PEPFAR’s New Path

America’s landmark HIV/AIDS program, PEPFAR, has been credited with saving more than 18 million lives and shifting the HIV/AIDS trajectory in Africa.
But the program is changing. The bulk of funding is moving to local organizations—long relegated to sub-contracting roles under larger organizations. More concerning is that overall funding is also expected to plateau.
Uganda—particularly hard-hit early in the epidemic—has made impressive progress and is ahead of schedule on re-allocating funds locally. Still, 70% of Uganda’s HIV response is externally funded, raising questions about whether progress will continue apace if international funding stagnates.

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