LEADERSHIP AND INVESTMENT IN FIGHTING AN EPIDEMIC GLOBAL AIDS INITIATIVE

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Introduction
Partners in the Global AIDS Initiative
Role of the OGHA African Affairs Program in the Global AIDS Initiative
Elements of the Global AIDS Initiative
Role of the Centers for Disease Control and Prevention (CDC) in the Global AIDS Initiative
Role of the Health Resources and Services Administration (HRSA) in the Global AIDS Initiative
Countries under the Global AIDS Initiative
Faith-Based Organizations under the GLOBAL AIDS Initiative

Introduction

In July 1999, the White House announced the Leadership and Investment in Fighting an Epidemic Global AIDS Initiative. The Global AIDS Initiative focuses upon target countries which represent the most severe epidemics and the highest numbers of new infections and where the potential impact of the interventions is the greatest. The Global AIDS Initiative predated and is the largest bilateral component of the International Partnership Against HIV/AIDS in Africa (IPAA) coordinated by the Joint U.N. Program on HIV/AIDS (UNAIDS).

Partners in the Global AIDS Initiative

The Global AIDS Initiative is a partnership of the following:

Role of the OGHA African Affairs Program in the Global AIDS Initiative

The OGHA African Affairs Program plays a crucial coordinating role among the Department of Health and Human Services (HHS), the U.S. Agency for International Development (USAID), the Department of Defense (DOD), and the Department of Labor (DOL). OGHA has a long-standing partnership with the Bureau for Africa (AFR) at USAID under the Health and Human Resources Analysis for Africa (HHRAA) Project. OGHA has facilitated the involvement of the HIV/AIDS Bureau (HAB) at the Health Resources and Services Administration (HRSA) and will facilitate the potential involvement of other HHS agencies to provide the unique added value of their expertise in public health and health care.

Elements of the Global AIDS Initiative

Primary prevention
Improving community- and home-based care and treatment
Strengthening communities' capacity to care for children affected by HIV/AIDS
Developing capacity and infrastructure, including disease surveillance and HIV/AIDS program monitoring, evaluation, and management

Role of the Centers for Disease Control and Prevention (CDC) in the Global AIDS Initiative

The U.S. Agency for International Development (USAID) is active in all of the elements. The Centers for Disease Control and Prevention (CDC) is active in prevention, care and treatment, and capacity and infrastructure development.

The prevention activities of the Centers for Disease Control and Prevention (CDC) include the following:

Expanding voluntary counseling and testing programs
Building large-scale programs to reduce maternal-to-child transmission
Strengthening programs to reduce blood transmission
Strengthening the management of sexually transmitted infections (STIs)
Building public-private partnerships
Increasing prevention programs for youth
Expanding prevention programs targeted at other vulnerable populations
Supporting and strengthening national education and mobilization efforts

The care and treatment activities of CDC include the following:

Expanding and strengthening tuberculosis (TB) prevention and care
Enhancing care and treatment of HIV/AIDS and opportunistic infections (OIs)

The capacity and infrastructure development activities of CDC include the following:

Expanding and strengthening surveillance programs for HIV/AIDS, STIs, and TB
Strengthening laboratory support for surveillance, diagnosis of HIV, STIs, TB, and OIs, disease monitoring, and HIV screening for blood safety
Expanding and strengthening information systems
Providing training in managing and implementing programs
Monitoring and evaluating programs

Role of the Health Resources and Services Administration (HRSA) in the Global AIDS Initiative

The Health Resources and Services Administration (HRSA) is active in care and treatment. Activities of HRSA include the following:

Developing community-based programs to deliver a comprehensive package of primary health care treatment, palliative care, social support, and prevention
Helping to link these programs with other resources in the community
Supporting the effort with targeted technical assistance and assessment, training and education of care providers, and programs to effectively manage the purchase, distribution, and tracking of pharmaceuticals and other supplies

Countries under the Global AIDS Initiative

The Global AIDS Initiative is being implemented in the following countries:

Angola
Botswana
Brazil
Cambodia
Côte d'Ivoire
Democratic Republic of Congo
Ethiopia
Guyana
Haiti
India
Kenya
Malawi
Mozambique
Namibia
Nigeria
Rwanda
Senegal
South Africa
Tanzania
Thailand
Uganda
Vietnam
Zambia
Zimbabwe

Both the U.S. Agency for International Development (USAID) and the Centers for Disease Control and Prevention (CDC) are active in most of the above countries.

The Health Resources and Services Administration (HRSA) will be active in the following countries:

India
Malawi
Mozambique
South Africa
Zambia
Zimbabwe

Faith-Based Organizations under the Global AIDS Initiative

A major focus of the Global AIDS initiative involves increasing collaboration with faith-based organizations, particularly in the areas of care and support for individuals infected with and affected by HIV/AIDS. In December 2000, the White House hosted a Summit of Faith Leaders. African Affairs played a crucial role in the development and implementation of the summit through its staff at the Bureau for Africa (AFR) at the U.S. Agency for International Development (USAID) under the Health and Human Resources Analysis for Africa (HHRAA) Project.

Last Updated: November 17, 2003

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