The United States President's Emergency Plan For AIDS Relief (PEPFAR) is the global health funding by the United States to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. The U.S. allocation of over $110 billion marks the largest investment by any country has ever made towards combating a single disease.[1] As of 2023, PEPFAR has saved over 25 million lives,[2][3] primarily in sub-Saharan Africa.[4][5]
Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic.[4] PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the United States Department of State.[6]
The PEPFAR program has in recent years been criticized by members of the Republican Party who have sought to block its re-authorization.[7] In 2025, the Donald Trump administration put the program on halt and took PEPFAR’s computer systems offline.[7]