The world could end AIDS if it tried.
What is PEPFAR?
The President’s Emergency Plan for AIDS Relief (PEPFAR) was created in 2003 by President Bush after an activist campaign to win a multi-year commitment to fund global AIDS programs. Through PEPFAR, the American people support the fight against global AIDS through bilateral and regional programs in 65 countries. As a result of this commitment, PEPFAR is supporting life-saving antiretroviral treatment for 11.5 million men, women, and children.
Health GAP works with developing country activists to identify bottlenecks to effective use of PEPFAR funds or to highlight detrimental effects of reduced funding at the local level. We then pressure US elected officials and the Administration to increase support and work to undo bottlenecks. Health GAP also works to identify problems with the Country Operational Plans that provide guidance to countries on how to use PEPFAR funds.
The US allocated $4.32 billion for PEPFAR bilateral programs for 2016. This is the amount also allocated in the 2017 appropriation, which has not yet passed. If this flat-funded amount does pass, we will need an increase of $700 million for 2018, and equal increases in 2019 and 2020, in order to gradually meet a $2 billion annual increase.
What is the Global Fund?
The Global Fund to Fight AIDS, TB, and Malaria is a partnership founded in 2002 between governments, civil society, the private sector and affected communities. It is a multilateral program, with funding received from more than one donor, and currently supplies about $4 billion per year. The Global Fund supplies commodities and technical assistance via country grants for a broad network of health and development organizations on the ground.
Health GAP works with AIDS and health activists in developing countries such as Uganda, Kenya, Nigeria, Zambia and others to wage campaigns that pressure their governments to strengthen proposals to the Global Fund, use the money more efficiently and increase civil society participation. In addition, we work on campaigns to increase local government investment in the fight against AIDS.
The Global Fund entered its replenishment cycle in 2016, which determined the level of funding promised to the Global Fund can expect for the next three years. The US is the largest donor to the Global Fund, supporting one third of the total, and allocated $1.35 billion for the Global Fund for 2017.