When President George W. Bush announced the President's Emergency Plan for AIDS Relief (PEPFAR) in 2003, the $15 billion 5-year program was an ambulance racing to the global AIDS firestorm. With no consensus that it was even possible to administer large-scale AIDS services in sub-Saharan African countries, the goal then was to provide antiretroviral treatment to 2 million people with HIV and to prevent 7 million new HIV infections.
Today, PEPFAR, which was reauthorized by Congress in 2008 to provide up to $39 billion for HIV/AIDS programs through 2013, has delivered antiretroviral treatment to more than 5 million people in more than 100 countries and aims to prevent 12 million new cases of HIV/AIDS.
Slomski A. IOM Report Advises Shift in Focus for Next Phase of US AIDS Relief Program. JAMA. 2013;309(16):1672-1673. doi:10.1001/jama.2013.3394