Charting A Sustainable Future For PEPFAR 4.0

Few global health initiatives in our lifetimes have had as profound an impact as PEPFAR, the President's Emergency Plan for AIDS Relief. Thanks to PEPFAR, according to US government statistics, at least twenty countries either have reached the United Nations' 2020 targets for HIV status kn...

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Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 2022-12, Vol.41 (12), p.1832-1832
Main Authors: Torbay, Rabi H, Borse, Nagesh N
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral agents
Antiretroviral therapy
Climate change
Disease control
Disease prevention
Emergency plans
Epidemics
Global health
Health initiatives
Health promotion
HIV
Human immunodeficiency virus
Infants
Leadership
Medical treatment
Pandemics
Presidents
Public health
Statistics
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Summary:Few global health initiatives in our lifetimes have had as profound an impact as PEPFAR, the President's Emergency Plan for AIDS Relief. Thanks to PEPFAR, according to US government statistics, at least twenty countries either have reached the United Nations' 2020 targets for HIV status knowledge, treatment, and control of HIV or have achieved epidemic control of the virus. More than five million babies have been born HIV-free as a result of PEPFAR, and nearly nineteen million people are receiving lifesaving antiretroviral treatment.PEPFAR has changed the narrative on AIDS worldwide, mainly in sub-Saharan Africa, in less than twenty years. By 2020, because of PEPFAR, the number of new HIV infections per year had decreased by half and AIDS-related deaths had been reduced by 64 percent since 2003. It is inspiring to think about what can be accomplished during the next twenty years. With new emerging diseases and other global threats such as climate change, the PEPFAR leadership needs to strategically rethink and redefine its mission as a key global health initiative-and the moment to do so is now.In September 2023 the US Congress will be asked to vote to reauthorize PEPFAR-which has maintained strong bipartisan support across US presidencies and Congresses for twenty years- for the fourth time. The reauthorization of PEPFAR is absolutely essential to ensure that we continue to save lives and meet the global goal of ending the AIDS epidemic by 2030.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2022.01330