PEPFAR: Focusing Resources for Impact

In South Africa, PEPFAR (the U.S. President’s Emergency Plan for AIDS Relief) supports the national HIV and AIDS program to provide over 3.7 million South Africans with antiretroviral treatment (ART) – saving countless lives, keeping families together, and increasing South Africa’s overall economic productivity.

Since 2004, PEPFAR has invested more than $5.6 billion in South Africa’s HIV/TB response, helping to support an unprecedented expansion of prevention, treatment, and care services.  South Africa represents the largest national HIV and AIDS program in the world, and funds more than 75 percent of its own national response.

In the current and following years’ program (Country Operational Plans 2016-2017 and SA fy16/17 and 17/18) PEPFAR is aligned with the National Strategic Plan for HIV, TB and STIs, 2017-2022 and committed to investing resources in the highest HIV burdened districts.

The PEPFAR Focusing for Impact strategy works with the South African government, and other stakeholders, to strategically allocate PEPFAR resources geographically and programmatically to support HIV/TB and AIDS prevention, care, and treatment programs in high-burden areas.

Along with South Africa, PEPFAR is focused on the UNAIDS Fast-Track strategy and 90-90-90 targets for 2020 (90 percent of people living with HIV/AIDS know their status, 90 percent of people with diagnosed HIV infection receive antiretroviral treatment, and 90 percent of people on antiretroviral treatment are virally suppressed by 2020).

Focusing resources strategically on high-burden areas allows us to achieve the UNAIDS 90-90-90 targets in the most effective and impactful manner where we can reach the most people living with and at risk for the disease towards an AIDS-free generation.

Resource allocation is determined by PEPFAR and the South African government and informed by the micro-epidemic data analysis conducted by the National Department of Health. These data allow us to understand the sub-national and local differences in the epidemic to ensure the needed HIV services are available in the hardest-hit areas.

Building on 13-year collaboration, PEPFAR continues to support South Africa’s leadership in doing the right things, in the right places, right now