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PEPFAR - Implementing Agencies

About PEPFAR

In 2003, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) was launched to combat the global HIV/AIDS epidemic. PEPFAR is the largest commitment by any nation in history to combat a single disease.

Through PEPFAR, the U.S. government has already provided $18.8 billion in HIV/AIDS funding. In 2008, the U.S. Congress authorized up to $48 billion to combat HIV/AIDS, tuberculosis, and malaria over the next 5 years. Through FY2013, PEPFAR will work in partnership with host nations to support:

• Treatment for at least 3 million people
• Prevention of 12 million new infections
• Care for 12 million people, including 5 million orphans and vulnerable children

To meet these goals and build sustainable local capacity, PEPFAR will support training of at least 140,000 new healthcare workers in HIV/AIDS prevention, treatment, and care.
http://www.pepfar.gov/documents/organization/115411.pdf

Implementing Agencies

Department of State (DoS)
PEPFAR is administered by the U.S. Global AIDS Coordinator, who reports directly to the Secretary of State. The Office of the Global AIDS Commissioner (OGAC) includes:

• Providing human resources services
• Tracking budgets within its accounting system
• Transferring funds to other implementing agencies
• Providing office space, communication, and information technology services

U.S. Agency for International Development (USAID)
USAID implemented its first HIV/AIDS programs in 1986. It currently supports the implementation of PEPFAR programs in nearly 100 countries. USAID focuses on strengthening primary healthcare systems in order to prevent and treat a number of communicable diseases, including HIV/AIDS.

Department of Defense (DoD)
The DoD supports PEPFAR programs for HIV/AIDS prevention, treatment, and care, strategic information, human capacity development, and program and policy development in host military and civilian communities of 73 countries around the world.

Department of Commerce (DoC)
The DoC provides in-kind support to PEPFAR and fosters public-private partnerships. The U.S. Census Bureau, within the DoC, is also an important PEPFAR partner. Activities include assisting with data management and analysis, survey support, estimating infections averted, and mapping of country-level activities.

Department of Labor (DoL)
The DoL implements PEPFAR projects that focus on prevention and reduction of HIV/AIDS-related stigma and discrimination in the workplace. DoL programs focus on 3 major components:

• Education - Increasing awareness and knowledge of HIV/AIDS by focusing on comprehensive workplace education programs, including links to prevention, counseling, testing, and other support services.
• Policy - Improving the workplace environment by helping business, government, and labor develop and implement workplace policies that reduce HIV/AIDS-related stigma and discrimination.
• Capacity - Building capacity within employer associations, government, and trade unions educate workers and improve their access to counseling, testing, and other supportive HIV/AIDS services.

Department of Health and Human Services (HHS)
HHS has a long history of HIV/AIDS work within the United States and at the global level. HHS implements PEPFAR’s prevention, treatment, and care programs in developing countries, and conducts HIV/AIDS research through:

• Centers for Disease Control and Prevention (CDC)
• National Institutes of Health (NIH)
• Health Resources and Services Administration (HRSA)
• Food and Drug Administration (FDA)
• Substance Abuse and Mental Health Services Administration (SAMHSA)

The HHS Office of Global Health Affairs coordinates the PEPFAR-related work of all HHS agencies.

Peace Corps
As a grassroots, capacity-building organization, the Peace Corps plays an essential role in combating HIV/AIDS internationally. Peace Corps volunteers provide long-term capacity-development support to nongovernmental, community-based, and faith-based organizations. The Peace Corps places particular emphasis on ensuring that community-initiated projects and programs provide holistic support to people living with, and affected by, HIV/AIDS.