President’s Budget Request Reflects Strong Commitment on Global AIDS

PEPFAR PlaqueToday, the Obama Administration issued the President’s budget request for fiscal year (FY) 2013. It demonstrates that the United States remains fully committed to the fight against global AIDS, and will meet the President’s ambitious targets for HIV/AIDS treatment and prevention announced on World AIDS Day 2011. I am so proud that, even in a challenging budget environment with strict budget caps, the Administration has continued to make this work a priority.

This budget will enable PEPFAR to achieve the President’s stated goals for the program, including on prevention and supporting 6 million people on treatment by the end of 2013. As we move towards creating an AIDS-free generation, President Obama and Secretary Clinton are focused on improving and saving lives — these outcomes are the most important metric of success. The results to date speak for themselves:

  • We have more than doubled the number of individuals on lifesaving antiretroviral treatment (nearly 4 million in FY 2011, up from 1.7 million in FY 2008).
  • We averted 200,000 infant HIV infections in FY 2011, through increased commitment to prevent mother-to-child transmission.
  • We supported care services for almost 13 million people (including 4 million orphans and vulnerable children) in FY 2011, a 55 percent increase from FY 2008.

Under this Administration, PEPFAR has matured. We’ve become more efficient, increasing the impact of our work. The FY 2013 request reflects this focus on finding efficiencies and continuing to drive down costs. By using generic drugs, shipping commodities more cheaply, task-shifting to nurses and community health workers as appropriate, and linking AIDS services to other programs (such as maternal and child health), we have dramatically decreased the per-patient cost of providing treatment and other services. We have reduced PEPFAR treatment costs per person from $1,100 to $335 per person and costs continue to fall — every dollar we invest is going farther.

The growth in country ownership of programs is another critical piece of the story. Middle income countries with PEPFAR programs have begun to increase their investments in health programs, further reducing our direct costs. South Africa is the leading example of a country that has ramped up its investment (now over $1 billion) and indicates that it will continue to do so — a key development, as it has the largest number of people living with HIV in the world.

As the PEPFAR program matures, we are able to maximize our impact based on new prevalence data and assessments of absorptive capacity. We focus resources on countries where we can have the largest impact on the HIV epidemics, and we carefully review our levels of support in countries with low HIV prevalence or where significant other resources are available. For example, we are freeing up resources by reducing programs in lower HIV prevalence countries like Ethiopia, and are eliminating support to countries like Russia (which has stated its intention to become a donor country). Kenya is an example of a mature program focused on sustainable country systems for program implementation and building up the capacity of local implementers. As a result, we are able to adjust Kenya funding to better match its capacity to absorb funds through these new mechanisms.

The President’s budget for FY 2013 requests $1.65 billion for a contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria Exit Disclaimer, fulfilling his pledge to seek $4 billion over three years for the Fund. As the President has stated, the response to the global AIDS pandemic is a shared responsibility. The Global Fund is the vehicle for others to step up and increase their investments. In fact, each dollar we invest in the Fund leverages $2.50 from other donors, and we will continue to seek to leverage our donations with other partners.

In October 2010, the U.S. tied our historic multi-year pledge to the Global Fund to successful implementation of reforms that increase the impact of grants. The Fund took decisive action in adopting comprehensive reforms last year, and we are encouraged by the appointment of the Fund’s new General Manager, Gabriel Jaramillo, who has promised to advance the reform agenda as rapidly as possible. As a sign of support, the Gates Foundation Exit Disclaimer has recently announced a $750 million commitment to the Fund, and Saudi Arabia has stepped up and contributed to the Fund for the first time.

I want to address any concern that our increased investment in the Global Fund may interfere with PEPFAR’s ability to reach its bilateral goals. I can say with conviction that if this was the case, we would not be doing it. Our Global Fund investment is critical to the ability of our bilateral PEPFAR program to reach its goals. These two U.S.-supported efforts on global AIDS are now truly interdependent and collaborative. We are jointly funding many country programs and specific service sites, and as we review our country PEPFAR programs, again and again we see that the success of Global Fund grants is a critical factor in the success of our work.

Saving lives is the bottom line, and to reach it, we need a strong PEPFAR and a strong Global Fund.

In their remarks in late 2011, President Obama and Secretary Clinton put forward the inspiring vision of an AIDS-free generation. With this budget, the United States will keep our commitments, and we will meet our ambitious targets.


  1. Gregg Gonsalves says:

    Eric, you can’t make the cut to PEPFAR pretty–the President is cutting HIV/AIDS programs (along with TB, neglected tropical diseases, maternal and child health) and it’s a disaster for poor people around the world who’ve relied on the US’ support for life-saving drugs for over a decade.
    In fact, what the President has done is mean-spirited–he’s saying you can have an reasonable investment from him in the Global Fund OR PEPFAR but not both as if we’re kids in a candy store choosing between sweets.
    Let’s face it, the President is great on a lot of issues, but on HIV/AIDS he’s full of hot air, nice words, but no new money domestically and now a cut in PEPFAR.
    He will not go down in history as a hero on AIDS or global health.

  2. Prof. Brook K. Baker says:

    The science of HIV prevention, treatment, and care has soared as there are promising advances on treatment-as-prevention, pre-exposure prophylaxis, prevention of vertical transmission through full HAART to pregnant women, new devices for safer and cheaper circumcision, new point of care diagnostic tests for HIV and TB, etc.

    And funding was set to soar as well – starting at a high of $50 billion ($10 billion/year for five years) for global HIV/AIDS alone (Obama’s 2008 campaign promise FY2009-13) and then at $39 billion for global HIV/AIDS and $4 billion for global TB (PEPFAR reauthorization July 30, 2008). Instead of soaring budgets, we got stalled budgets FY2009-2012 (Kaiser figures for PEPFAR/HIV, PEPFAR/TB, and Global Fund/HIV-TB-Malaria: $6.7 billion FY 2009; $6.9 billion FY 2010; $6.8 billion FY 2011; and $6.7 billion FY 2012). This year’s FY 2013 budget proposal contains a whopping $546 million dollar cut to bilateral PEPFAR AIDS funding (partially offset by a $350 million increase to the Global Fund) resulting in an overall decrease in funding down to $6.4 billion.

    If we do the math based on these rough estimates, total US global AIDS, TB, and Global Fund (global AIDS/TB/GF) funding commitments (not disbursements, which are substantially less) are only $33.6 billion – a whopping $9.4 billion less than Congress authorized just three and half years ago.

    So the truth of the matter is that global HIV/TB/GF funding has not merely flatlined and then dropped by 7% from a high in 2010, but that funding overall is off nearly $22% each and every year from what was promised by Congress four years ago.

    The White House and Ambassador Goosby try to sugar-coat this defunding by pointing to President Obama’s recent promise to treat 6 million PWAs by 2013 and to new efficiencies in treatment that have lowered annual per patient treatment costs from $1100 to $335 (for the US share of treatment costs, which is approximately 50% of total costs).

    However, PEPFAR authorization was written so that newly achieved efficiencies in HIV treatment were supposed to be plowed back into treating new patients, an issue with increased urgency because of findings that early ARV treatment reduces the risk of transmission between partners by nearly 96%.

    However, instead of having money poured back into treatment as a result of hard-won treatment efficiencies, as mandated by law, we’ve seen comparative defunding of treatment over the past two years and an emasculation of the AIDS budget overall. With even 50% of the $5.4 AIDS money that has been unappropriated by the Administration and Congress, the US could treat over 8 million patients – 12 million by 2013!

    Promising 6 million patients in treatment by 2013 was actually easy for the President even though activists had to fight a year long battle to get it. 6-by-13 can be accomplished even as President Obama deflects $9.4 billion from global AIDS/TB/GF towards other uses.

    The Global Fund is set to get its promised $4 billion because of some internal transfers within PEPFAR. Accordingly, the US contributions 2011-2013 now total $1.05 billion 2011; $1.3 billion 2012, and $1.65 2013. US bilateral funding, on the other hand, which is essential to treatment scale-up slides back big time and the waiting lines and cynicism in Africa and elsewhere only grows.

    This election year is going to have zero focus on global AIDS and the funding fiasco unless activists raise stink. The US’s cynical hosting of the Int’l AIDS Conference will go unremarked unless activists point out the US’s defunding and under-achievement. The 8 million patients whose treatment goes unfunded will die, unless full global AIDS funding is restored.

Speak Your Mind