PEPFAR Investment Strategy

2004-2011 (8 years of PEPFAR)
6% 5% 9%

Total PEPFAR Investment: $21,285,918,291
Prevention

27%

Care Treatment

Lab & SI
HSS / OHPS 33% 20%

Management & Operations (HVMS)

Data source : OGAC Budget

Saving Lives : Changing the Course of the Epidemic

Working Together to Meet the Need
The Key to PEPFAR’s Success

Collaboration is key to PEPFAR’s enormous success:
– Leadership of the Office of the Global AIDS Coordinator – Model of the One USG approach – Combined strengths of all USG agencies, host governments and partners – Commitment to a comprehensive response Saving Lives : Changing the Course of the Epidemic

Changing the Course of the Epidemic
• PEPFAR is changing lives with comprehensive service delivery in prevention, care and treatment.
– – – – Saving mothers Protecting children from being orphaned Preventing infections among the most vulnerable Reaching communities and individuals with awareness around knowledge of how to prevent HIV infection

• Through PEPFAR, the US Government, together with partner governments and international and indigenous partners has significantly changed the course of the HIV/AIDS epidemic in nearly every country that has a generalized epidemic

Saving Lives : Changing the Course of the Epidemic

Years of Life Gained
due to PEPFAR Direct Support (2004-2010)
3,500,000 3,225,893

3,000,000

Years of Life Gained

2,500,000

2,000,000

1,936,803

1,500,000

1,000,000

1,044,536

500,000 191,449 0 9,253 FY2004 57,898 FY2005 FY2006

488,758

FY2007

FY2008

FY2009

FY2010

Year
Years of life gained from 2004 – 2006: based on direct treatment results from 15 focus countries Years of life gained from 2007 – 2010: based on direct treatment results from 31 countries

Data source : OGAC SI

Saving Lives : Changing the Course of the Epidemic

Saving Lives
Together We Are Changing the Course of the Epidemic

PEPFAR Funding & Declining HIV/AIDS Mortality Rate
$20,000,000,000 1,650,000 1,600,000 $15,000,000,000 PEPFAR Funding 1,550,000 1,500,000 1,450,000 $10,000,000,000 1,400,000 1,350,000 $5,000,000,000 1,300,000 1,250,000 $0 FY04 FY05 FY06 FY07 FY08 FY09 FY10 1,200,000 HIV/AIDS-Attributable Deaths in Sub-Saharan Africa

Total PEPFAR Funding, All Program Areas

Deaths/year in Sub-Saharan Africa

Data source : UNAIDS Global Report 2010

Saving Lives : Changing the Course of the Epidemic

Saving Lives
Together We Are Changing the Course of the Epidemic

Percent Change in HIV Incidence

0

Namibia

CAR

Cameroon

Zambia

Botswana

Rwanda

South Africa

Swaziland

Lesotho

Angola

Malawi

Cote D'Ivoire

Zimbabwe

Mozambique

-20 % Change in Incidence

-40

-60

-80

-100

Data source : UNAIDS Global Report 2010

Saving Lives : Changing the Course of the Epidemic

Tanzania

Uganda

Kenya

Nigeria

Estimated Number of Infant Infections Averted
Through PEPFAR Direct Support for PMTCT Cumulative total: 385,536 infant infections averted
Estimated Infant Infections averted through PEPFAR direct support for PMTCT ARV

Fiscal Year Saving Lives : Changing the Course of the Epidemic Data source : US Census Bureau

African Countries with HIV Prevalence > 10% in 2009
Decreasing Prevalence and Incidence 2001 2009 Countries Swaziland Botswana
Prevalence / Incidence Prevalence / Incidence

2001-2009
% Change (Incidence)

23.6 / 4.07 26.3 / 3.03

25.9 / 2.66 24.8 / 1.56

- 35% - 49%
-10%

Lesotho
South Africa Zimbabwe Zambia Namibia Mozambique Malawi

24.5 / 2.88
17.1 / 2.35 23.7 / 1.94 14.3 / 1.72 16.1 / 2.29 16.1 / 1.77 13.8 / 1.35

23.6 / 2.58
17.8 / 1.49 14.3 / 0.84 13.5 / 1.17 13.1 / 0.43 11.5 / 1.19 11.0 / 0.95

- 37% - 57% - 32% - 81% - 33% - 30%

Data source : UNAIDS Global Report 2010

African Countries with HIV Prevalence of 5-9% in 2009
Decreasing Prevalence and Incidence

2001 Countries Cote d’Ivoire
Prevalence / Incidence

2009
Prevalence / Incidence

2001-2009
% Change (Incidence)

6.5 / 0.39

3.4 / 0.11

- 72%
+4%

Uganda
Tanzania Kenya CAR Cameroon

7.0 / 0.71
7.1 / 0.64 8.4 / 0.55 8.9 / 0.56 5.5 / 0.59

6.5 / 0.74
5.6 / 0.45 6.3 / 0.53 4.7 / 0.17 5.3 / 0.53

- 30%
- 4%

- 70% - 10%

Data source : UNAIDS Global Report 2010

< 5% in 2009
Decreasing Prevalence and Incidence
2001
Prevalence / Incidence

Countries Chad Congo Nigeria Rwanda Angola Ethiopia Ghana Sierra Leone Mali Sudan DRC Senegal

2009
Prevalence / Incidence

2001-2009
% Change (Incidence)

3.2 / nd 3.8 / 0.43 3.8 / 0.39 3.7 / 0.34 1.9 / 0.22 2.4 / nd 2.3 / 0.18 1.1 / 0.22 1.6 / <0.1 0.4 / nd 1.3 / nd 0.6 / 0.22

3.4 / nd 3.4 / 0.28 3.6 / 0.38 2.9 / 0.18 2.0 / 0.21 nd / nd 1.8 / 0.15 1.6 / 0.14 1.0 / <0.1 1.1 / nd nd / nd 0.9 / <0.1

[nd]

- 35% - 3% - 47% - 5%
[nd]

- 17% - 36%
[no change] [nd] [nd]

- 55%

Data source : UNAIDS Global Report 2010

Sub-Saharan Africa Prevalence in the Global Context
7 6 5
HIV Prevalence (%)

2001, 2009

Sub-Saharan Africa Caribbean Region North America Central & South America Eastern Europe & Central Asia South/Southeast Asia Western/Central Europe

4 3 2 1 0 2001
Year

North Africa & Middle East Oceana East Asia

2009

Data source : UNAIDS Global Report 2010

Saving Lives
Together We Are Changing the Course of the Epidemic
$20,000,000,000 1,650,000 1,600,000 HIV/AIDS-Attributable Deaths in Sub-Saharan Africa PEPFAR Funding $15,000,000,000 1,550,000 1,500,000 1,450,000 $10,000,000,000 1,400,000 1,350,000 $5,000,000,000 1,300,000 1,250,000 $0 FY04 FY05 FY06 FY07 FY08 FY09 FY10 1,200,000

PEPFAR Funding & Declining HIV/AIDS Mortality Rate

Total PEPFAR Funding, All Program Areas

Deaths/year in Sub-Saharan Africa

0

Percent Change in HIV Incidence
Namibia
South Africa Tanzania Lesotho Cameroon Botswana Rwanda Swaziland Cote D'Ivoire Zimbabwe Mozambique Uganda CAR Zambia Malawi Angola Kenya Nigeria

% Change in Incidence

-20

-40

-60

-80

Data source : UNAIDS Global Report 2010

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