PEPFAR Policy Resource Hub
This hub brings together key U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) policy resources – from KFF, the U.S. government, and others – that can be used to inform policy discussions and research. More items will be added to the hub over time.
An Update on PEPFAR Reauthorization
PEPFAR’s latest reauthorization expired on March 25, 2025, heightening the stress the program is now experiencing as the Trump administration reviews and rolls back foreign aid. It has also raised several questions about whether PEPFAR can continue in the absence of reauthorization. This policy watch provides an update on what this means for PEPFAR.
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Future Reform of PEPFAR: Exploring the Use of a Graduation Policy
To inform future directions for PEPFAR and other U.S. global health programs, this policy brief reviews the graduation policies of several institutions to identify options for consideration.
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The Outlook for PEPFAR in 2025 and Beyond
PEPFAR, the U.S. global HIV/AIDS program, is – for the first time in its two-decade history – facing significant challenges that could impede its ability to fulfill its mission. This policy brief provides an overview of recent events and ongoing challenges facing the program.
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The Trump Administration’s Foreign Aid Review: Status of PEPFAR
This fact sheet examines actions taken by the Trump administration and their impact on PEPFAR.
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The Ground Has Shifted Under PEPFAR: What Does That Mean for Its Future?
In this viewpoint article in the Journal of the International AIDS Society, KFF’s Jennifer Kates and co-authors Brian Honermann and Gregorio Millett of amfAR explore the implications of shifts in the global economic and political environment for the future of PEPFAR.
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Additional KFF PEPFAR Resources
Access a comprehensive list of KFF PEPFAR resources.
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PEPFAR: Exploring Co-Financing as a Tool for Domestic Resource Mobilization
This issue brief identifies options and issues for PEPFAR to consider should it institute a new co-financing policy to encourage increased domestic resource mobilization from countries.
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Sustainability Readiness in PEPFAR Countries
This data note arrays and groups PEPFAR countries by their level of “sustainability readiness” in order to help inform discussions about PEPFAR’s work on sustainability,
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KFF Dashboard: Progress Toward Global HIV Targets in PEPFAR Countries
This dashboard monitors progress being made to address the HIV/AIDS epidemic in countries where PEPFAR operates. It includes data for 54 countries and tracks progress against 6 different indicators.
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The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
This fact sheet looks at the history, funding, and future outlook of PEPFAR.
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PEPFAR Legislation
Includes PEPFAR’s original authorizing legislation, as well as each subsequent reauthorization legislation.
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PEPFAR Strategies
Includes all of PEPFAR’s multi-year strategies, as well as related documents.
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PEPFAR Annual Country and Regional Operational Plan (COP/ROP) Guidance
The COP/ROP guidance underpins the development of annual plans by both bilateral and regional PEPFAR programs.
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PEPFAR Country and Regional Operational Plans (COPs/ROPs)
Country or Regional Operating Plans (COP or ROP) serve as annual strategic plans for U.S. HIV/AIDS efforts in host countries.
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PEPFAR Technical Guidance in the COVID-19 Pandemic
Technical guidance developed by PEPFAR that addresses a variety of COVID-19-related issues facing its field programs.
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PEPFAR Panorama Spotlight – Data Dashboards
PEPFAR’s database that includes numerous indicators related to PEPFAR’s activities and the people they serve, as well as planned funding, expenditures, and other data.
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PEPFAR Monitoring, Evaluation, and Reporting (MER) Indicators – Reference Guide
Reference guide to PEPFAR’s Monitoring, Evaluation, and Reporting (MER) indicators. Data can be found on PEPFAR’s Panorama Spotlight.
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Population-Based HIV Impact Assessments (PHIAs) in PEPFAR Countries
PEPFAR-funded nationally representative surveys that capture the state of HIV epidemics in PEPFAR countries.
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PEPFAR Annual Reports to Congress
Annual reports to the U.S. Congress on PEPFAR’s activities, as required by the program’s legislation.
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PEPFAR Annual Reports to Congress on HIV Treatment
Annual reports to the U.S. Congress focused on PEFPAR’s HIV treatment efforts.
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National Academies of Sciences, Engineering, and Medicine's Evaluation of PEPFAR
These congressionally-mandated evaluations of PEPFAR examine various periods of the program’s implementation.
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amfAR’s PEPFAR Country/Regional Operational Plans (COPs/ROPs) Database
This database from amfAR includes planned funding taken directly from publicly released operational plans, including planned funding and expenditures by program area, country, and organization.
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amfAR’s PEPFAR Monitoring, Evaluation, and Reporting (MER) Database
This database from amfAR serves as a tool for analyzing PEPFAR’s MER data.
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HIV Policy Lab
Georgetown University’s HIV Policy Lab online platform monitors HIV-related laws and policies adopted by countries around the world, including PEPFAR countries.