PEPFAR Policy Resource Hub
This hub brings together key U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) policy resources – from KFF, the U.S. government, and others – that can be used to inform policy discussions and research. More items will be added to the hub over time.
The ground has shifted under PEPFAR: what does that mean for its future?
In this viewpoint article in the Journal of the International AIDS Society, KFF’s Jennifer Kates and co-authors Brian Honermann and Gregorio Millett of amfAR explore the implications of shifts in the global economic and political environment for the future of PEPFAR.
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PEPFAR: Exploring Co-Financing as a Tool for Domestic Resource Mobilization
This issue brief identifies options and issues for PEPFAR to consider should it institute a new co-financing policy to encourage increased domestic resource mobilization from countries.
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Assessing Equity in PEPFAR Countries: Analysis of HIV Outcomes by Urban/Rural Residence, Wealth, Sex, and Age
This analysis examines differences in HIV outcomes by urban/rural residence, wealth quintile, sex, and age in 15 PEPFAR countries and finds that HIV equity gaps were found for some, but not all, subpopulation groups.
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Donor Government Funding for HIV in Low- and Middle-Income Countries in 2023
This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2023, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).
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PEPFAR’s Short-Term Reauthorization Sets an Uncertain Course for Its Long-Term Future
With the FY24 omnibus bill, PEPFAR was reauthorized until March 25, 2025, without the inclusion of any controversial provisions or changes related to abortion, sought by some. Still, while that latest step provided the program with some short-term certainty, including signaling bipartisan support (albeit limited), it marked a significant departure from PEPFAR’s past. This Policy Watch explores the implications of the reauthorization.
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Additional KFF PEPFAR Resources
Access a comprehensive list of KFF PEPFAR resources.
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Key Issues and Questions for PEPFAR’s Future
This brief explores key issues and poses questions regarding PEPFAR’s future, providing a roadmap for the major decisions ahead for the program. It identifies eight key, interrelated issues facing the administration, Congress, and other PEPFAR stakeholders.
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PEPFAR Reauthorization: Side-by-Side of Legislation Over Time
This brief identifies time-bound PEPFAR authorities and also provides a detailed side-by-side comparison of PEPFAR’s authorizing legislation over time.
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KFF Dashboard: Progress Toward Global HIV Targets in PEPFAR Countries
This dashboard monitors progress being made to address the HIV/AIDS epidemic in countries where PEPFAR operates. It includes data for 54 countries and tracks progress against 6 different indicators.
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Breaking Down the U.S. Global Health Budget by Program Area
The U.S. government is the largest donor to global health in the world. This fact sheet breaks down the U.S. global health budget by program area: HIV/PEPFAR; tuberculosis; malaria/the President’s Malaria Initiative; the Global Fund to Fight AIDS, Tuberculosis, and Malaria; maternal & child health; nutrition; family planning & reproductive health; global health security; and neglected tropical diseases.
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The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
This fact sheet looks at the history, funding, and future outlook of PEPFAR, the U.S. government’s major global initiative to combat HIV/AIDS.
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PEPFAR Legislation
Includes PEPFAR’s original authorizing legislation, as well as each subsequent reauthorization legislation.
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PEPFAR Strategies
Includes all of PEPFAR’s multi-year strategies, as well as related documents.
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PEPFAR Annual Country and Regional Operational Plan (COP/ROP) Guidance
The COP/ROP guidance underpins the development of annual plans by both bilateral and regional PEPFAR programs.
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PEPFAR Country and Regional Operational Plans (COPs/ROPs)
Country or Regional Operating Plans (COP or ROP) serve as annual strategic plans for U.S. HIV/AIDS efforts in host countries.
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PEPFAR Technical Guidance in the COVID-19 Pandemic
Routinely-updated technical guidance developed by PEPFAR that addresses a variety of COVID-19-related issues facing its field programs.
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PEPFAR Panorama Spotlight – Data Dashboards
PEPFAR’s database that includes numerous indicators related to PEPFAR’s activities and the people they serve, as well as planned funding, expenditures, and other data.
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PEPFAR Monitoring, Evaluation, and Reporting (MER) Indicators – Reference Guide
Reference guide to PEPFAR’s Monitoring, Evaluation, and Reporting (MER) indicators. Data can be found on PEPFAR’s Panorama Spotlight.
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Population-Based HIV Impact Assessments (PHIAs) in PEPFAR Countries
PEPFAR-funded nationally representative surveys that capture the state of HIV epidemics in PEPFAR countries.
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PEPFAR Annual Reports to Congress
Annual reports to the U.S. Congress on PEPFAR’s activities, as required by the program’s legislation.
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PEPFAR Annual Reports to Congress on HIV Treatment
Annual reports to the U.S. Congress focused on PEFPAR’s HIV treatment efforts.
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National Academies of Sciences, Engineering, and Medicine's Evaluation of PEPFAR
These congressionally-mandated evaluations of PEPFAR examine various periods of the program’s implementation.
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amfAR’s PEPFAR Country/Regional Operational Plans (COPs/ROPs) Database
This database from amfAR includes planned funding taken directly from publicly released operational plans, including planned funding and expenditures by program area, country, and organization.
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amfAR’s PEPFAR Monitoring, Evaluation, and Reporting (MER) Database
This database from amfAR serves as a tool for analyzing PEPFAR’s MER data.
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HIV Policy Lab
Georgetown University’s HIV Policy Lab online platform monitors HIV-related laws and policies adopted by countries around the world, including PEPFAR countries.