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.

KFF pepfar resources – the latest

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.
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.
The Trump Administration’s Foreign Aid Freeze and Global Health: The Biggest Gaps Left on the Donor Landscape

This analysis examines the impacts of the Trump administration’s foreign aid freeze on the donor landscape for global health, specifically highlighting the U.S.’s role in supporting global HIV, tuberculosis, and malaria efforts.
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.
Additional KFF PEPFAR Resources

Access a comprehensive list of KFF PEPFAR resources.

Kff pepfar resources – the essentials

Key Issues and Questions for PEPFAR’s Future

This brief explores key issues and poses questions regarding PEPFAR’s future, providing a roadmap for the major decisions ahead for the program. It identifies eight key, interrelated issues facing the administration, Congress, and other PEPFAR stakeholders.
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.
Breaking Down the U.S. Global Health Budget by Program Area

The U.S. government is the largest donor to global health in the world. This fact sheet breaks down the U.S. global health budget by program area: HIV/PEPFAR; tuberculosis; malaria/the President’s Malaria Initiative; the Global Fund to Fight AIDS, Tuberculosis, and Malaria; maternal & child health; nutrition; family planning & reproductive health; global health security; and neglected tropical diseases.
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)

This fact sheet looks at the history, funding, and future outlook of PEPFAR.

Official PEPFAR Policy Documents – Legislation, Strategies & Guidance

PEPFAR Legislation

Includes PEPFAR’s original authorizing legislation, as well as each subsequent reauthorization legislation.
PEPFAR Strategies

Includes all of PEPFAR’s multi-year strategies, as well as related documents.
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.
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.
PEPFAR Technical Guidance in the COVID-19 Pandemic

Routinely-updated technical guidance developed by PEPFAR that addresses a variety of COVID-19-related issues facing its field programs.

Official PEPFAR Data Resources

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.
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.
Population-Based HIV Impact Assessments (PHIAs) in PEPFAR Countries

PEPFAR-funded nationally representative surveys that capture the state of HIV epidemics in PEPFAR countries.

Official PEPFAR Reports to Congress & Evaluations

PEPFAR Annual Reports to Congress

Annual reports to the U.S. Congress on PEPFAR’s activities, as required by the program’s legislation.
PEPFAR Annual Reports to Congress on HIV Treatment

Annual reports to the U.S. Congress focused on PEFPAR’s HIV treatment efforts.
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.

PEPFAR Policy Resources from other organizations

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.
amfAR’s PEPFAR Monitoring, Evaluation, and Reporting (MER) Database

This database from amfAR serves as a tool for analyzing PEPFAR’s MER data.
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.