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H H S Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Programs

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A Decade of PEPFAR

713,000 people served in 10 African, Caribbean and Latin American countries.

400,000 people with HIV enrolled in drug therapy at 276 health facilities worldwide.

30,000 health care workers trained.

One million infants born HIV-free.   

Here's what people had to say about PEPFAR on the initiative's 10th anniversary ....

In 2001, Zambia had 12 million people, spread out over a country the size of California, with an AIDS prevalence of 21 percent. There were 329 people dying every day. You could not get around the capital, Lusaka, during the day because there were so many funerals the streets were jammed.
Michele Broemmelsiek, Catholic Relief Services, principle HRSA grantee

The epidemic in Sub-Saharan Africa was completely out of control … there was no treatment.
RADM Deborah Parham Hopson, HRSA,  senior advisor on HIV-AIDS

The initial reluctance (to intervene) wasn’t because people didn’t want to do it. It was because no one wanted to be in the position of choosing which 10 patients got to live on a lifetime drug regimen, and which 100 had to die … It would be cruel for us to start treatment without the (means) to sustain it.
Dr. Robert Redfield, University of Maryland Institute of Human Virology, on early concerns that massive AIDS relief would fail for a lack of modern health care delivery systems

We knew so little in the beginning. Could the hospitals and other facilities function at a high enough level? Would we be able to find pharmacies that were working, labs that were working, well enough to sustain this kind of effort … could we get medications to patients on a regular schedule? Would we be the ones delivering AIDS care for the next 50 years?
Michele Broemmelsiek, Catholic Relief Services

Everyone turned to HRSA, because of the Ryan White program … The expertise within the federal government on dealing with these complex delivery issues in rural and urban settings resided at HRSA.
Richard Poole, Caribbean Project Officer, HAB

There were two Catholic nurses from Canada who had been working at this small hospital for decades, and when they found out where we were from, they said, ‘Thank you, HRSA, thank you for what you have done here.’ … In remote parts of the world today, there are still people who will tell you, ‘Thank you, HRSA, for what you have done.’
CDR A. John Oguntomilades, recounting his first flight into Haiti on a single-engine plane as a HAB Project Officer, after the original 2003 authorization of PEPFAR

What people said was crazy and couldn’t be done, we have done. People are alive today because of this program, and a million children were prevented from getting HIV.
Dr. Philippe Chiliade, medical officer, HAB

This was a very complicated program for which to provide leadership -- with not a lot of advance precedent – and we owe a lot to HRSA for providing it.
Dr. Robert Redfield, University of Maryland

So often, we are not going to the happiest places in the world. We are not going to places with many hopeful stories to tell. But this is a beautiful story, a real story, that has a good ending because of all the people who came together around this program.
Michele Broemmelsiek, Catholic Relief Services



Delivery of HIV/AIDS care and treatment services.


Training and technical assistance to build and strengthening care programs so that affected countries can maintain programs over time.


Partnerships to build skills and prepare host countries so that they may better manage their own programs over the long term.

HRSA, History, HIV

How best practices from the domestic Ryan White HIV/AIDS Program are being used in HRSA GAP activities.


The U.S. commitment to address the world HIV/AIDS epidemic is guided by PEPFAR, the President’s Emergency Plan for AIDS Relief.