U.S. President's Emergency Plan for AIDS Relief (September 2017).
PEPFAR's newly issued strategy redirects HIV activities to move toward control of the global epidemic. The strategy responds to major accomplishments resulting from intensive activities to prevent, diagnose, and treat HIV during the past decades. For example, Lesotho, Malawi, Swaziland, Zambia, and Zimbabwe are approaching control of their epidemics; and HIV incidence has stabilized in Uganda. The 2017–2020 strategy provides guidance for implementation in more than 50 countries and seeks to accomplish three overarching goals: 1) maintaining treatment for those already receiving it, while making essential services, such as testing linked to treatment more accessible; 2) expanding services for orphans and vulnerable children; and 3) supporting prevention and treatment for key populations. The strategy also increases momentum in 13 countries that have the potential to achieve epidemic control by 2020 and includes these four action steps:
- Accelerating optimized HIV testing and treatment, especially targeting men under age 35
- Expanding HIV prevention, especially for women under age 25 and men under age 30, by scaling up best practices from the DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) Initiative and expanding voluntary medical male circumcision for boys and young men aged 15–29
- Using epidemiologic and cost data to improve implementing partners' performance and increase programmatic impact and effectiveness
- Engaging with faith-based organizations and the private sector
- Strengthening partner governments' policy and financial contributions to the HIV response.