WASHINGTON -- The President's Emergency Plan for AIDS Relief (PEPFAR) has saved and improved millions of lives worldwide and offered proof that HIV/AIDS services can be effectively delivered on a large scale even in countries with high rates of disease and resource constraints, says a new congressionally mandated evaluation conducted by the Institute of Medicine.
Moving forward, PEPFAR needs to intensify efforts to help its partner countries develop the capacity to manage their own programs, sustain the gains that have been made in controlling the HIV epidemic, and improve their citizens' access to services, said the committee that wrote the report.
Even with PEPFAR's substantial contributions to the global scale-up of HIV/AIDS services, many needs remain, the report notes, and future progress will require partner countries and donors to work together to make difficult but necessary decisions on how to allocate finite resources. As PEPFAR increases its focus on fostering countries' ability to take on greater long-term responsibility, results may not occur as rapidly or dramatically as in the past, the committee cautioned.
"During our visits to partner countries, we repeatedly heard PEPFAR described as a lifeline," said committee chair Robert Black, chair, department of international health, Johns Hopkins Bloomberg School of Public Health, Baltimore. "People credit the initiative with restoring hope. As it moves forward, PEPFAR must continue to be bold in its vision, implementation, and global leadership."
PEPFAR was established in 2003 through legislation that authorized $15 billion for HIV/AIDS and other related global health issues over five years. In 2008, the legislation was reauthorized, providing up to $39 billion through 2013 for PEPFAR bilateral HIV/AIDS programs as well as U.S. contributions to the Global Fund to Fight AIDS, Tuberculosis, and Malaria. PEPFAR has supported HIV/AIDS programs in over 100 countries, with the l
|Contact: Christine Stencel|
National Academy of Sciences