Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020). 19/9/2017

Published by PEPFAR

Setting a Bold Course for Epidemic Control

We are at a historic moment in the global HIV/AIDS response. For the first time in modern history, we have the opportunity to change the very course of the HIV pandemic, by actually controlling it without a vaccine or a cure.  For the first time, the end of the epidemic as a public health threat is in sight. 

The United States, through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the largest bilateral donor to the global HIV/AIDS response. Together, with host countries, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), the Joint United Nations Programme on HIV/AIDS (UNAIDS), and other partners we are beginning to demonstrate the ability to control a pandemic for which there is neither a vaccine nor a cure. This is being done by supporting HIV treatment and prevention services using data and analytics to improve performance, find efficiencies, and increase impact, saving more lives and decreasing the number of new HIV infections.  From driving scientific discovery and program innovation to demanding accountability, efficiency, and impact, the U.S. government has helped transform the way that development is done.

The Trump Administration’s leadership and commitment to international efforts to control the HIV/AIDS epidemic are a direct reflection of the goodwill, compassion, and generosity of the American people. This investment not only improves people’s lives but also supports communities all over the world.  We also care about ensuring accountability for each U.S. dollar spent – through PEPFAR we can track every single dollar to the site where it is supporting prevention and treatment interventions among the people we serve. Building on our tremendous progress, we are now poised to accelerate progress toward reaching epidemic control, something that was unimaginable just a decade ago. 

This PEPFAR Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020) (“Epidemic Control Strategy”) sets a bold course for achieving control of the HIV/AIDS epidemic in 10 high-burdened countries by the end of 2020 through a particular focus on 13 priority high-burdened countries¹. This will be accomplished in partnership with and through attainment of the UNAIDS 90-90-90 framework – 90 percent of people living with HIV know their status, 90 percent of people who know their status are accessing treatment, and 90 percent of people on treatment have suppressed viral loads - and an expansion of HIV prevention. This bold course toward epidemic control is only possible with continued aggressive focus, quarterly analysis, and partner alignment for maximum impact.  Beyond saving an untold number of lives, this will reduce the future costs required to sustain the HIV/AIDS response. In less than two decades of commitment and funding since PEPFAR’s launch by President George W. Bush in 2003, the pandemic will have progressed from tragedy to control.

According to recent data from PEPFAR’s Population-based HIV Impact Assessments (PHIAs), five high-burdened African countries are approaching control of their HIV/AIDS epidemics, demonstrating the remarkable impact of the U.S. government’s efforts together with partner countries (Figure 1). With support from the U.S. government, seven additional high-burdened countries will complete PHIAs on a rolling basis through 2017-2019, providing the latest data to chart and validate their progress toward reaching epidemic control by 2020.

This Epidemic Control Strategy both seizes the unique opportunity presented in these 13 high-burdened countries leading the way to epidemic control and also reaffirms our ongoing commitment to HIV/AIDS investments and efforts in over 50 countries.  Wherever PEPFAR works, we will maintain life-saving antiretroviral treatment (ART) for all of the people we support, provide even more services for orphans and vulnerable children, and ensure that the most vulnerable and key populations have access to essential services for preventing and treating HIV.

The U.S. government remains the world’s leader in responding to HIV/AIDS.  This Epidemic Control Strategy once again demonstrates both the courage of our convictions and the boldness of our ambitions.  But we cannot do this alone.  All partners – from governments, the private sector, philanthropy, multilateral institutions, civil society, the faith community, and others – must step up their efforts if we, as a global community, are to control, and ultimately end, this pandemic.

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