$4.32 billion* (PEPFAR)

of which $330 million* (USAID HIV)

Minimum Requirement for American Leadership

The Global Health Program account includes two budget lines that provide funding for the President’s Emergency Plan for AIDS Relief (PEPFAR), the cornerstone bilateral program to end the most deadly infectious diseases ravaging our world today.

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Justification for Funding

  • When PEPFAR began, only 50,000 people in Africa were on life-saving HIV treatment. AIDS was a death sentence, with 1.9 million people dying annually around the world, and the disease was quickly spreading out of control.
  • The President’s Emergency Plan for AIDS Relief (PEPFAR) is the largest commitment in history made by a nation to a single disease. Because of PEPFAR’s historic investment, the number of HIV-related deaths has been cut by nearly half to 1 million in 2016. And new HIV infections in many populations are on the decline.

Cost of Cuts Below $4.32 Billion

President and Congress Budget Comparison

       Congressional Budget   

       President's Budget Request (Base + OCO)

  • Over 15 million people living with HIV still do not have access to antiretroviral therapy, and 1.8 million people became newly infected with HIV in 2016.
  • Within the HIV epidemic, certain populations still lag behind. Girls and young women account for 74 percent of new HIV infections among adolescents in sub-Saharan Africa. Less than half of 2.1 million children living with HIV have access to lifesaving ARVs.
  • Slowing down or capping HIV testing and treatment enrollment could actually fuel the spread of HIV instead of ending it. Analysis shows that $800 billion in proposed cuts to PEPFAR could result in over 1 million HIV treatment disruptions, resulting in almost 150,000 AIDS-related deaths including over 7,000 children.


$5.4 billion (PEPFAR)

$350 million (HIV AIDS)

Opportunity to Catalyze American Leadership


Justification for Additional Funding

  • PEPFAR investments in HIV treatment access and prevention have brought the world closer than ever before to ending AIDS as a public health threat. 
  • In 2017, nearly 21 million people living with HIV were accessing antiretroviral therapy – of that number, PEPFAR supports more than half (13.3 million men, women, and children).
  • PEPFAR is also the cornerstone of a U.S. health diplomacy approach that is building a safer world. PEPFAR’s presence has reduced political instability in Sub-Saharan Africa by 40% in recipient countries, compared to countries without PEPFAR.

Impact of 26% More Funding

In 2016, around 53% of all people living with HIV had access to life-saving treatment.

  • At a time when the global HIV/AIDS response needs additional investment to capitalize on the gains made over the past decade, the progress fueled by U.S. funding of global HIV/AIDS programs is in jeopardy.
  • Analysis shows that just a 10% increase in U.S. funding, together with ambitious domestic spending in country, and focused attention on optimizing resources, can avert up to 22 million HIV infections and save 2.3 million lives in Sub-Saharan Africa.
  • Former President George W. Bush wrote in a 2017 op-ed about PEPFAR: “When we confront suffering — when we save lives — we breathe hope into devastated populations, strengthen and stabilize society, and make our country and the world safer…The American people deserve credit for this tremendous success and should keep going until the job is done.”

*Enacted FY18 Omnibus Appropriation

For more information, please contact: Soshana Hashmie,

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