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 PEPFARs Success

Collaboration is key to PEPFARs 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

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 dIvoire

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

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