Debbi Birx, MD PEPFAR/CDC WORKSHOP - Mini Room 7 Center for Global Health Division of Global HIV/AIDS Getting to Six Million PEPFAR Track 1.0 Treatment Partners & Shared Vision for Sustainability

1 Focus on sustainability from day 1: local FBO and pubic sector partnerships with international partners

CDC/DGHA FY 11 Funding – All Sources Majority of funding invested in Cooperative Agreements Benefits of investing in CoAgs Allows CDC technical experts maximum engagement & partner oversight Facilitates side-by-side planning and implementation, allowing for mentoring & transference of skill CDC experts ensure programs are of highest quality while preserving local ownership

Investment Strategy by Partner Type CDC/DGHA FY11 Budget Financial Investments Reflect DGHA Priorities  DGHA builds local capacity by investing in Ministries and indigenous partners  DGHA promotes science & innovation by investing in universities

Scale-up of investments in MOH must be deliberate and strategic  For the past 20 years CDC has had the sole USG/MoH agreements in Sub- Saharan Africa  We have built agreements carefully and strategically over time – scaling-up slowly and pairing funding with extensive technical support to ministries  Many CDC offices are co-located with MOH to facilitate mentoring and the transference of skills  Standing up these funding mechanisms is initially very resource intensive – both at HQ and in the field – but ultimately cost effective and sustainable Stepwise Approach to Building MOH Capacity The cornerstone to realizing country ownership

Investing through Cooperative Agreements CDC is scaling up the number of CoAgs with indigenous partners

CDC Program Funds through Cooperative Agreements with Local Partners FY 2004 – FY 2011 In 2011, CDC invested more resources in local/indigenous organizations than international Investing through Cooperative Agreements CDC is investing more resources in CoAgs with indigenous partners

2 Saving lives together: Implementing OGAC’s vision for PEPFAR

Source: Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2010 Revision, For definition of variables, check the link Glossary of Demographic Terms Saturday, May 05, 2012; 11:17:16 AM Life Expectancy at Birth in Selected Countries Affected by HIV/AIDS Dramatic impact of HIV on life expectancy Impact of HIV on 5 High-Burden Countries – Model Updated in 2010

New UNAIDS Global Report : Together We Will End AIDS

The end is in sight: Maintaining momentum is critical

Current ART Coverage at CD4 of 350

3 Saving lives and changing the face of the epidemic : commitment of providers and patients

Incremental Progress : Saving Lives and Changing the Epidemic UNAIDS Global Report 2012

4 Towards virtual elimination of new HIV infections in children: PMTCT

New Pediatric Infections from MTCT Source: UNAIDS. Together We will End AIDS, 2012.

New Pediatric Infections from MTCT Among Sub-Set of Countries with High Contribution to Global Burden Source: UNAIDS. Together We will End AIDS, 2012.

Aggressively pursuing the virtual elimination of pediatric AIDS UNAIDS Global Report 2012

5 The end of AIDS is in sight, and our success will depend on our mutual commitment

Programs are People Financial resources are important but the key to the progress to date has been the commitment of each person on the ground Importance of local innovation and focus on the sustainability and impact from day one Shared commitment to transition and quality with embedded monitoring and evaluation