Making PEPFAR: Slideshow

HIV Distribution

Global distribution of 7.7 million working physicians in 2004. The actual sizes of countries are increased or decreased in proportion to the number of physicians working in them. Note that Africa, in particular, is woefully deficient in medical care and in research facilities. Credit: Worldmapper (#219)
HIV Distribution

Global distribution of HIV-infected persons ages 15 to 49 in 2003. The sizes of countries are increased or decreased in proportion to the number of persons with HIV living within them. Despite its deficiencies in the number of physicians, Africa is over-endowed with disease. Credit: Worldmapper (#227)
AIDS deaths
Global distribution of the 2.6 million known deaths from AIDS that occurred in 2002. Credit: Worldmapper (#374)
Variation of AIDS death rates
Variation of annual AIDS death rates and numbers of patients using highly active antiretroviral therapy (HAART) by geographical region, 2001. Credit: UNAIDS
President and Secretary of State
President George W. Bush and Secretary of State Condoleezza Rice. Credit: The White House
White House Announcement
Announcement of U.S. support for the Global Fund to Fight AIDS, Tuberculosis, and Malaria at the White House, May 2001, with President Bush and (at right) UN Secretary-General Kofi Annan. Credit: The White House
Bono and President
Bono, leader of the musical group U2 and advocate for programs to combat HIV/AIDS, with President Bush. Credit: The White House
Joshua Bolton
Joshua Bolton, President Bush’s deputy chief of staff. Courtesy of Joshua Bolton
Gary Edson
Gary Edson, senior advisor to the president and deputy national security advisor. Credit: Wikimedia Commons/ Tomahawk83
Anthony Fauci
Anthony (Tony) Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID) at NIH, and major designer of PEPFAR. Credit: AIDS.gov
Fauci in East Africa
Anthony Fauci with children in East Africa during a trip in 2002. Courtesy of Anthony Fauci
Fauci Uganda
Anthony Fauci and colleague visiting an AIDS ward in Uganda, 2002. Courtesy of Anthony Fauci
Laura Bush
Laura Bush (left) and Mark Dybul (right), who was the assistant to the NIAID director and later the director of PEPFAR. Credit: The White House
Ralph Tate
Ralph Tate, an operations officer at NIAID. Courtesy of Ralph Tate
Percent of Cost
Percent of Cost Supported by the United States: One of the charts prepared by Ralph Tate in estimating costs for PEPFAR and sharing plans. Note the inclusion of China, India, and Russia at bottom of the chart; these countries were later removed from the plan. Courtesy of Ralph Tate
Percent Prevention
Percent of Prevention by Country: One of the charts prepared by Ralph Tate in estimating costs for PEPFAR and sharing plans. Courtesy of Ralph Tate
Percent Patients
Percent of Patients Under Care by Country: One of the charts prepared by Ralph Tate in estimating costs for PEPFAR and sharing plans. Courtesy of Ralph Tate
Percent Patients
Percent of Patients Under ARV Care by Country: One of the charts prepared by Ralph Tate in estimating costs for PEPFAR and sharing plans. Courtesy of Ralph Tate
Five Year Scale-Up
Five Year Scale-up: Drugs, Prevention, and Care: An overview of Ralph Tate’s estimates of costs of prevention, antiretroviral drugs, and other kinds of care for PEPFAR countries. Courtesy of Ralph Tate
Assigning Tasks
NIAID planning document that summarizes the kinds of facilities, health care workers, and services for different kinds of delivery sites for medical care, used as a framework for determining costs in each PEPFAR country. Courtesy of Ralph Tate
Map
An example of the kind of map used to plan delivery of PEPFAR services in target countries—in this case Uganda—with indicated prevalence of HIV infection in circled areas. Courtesy of Ralph Tate
Map Uganda
Another version of a map of facilities in Uganda that existed prior to PEPFAR and help to estimate needs for additional facilities. Courtesy of Ralph Tate
Robin Cleveland
Robin Cleveland, a staff member and budget examiner at the Office of Management and Budget, who chaired a discussion of the plan for PEPFAR on November 13, 2002. Courtesy of Robin Cleveland
Peter Mugyenyi
Peter Mugyenyi of the Joint Clinical Research Center in Uganda who was invited to the pivotal November 13, 2002, meeting at the OMB. Credit: NIH
Paul Farmer
Paul Farmer, a professor at Harvard Medical School who was invited to the pivotal November 13, 2002, meeting at the OMB. Credit: Daniel Wallace/St. Petersburg Times
Jean William Pape
Jean William (Bill) Pape, a professor at Weill Cornell Medical College who was invited to the pivotal November 13, 2002, meeting at the OMB . Credit: NIH
Eric Goosby
Eric Goosby, a professor at the University of California, San Francisco, School of Medicine (and later director of PEPFAR) who was invited to the pivotal November 13, 2002, meeting at the OMB. Credit: World Economic Forum
Niles Daulaire
Nils Daulaire (center), an experienced global health advocate, who was invited to the pivotal November 13, 2002, meeting at the OMB. Credit: U.S. Mission, Eric Bridiers
Lazarus Effect
"The Lazarus effect”: Some of the evidence for effective treatment of HIV/AIDS showed the dramatic transformations that could occur once a patient, such as the woman shown, had antiretroviral therapy. Credit: Jonx Pillemer, The Persuaders, LLC. / joinred.com
George W Bush
President Bush announcing the PEPFAR proposal at his State of the Union Address on January 28, 2003. Credit: The White House
Laura Bush and Peter Mugyenyi
First Lady Laura Bush and Peter Mugyenyi during the State of the Union Address on January 28, 2003. Credit: The White House
Pepfar goals
Major features of PEPFAR outlined in the State of the Union Address. Target countries are shaded red. Courtesy of Anthony Fauci
Randall Tobias
Randall Tobias, former CEO of Eli Lilly, taking charge of PEPFAR as its first administrator in 2003. Four years later he was succeeded by Mark Dybul, who was followed, in 2009, by Eric Goosby. Goosby left in October 2013. Credit: The White House
Antiretroviral Treatment
The Number of Patients Who Received Antiretroviral Treatment through PEPFAR. Source: PEPFAR.gov
Life expectancy
Life Expectancy in Africa. Source: UN Department of Economic and Social Affairs (2001) World Population Prospects, the 2000 Revision. Courtesy of Wafaa M. El-Sadr
Deaths
Deaths in PEPFAR-Supported Countries in Africa. Source: Bendavid et al. CROI 2012. Courtesy of Wafaa M. El-Sadr
PEPFAR Logo
The PEPFAR logo, highly respected in Africa, little known in the United States.

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