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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. Global AIDS funding is provided in the Foreign Operations and Labor, Health and Human Services appropriations bills, which, if the process goes smoothly, are agreed to by the House and Senate in advance of the federal fiscal year beginning October 1. Connect supported testing services for 64.7 million people in FY 2022; prevented 5.5 million babies from being born with HIV, who would have otherwise been infected; provided care for more than 7.0 million orphans and vulnerable children (OVC); supported training for nearly 340,000 new health care workers; and. After dedicating 54 years of his life to public service, Dr. Anthony Fauci has chosen Georgetown University to play a major role in the next phase of his career. The program supported antiretroviral treatment for 20.1 million people, enabled 5.5 million infants to be born HIV-free and led to 64.7 million people receiving HIV testing services. Later, in 2002, President George W. Bush announced the International Mother and Child HIV Prevention Initiative focused on 12 African and two Caribbean countries. "We have our work cut out for us to ensure that the social realities of those exposed to HIV mirrors the positive scientific advancements we have see," she said. Deaths from HIV have declined 68 percent since their peak in 2004, largely thanks to PEPFAR. Leadership on HIV/AIDS Act did for the PEPFAR role twenty years ago. United States Ambassadors from the State Department provide essential leadership to interagency HIV/AIDS teams and engage in policy discussions with host-country leaders. Complemented by three enablers (community partnerships, innovation, and leading with data), the strategy focuses on five strategic pillars: The strategy is intended to align with the UNAIDS Global AIDS Strategy 2021-2026, as one of PEPFARs goals is to reach the 95-95-95 targets (see the KFF dashboard monitoring progress toward global HIV targets, including PEPFARs epidemic control target, in PEPFAR countries), and the Global Fund Strategy for 2023-2028.12. achieving long-term sustainability in the HIV/AIDS response. Show more". PEPFAR supports training and salaries for personnel (including clinicians, laboratorians, pharmacists, counselors, medical records staff, outreach workers, peer educators, etc. in an attempt to eliminate stigma. 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. The U.S. is the first and largest donor to the Global Fund to Fight AIDS, Tuberculosis, and Malaria. An HIV diagnosis was a death sentence when George W. Bush launched PEPFAR in 2003. 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. GAP works with highly trained physicians, epidemiologists, public health advisers, behavioral scientists, and laboratory scientists in 29 countries, who are part of USG teams implementing PEPFAR. This year marks the 20th anniversary of the Presidents Emergency Plan for Aids Relief (PEPFAR), the George W. Bush administrations landmark global health initiative. Global Health Budget by Program Area for additional information. The data were analyzed by the HIV/AIDS Monitor team at the Center for Global Development, who also share the full dataset. #PEPFARtrivia . Global AIDS Coordinator, who is appointed by the President, confirmed by the Senate, and reports directly to the Secretary of State, as established through PEPFARs authorizing legislation.8 The Coordinator, Dr. John Nkengasong who was sworn in on June 13, 2022, holds the rank of Ambassador and leads the Office of the Global AIDS Coordinator (OGAC) at the Department of State.9 Currently the Coordinator is dual-hatted as the U.S. Special Representative for Global Health Diplomacy.10 The Coordinator has primary responsibility for the oversight and coordination of all U.S. global HIV activities and funding across multiple U.S. implementing agencies and departments. President's Emergency Plan for AIDS Relief. On the other hand, when governments are delivering desperately needed health services, tensions are lowered. supported antiretroviral treatment for 20.1 million people. In addition, the Coordinator serves as the U.S. Governments board member to the Global Fund (the U.S. Government holds a permanent seat on the Global Funds Board). [22] A number of AIDS organizations felt such a policy would alienate their efforts to reduce HIV contraction rates among sex workers. PEPFAR Latest Global Results; December 2022. There have been important shifts in the HIV and broader global health landscape since the program was launched, including the impacts and lessons of the COVID-19 pandemic, and ongoing discussions about how PEPFAR, and other vertical, disease-focused programs, should be part of efforts to bolster pandemic preparedness. Through bilaterally-funded programs, PEPFAR works in partnership with host nations to support treatment, prevention and care for millions of people in more than 85 countries. PEPFAR. There were hearings, briefings, debates and lots of negotiations behind-the-scenes, the typical process for considering legislation. Launched in 2003, PEPFAR is the United States global health effort to address an HIV/AIDS epidemic so desperately in need of foreign assistance. @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. PEPFAR affirms the U.S. governments ability to deliver. Public Law No: 108-25; May 27, 2003. Let's end the epidemic together! ), renovation and refurbishment of health care facilities, updated laboratory equipment and distribution systems, logistics and management for drugs and other commodities. PEPFAR Reauthorization, brief. PEPFAR, launched as an emergency response to AIDS, has built a bridge to the future. 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. 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. He got along well with the top Democrat on the committee, Tom Lantos of California, another well respected member. 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. Includes bilateral funding for HIV as well as U.S. contributions to UNAIDS and the Global Fund to Fight AIDS, Tuberculosis and Malaria through regular appropriations. U.S. Secretary of State Antony Blinken bids farewell to U.S. Representative Barbara Lee (D-CA) and NIAID Director Anthony Fauci, in Washington, DC., on December 2, 2022. Funding figures by program are reported to Congress by the Office of the Global AIDS Coordinator. Twenty years ago, the HIV/AIDS crisis was destroying economies and bringing communities to their knees, fostering conditions that could lead to violence. Shortly after President Bush signed the legislation in May 2003, PEPFAR was officially launched in 14 countries in Africa and the Caribbean that were severely Then came the HIV/AIDS crisis. The leadership of Hyde, a fiscal conservative, proved decisive. The Office of the Global AIDS Coordinator (OGAC) budgets according to the allocations provided by Congress and the policy of the Administration. 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. A red ribbon marks World AIDS Day on the North Portico of the White House, in Washington, DC., on December 2, 2022. As study authors celebrated PEPFARs successes, they also acknowledged gaps in care fueled by health inequities. @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. Even before Russia invaded Ukraine, the global economy was suffering from the repercussions of several man-made conflicts, climate shocks, COVID-19 and rising costs with devastating consequences for poor people in low-income and developing countries. Now, twenty years after its creation, PEPFAR is at a turning point. KFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 [11], The Department of Commerce (DoC) provides support for PEPFAR by furthering private sector engagement through public-private partnerships. To celebrate its incredible success, PEPFAR launched a new website in July 2020 that provides a timeline of scientific discoveries, legislation and social 27 Jun 2023 17:05:06 One can be found in the NDAA, which creates a White House-designated "United States Coordinator for Global Health Security," who will coordinate a Global Health Security Agenda Interagency Review Council. Congress has played a critically important oversight role, focused around PEPFAR reauthorizations in 2008, 2013 and 2018. 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. When Bush announced the initiative during his 2003 State of the Union address, approximately 30 million Africans were infected with HIV/AIDs and had almost no access to treatment. USAID supports the implementation of PEPFAR programs in nearly 100 countries, through direct in-country presence in 50 countries and through seven other regional programs. Later this year, Congress will need to reauthorize the program, its multi-billion-dollar budget and its focus on a forty-year-old plague that continues to claim livesparticularly of childrenand that has seen persistently high levels of new infections in adolescent girls and young women, and key populations like men who have sex with men, and transgender women, over the past decade.

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