PEPFAR Country Coordinator

The President's Emergency Plan for AIDS Relief (PEPFAR) Initiative is the largest commitment ever by a nation toward an international health initiative for a single disease. The Office of the U.S. Global AIDS Coordinator (S/GAC) is responsible for implementing PEPFAR. To control and ultimately end the HIV/AIDS epidemic, collective gains must be expanded and sustained. Led by S/GAC's strategic vision, PEPFAR 3.0 - Controlling the Epidemic: Delivering on the Promise of an AIDS-free Generation, PEPFAR is collecting and using data in the most granular manner (disaggregated by sex, age, and at the site level) to do the right things, in the right places, and right now within the highest HIV-burdened populations and geographic locations. The PEPFAR program in South Africa (FY 18 level: $575.3 million) combines the talents of staff members and operational partners from the Department of State (DOS), Department of Health and Human Services (including the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the National Institutes of Health (NIH)), the U.S. Agency for International Development (USAID) and the Peace Corps, to implement an integrated HIV/AIDS program. These entities have come together to create a program that supports activities in South Africa and allows for a rapid, unprecedented expansion of programs and services. This expansion takes into account expected inputs from the Global Fund, other donors and the Government of South Africa (GSA) itself. While the GSA and donors, including the United States, strive to work toward epidemic control, the scope, magnitude and urgent focus on results of the PEPFAR program create challenges and pressures due to differing perspectives, interests and agendas of the diverse implementing partners.