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A table showing the change in PEPFAR funding across different budget requests and budgets

With Budget Cuts Looming Again, Can PEPFAR Keep the Gas on its Acceleration Strategy?

PEPFAR has long enjoyed bipartisan support on the Hill. Yet, it has not been spared from significant cuts in President Trump’s latest budget request for foreign aid. It is noteworthy that this administration’s three successive budget requests have proposed increasingly large cuts to PEPFAR’s funding. If past is prelude, a cut of this magnitude is unlikely to materialize in any final spending bill.

Photo of pills

On World AIDS Day, a Moment for Celebration and Self-Reflection

On World AIDS Day, December 1, we honor the advocates that transformed HIV/AIDS from a death sentence to a chronic disease. These activists bequeathed a golden age of global health—a boom in money and programs that is sustained today, evidenced by the recent reauthorization of PEPFAR. But as UNAIDS recognized last year, we still have miles to go despite this extraordinary mobilization. Even today, 40 percent of people in need still lack lifesaving antiretroviral treatment.

Ambassador Deborah Birx speaking at CGD. Photo by Kaveh Sardari

PEPFAR’s New Targets for Local Implementation: Commendable in Theory, Complicated in Practice

In July, United States Global AIDS Coordinator Deborah Birx made a striking commitment: under her leadership, the President’s Emergency Plan for AIDS Relief (PEPFAR) would direct at least 40 percent of its funding to host country governments or organizations by the end of 2019—rising to 70 percent by the end of 2020. The bottom line: PEPFAR’s local targets are commendable in theory, but we suspect their application in practice will prove complicated. Below is our take on the related issues—and some recommendations for PEPFAR to forge the most effective path forward.

Ambassador Deborah Birx speaking at CGD. Photo by Kaveh Sardari

DREAM Big: Emerging Results from a PEPFAR Partnership to Reduce HIV Among Adolescent Girls and Young Women

It’s been three years since the rollout of the DREAMS program began, and earlier this month in collaboration with the Population Council, CGD convened key players to discuss emerging results, what they mean for the future of DREAMS, and how we can ensure that the next years of programming go even farther to deliver the most effective services to those most at risk.

Controlling the HIV/AIDS Epidemic by 2020 Will Not End US Responsibilities in Severely Affected Countries

Although the Trump administration has pivoted away from global leadership in many foreign policy arenas, Secretary Tillerson’s September 19 announcement of administration support for PEPFAR’s newly released 2017 strategy is reassuring. In addition to affirming the administration’s commitment to continue PEPFAR support in all 50 previously designated PEPFAR countries, the secretary announced the intention to “accelerate progress toward controlling the pandemic in a subset of 13 countries, which represent the most vulnerable communities to HIV/AIDS and have the potential to achieve control by 2020.”

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