculosis, and Malaria: Key Changes to U.S. Programs and Funding", "Elizabeth Glaser Pediatric AIDS Foundation", "PEPFAR: Working Toward an AIDS-Free Generation", https://web.archive.org/web/20060112034335/http://www.populationaction.org/resources/publications/globalgagrule/GagRule_AIDS/GGRandHIV-AIDSbrochure.pdf, "Supreme Court Declares Anti-Prostitution Loyalty Oath a Violation of First Amendment", "Justices Say U.S. Cannot Impose Antiprostitution Condition on AIDS Grants", "AGENCY FOR INT'L DEVELOPMENT v. ALLIANCE FOR", "AGENCY FOR INTERNATIONAL DEVELOPMENT ET AL. KFF analysis of data from the American Rescue Plan Act of 2021 (P.L. PEPFAR Rethinking the constraints to localization of foreign aid December 7, 2009 Today, the U.S. Presidents Emergency Plan for AIDS Relief (PEPFAR) launched three annexes to its recently-released PEPFAR Five-Year Strategy. This included: developing and regularly updating guidance to field teams aimed at ensuring continuity of care and leveraging PEPFARs infrastructure to respond to COVID-19; accelerating the use of strategies to minimize service disruption, such as multi-month dispensing of antiretrovirals and decentralized distribution of HIV self-testing kits; implementing new strategies, such as telemedicine; and allowing for some program flexibility in reporting requirements, staffing, and funding re-allocation.36,37, PEPFARs capacity to respond to COVID-19 received an important boost in March 2021, when Congress provided PEPFAR with $250 million in COVID-19 emergency funding for these efforts (Congress also provided $3.5 billion in emergency funds to the Global Fund).38. Neither the proposed State Department reorganization nor the positions and offices in the NDAA and the omnibus answer the life-or-death question: when the next pandemic hits, who is the U.S. government official in charge of the global response? The United States has always been a global health leader. PEPFAR In effect, PEPFAR will be run on a daily basis by a mid-level State department official, instead of a presidentially-appointed, Senate-confirmed ambassador whose sole job is to finish the work of ending the HIV pandemican achievement that is within reach, but by no means a given. The annexes include PEPFAR and Prevention, Care and Treatment; PEPFAR and the Global Context of HIV; PEPFARs Contributions to the Global Health Initiative. Public Law No: 113-56; Dec. 2, 2013. I still remember the early days of HIV and my time in the emergency department, often diagnosing HIV in very late stages in patients and not having very many tools and treatments for these patients, said Dr. Debra Houry, CDCs chief medical officer. Africans recognize that PEPFAR was and remains a critical American commitment that has saved many millions of lives I often hear that when Im in Africa. Among the largest "Track1.0" (treatment) partners are Harvard University,[14] Columbia University's International Center for AIDS Care & Treatment Programs (ICAP),[15] the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF),[16] and the AIDSRelief consortium of Catholic Relief Services.[17]. : Analysis of Populations Served in 2022, The U.S. & The Global Fund to Fight AIDS, Tuberculosis and Malaria, United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003, Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, PEPFAR Stewardship and Oversight Act of 2013, Did not specify authorization for funding*. Another president's emergency plan for another global health crisis, COVID-19 raises questions about these global health programs and U.S. national interests, India introduces regulations on health influencers, Why cigarette filters should be eliminated from the commercial cigarette market, Stay up to date with the latest trends in global health. Its always a mix of factors, which is what makes conflict resolution so challenging. Looking ahead, PEPFAR faces several issues and challenges, including how best to: address the short- and long-term impacts of COVID-19 on PEPFAR and the HIV response; accelerate progress toward epidemic control in the context of flat funding; support and strengthen community-led responses and the sustainability of HIV programs; define its role in global health security and broader health systems strengthening efforts; and continue to coordinate with other key players in the HIV ecosystem, including the Global Fund. Event Extra: Rethinking War Amid the Dire Global Food Crisis. PEPFAR at 20: 'A Greater Opportunity' - ONE The Latest @ USIP: Global Shocks Are Setting Development Back What Can Be Done? USIP has a variety of newsletters and announcements with the latest analysis, publications and events. "It is the only way to eliminate the disparities we see among racial, ethnic, sexual and gender minoritizedcommunities who make up the highest proportion of new HIV cases.". Violent groups take advantage of the lack of employment opportunities to recruit. / Traditionally, that meant having a strong U.S. military presence and promoting democracy and human rights overseas. However, there are also crucial elements of Bush's AIDS war for which he, and his team, deserve full credit. Wednesday, March 8, 2023 WebRT @UNAIDS: Did you know? [8], In December 2014, PEPFAR announced a program PEPFAR 3.0 focusing on Sustainable Control of the AIDS epidemic. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 crisis. June 26, 2023. [2] As of 2021, PEPFAR has saved over 20 million lives,[3] primarily in Sub-Saharan Africa. PEPFAR Reports to Congress 2005 in an attempt to eliminate stigma. launched in 14 particularly hard-hit countries, including Ethiopia, Mozambique The importance of these activists then and now to ensuring that health investments save lives and serve justice cannot be overstated. [31], Rather than strictly through salaries, program staff received benefits such as housing and education subsidies. At the end of the day, the committee advanced a bill to the House floor that passed overwhelmingly with strong Democratic and Republican support. The U.S. government doesnt always work this way, making PEPFAR a model. [citation needed], The 2008 reauthorization of PEPFAR eliminated the 20% recommendation for prevention efforts, including the requirement for abstinence programs.[13]. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic. Web@PEPFAR, launched in 2003, has provided life-saving HIV treatment to more than 20 million people worldwide and is the largest commitment by any nation to combat a single disease. WebPEPFAR provides direct service delivery and technical assistance support in Lesotho to maximize the quality, coverage, and impact of the national HIV/AIDS response. This role, which has the direct line to the president that true U.S. government global health impact appears to require, will take on "all matters related to pandemic preparedness and response." Twenty years ago, many African countries were being devastated by HIV/AIDS, and there was a strong sense that something had to be done. Of the 52% committed to HIV and HIV/TB programs, 42% was for HIV activities and 10% was for HIV/TB activities. PEPFAR: 20 years of impact | ShareAmerica Where We Work webpage, https://www.state.gov/where-we-work-pepfar/. This week, @PEPFAR and @HealthZA launched the U=U campaign, set to change the HIV treatment landscape in #SouthAfrica. PEPFARs Profound Legacy 20 Years On - United States WebExciting news from #SAAIDS2023! USAID SouthernAfrica on Twitter: "Exciting news from Let's end the epidemic together! Others included the African Growth and Opportunity Act (2000) and the Millennium Challenge Corporation (2004). Kanni Wignaraja, assistant secretary-general at the U.N. and director of the U.N. Development Programs regional bureau for Asia and the Pacific, discusses the impact of the compounding crises of COVID-19, climate shocks and the Ukraine conflict on development gains in the Asia-Pacific region; the long-term costs of delayed development; and creative, flexible approaches to addressing these challenges. The report read in part: "Our review found that CDC did not always monitor recipients' use of [PEPFAR] funds in accordance with departmental and other Federal requirements. [M]ost of the award files did not include all required documents" to demonstrate proper monitoring. Many have argued that PEPFAR's emphasis on direct funding from the United States to African governments (bilateral programs) have been at the expense of full commitments to multilateral programs such as the Global Fund. The U.S. & The Global Fund to Fight AIDS, TB and Malaria, fact sheet; and KFF. WebAs part of its Monitoring, Evaluation, and Reporting (MER) guidance, PEPFAR launched a set of outcome indicators for OVC programs in 2014.
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