Global Health Programs: Global HIV/AIDS

Objective

The Division of Global HIV/AIDS (DGHA) is a key U.S. government implementer of the President’s Emergency Plan for AIDS Relief (PEPFAR). It provides direct peer-to-peer technical, financial, and program service delivery assistance to ministries of health (MOH) to:

• Build sustainable public health information, laboratory, and management systems and local workforce capacity,
• Expand quality care and treatment service delivery, and transition these services to local host government ownership,
• Implement effective and evidence-based HIV/AIDS prevention programs that build synergies between prevention, and care and treatment programs, and
• Conduct, translate, and operationalize research on program impact and cost effectiveness.

Program Description

Thirty-three million people are currently living with HIV/AIDS worldwide.  Sub-Saharan Africa remains most heavily affected by HIV, accounting for 67% of all people living with HIV.  DGHA embraces a sustainable, “government-to-government” approach, providing direct funding and technical assistance to Ministries of Health and other local partners to coordinate and implement national AIDS strategies, and to build local technical, financial, and managerial leadership.  Throughout PEPFAR, almost one-half of DGHA’s funding (45%) has been implemented through cooperative agreements directly with ministries of health or other local, in-country partners. Sustainability is advanced by building public health infrastructure that spans multiple diseases¾disease surveillance, laboratory networks, and health information systems strengthening at national, provincial, and district levels.

Public Health Impact

CDC contributed to the following PEPFAR achievements through September 30, 2010:

• Directly supporting life-saving antiretroviral treatment for more than 3.2 million men, women and children worldwide.

In fiscal year 2010 alone, CDC contributed to the following PEPFAR achievements:

• Directly supporting antiretroviral prophylaxis to prevent mother-to-child HIV transmission for more than 600,000 HIV-positive pregnant women, allowing more than 114,000 infants to be born HIV-free.
• Directly supporting 11 million people with care and support, including nearly 3.8 million orphans and vulnerable children.
• Directly supported HIV counseling and testing for nearly 33 million people, providing a critical entry point to prevention, treatment, and care.

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