# Presentation: 743762

## Slide 1

## The Pandemic in 2005

**The Pandemic in 2005**

**Number of people living with HIV in 2005 **
- 	**Total 40.3 million (36.7–45.3 million)**
- 	**Adults 38.0 million (34.5–42.6 million) **
**	****Women 17.5 million (16.2–19.3 million) **
**	****Children under 15 years 2.3 million ( 2.1–2.8 million)**
**People newly infected with HIV in 2005 **
- 	**Total 4.9 million ( 4.3–6.6 million) **
- 	**Adults 4.2 million ( 3.6–5.8 million) **
**	****Children under 15 years 700,000 (630,000–820,000)**
**AIDS deaths in 2005 **
- 	**Total 3.1 million (2.8–3.6 million) **
- 	**Adults 2.6 million (2.3–2.9 million) **
**	****Children under 15 years 570,000 (510,000– 670,000)**

## The Pandemic in 2005

- Source: UNAIDS, 2005

**The Pandemic in 2005**

**Number of adults and children living with HIV in 2005**

## People Estimated to be Living with HIV/AIDS, Global Totals, 1981-2005

- Sources: UNAIDS, *AIDS Epidemic Update*, December 2005; UNAIDS, Data Request, November 2004.

**End 2005:**
**40.3 million**

**‘****84**

**‘****88**

**‘****92**

**‘****96**

**‘****00**

**‘****04**

**‘****81**

**Years**

**‘****86**

**’****90**

**‘****94**

**‘****98**

**‘****02**

**People Estimated to be Living with HIV/AIDS, Global Totals, 1981-2005**

## The President’s Emergency Plan

- Five-year, $15 billion multifaceted approach to fighting HIV/AIDS
- Through the Emergency Plan, we are working with international, national and local leaders worldwide to support integrated prevention, treatment and care programs
- Largest commitment ever by a single nation towards an international health initiative
- U.S. now leads the world’s donor nations in its level of support for the fight against HIV/AIDS

## Emergency Plan Global Goals

- In the 120+ countries across the world where the United States is combating HIV/AIDS, we are:

**Encouraging bold leadership at every level to fight HIV/AIDS**
**Applying best practices within our programs in concert with host government’s national HIV/AIDS strategies**
**Urging all partners to coordinate, adhere to sound management practices and harmonize monitoring and evaluation efforts**

## The Focus Countries

- Focus on 15 most heavily impacted countries in the world with approximately 50% of all HIV infections worldwide.
**The U.S. goals are to support, in an accountable and sustainable way:**
- Prevention of _7 million_ new infections
- Treatment of _2 million_ HIV-infected people
- Care for _10 million_ people infected with and affected by HIV/AIDS, including orphans and vulnerable children

## Emergency Plan: 15 Focus Countries

**Emergency Plan: 15 Focus Countries**

## Critical Intervention: Prevention

- The “ABC” approach of Abstinence, Be faithful, and the correct and consistent use of Condoms, as appropriate

**Greatly expanding HIV testing**
**Targeted outreach and condom distribution to high-risk populations**
**Prevention of mother-to-child transmission**
**Addressing gender inequality within prevention programs**
**Improving medical practices and ensuring blood safety**

**Prevention remains the primary strategy to combat HIV/AIDS.  The President’s Emergency Plan focuses on this intervention using evidence-based prevention programs, such as:**

## Critical Intervention: Treatment

**Treatment may be our best hope against the disease and the devastation it wreaks.  It provides an incentive to get tested; reduces stigma; and, by restoring health, relieves the social and economic costs of the disease.**

**The United States is working under national HIV/AIDS strategies and in partnership with host nations to:**
**Rapidly scale up availability of treatment that is low-cost, safe, effective, and of high quality.**
**Build capacity for long-term sustainability of quality programs**
**Advance policy initiatives that support treatment**
**Collect strategic information to monitor and evaluate progress**

## Critical Intervention: Care

**HIV/AIDS and associated opportunistic infections cause severe pain and debilitating symptoms for many with advanced disease.  Millions of orphans growing up without the support of their parents face increased vulnerability to violence and coercion—and to HIV.**

**To ease this pain and suffering, the United States is working under national HIV/AIDS strategies and in partnership with host nations to:**
**Rapidly scale up existing services for palliative care and care for orphans and vulnerable children**
**Ensure access to necessary health care supplies**
**Strengthen the capacity of families and communities to care for orphans, and to provide them basic social and protective services**

## Building Capacity

- Guiding principle of the Emergency Plan
- Building local and host nation capacity so that national programs can achieve results
- Creating programs to be sustainable for the long term
- Encouraging nations to fully “own” the fight that they must lead against HIV/AIDS

## Select Emergency Plan Achievements

**Supported treatment for 471,000 people worldwide, including 401,000 in the focus countries**
**Supported PMTCT services for over 1.9 million women**
**Supported community outreach activities to over 42 million people to prevent sexual transmission of HIV**
**Supported care for over 1.2 million orphans and vulnerable children **
**Supported care for over 1.7 million people living with HIV/AIDS, including over 368,000 who received care and treatment for tuberculosis**
**More than 80% of our 1,200+ partners working on the ground are indigenous organizations (Sept. 2005)**

## The Goals of the New Partners Initiative

**The Goals of the New Partners Initiative**

**Increase the Emergency Plan’s ability to reach people with needed services:**
**Identify potential new Emergency Plan partner organizations**
**Increase their capacity to provide prevention and care services**
**Increase the total number of Emergency Plan partners**
**Build capacity in host nations:**
**Develop indigenous capacity to address HIV/AIDS to promote the sustainability of host nations’ efforts**

## Eligibility Under the NPI

- 	Eligible entities are non-governmental, working in any of the fifteen Emergency Plan focus countries, with little or no experience working with the U.S. Government – defined as no more than $5 million in U.S. Government funding during the preceding five years, excluding disaster or emergency assistance or funding as a subcontractor or sub-grantee.

## Prevention and Care

- The New Partners Initiative will make grants available to new partners to provide HIV/AIDS prevention and care services.
- The NPI will not fund treatment activities.
- However, it is expected that organizations receiving grants to provide prevention and care services will ensure that their programs are linked to treatment programs as part of a comprehensive national response.

## Partner Outreach

**Regional outreach workshops held in the US will be offered.**
**The first US conferences:**
- Philadelphia – February 22
- Atlanta – March 8
- Denver – March 22
- Los Angeles – April 5

## Pre-Competition Assistance

- 	The Office of the U.S. Global AIDS Coordinator and USAID, in partnership with HHS, will offer technical and capacity-building assistance to all organizations eligible to compete for funds under the NPI.  This technical assistance will be provided by Medical Services Corporation International (MSCI) and will strengthen organizations’ capacity to compete under the NPI and help them to develop the skills, knowledge and tools to compete under future U.S. Government solicitations.

## Technical Assistance

**Technical assistance will focus on topic such as: **
- initial needs assessment;
- proposal writing;
- pre-award audits;
- personnel recruitment;
- competition process; and
- monitoring and evaluation planning.

## Post-Award Capacity-Building Assistance

**Post-Award Capacity-Building Assistance**

**NPI will offer assistance to successful applicants , focusing on: **
- successful program implementation;
- needs analysis; and
- organizational growth and strengthening.

## Thank you

**www.pepfar.gov**
**www.pepfarnpi.gov**

**Thank you**