*EPF505 11/29/2002
Fact Sheet: U.S. is Leading International Donor on HIV/AIDS
(U.S. also leads world in research spending) (830)

The U.S. Department of State has released the following fact sheet on U.S. funding for the international campaign against HIV/AIDS and other diseases.

The following terms are used in the fact sheet:

billion: 1,000 million

(begin fact sheet)

U.S. Department of State
Fact Sheet
Office of the Spokesman
Washington, DC
November 19, 2002

United States Government Support For The Fight Against HIV/AIDS

At the end of 2001, an estimated 40 million people were living with HIV/AIDS, the overwhelming majority in the developing world. The United States is strongly committed to working with the international community to save lives by preventing new infections, helping people already infected with HIV/AIDS, and contributing to the search for a cure.

I. Overall U.S. Government Assistance

--The Bush Administration has requested a total of $1.3 billion in Fiscal Year 2003 (including $200 million for the Global Fund to Fight AIDS, Tuberculosis, and Malaria) for U.S. international spending to combat HIV/AIDS. This is a 33% increase over FY02 ($1.002 billion) and an 81% increase over FY01 ($726 million).

--The President announced a new $500 million International Mother and Child HIV Prevention Initiative that seeks to prevent the transmission of HIV/AIDS from mothers to infants and improve health care delivery in Africa and the Caribbean. President Bush asked Congress for $200 million in funding for this initiative in FY03, and the Department of State, including the U.S. Agency for International Development, and the Department of Health and Human Service are moving ahead using existing funds and programs.

--U.S. bilateral international assistance for HIV/AIDS programs is channeled mostly through the U.S. Agency for International Development (USAID), Department of Health and Human Services (HHS), and Departments of Defense (DOD) and Labor (DOL).

II. Budgets By Agency/Department:

U.S. Agency for International Development (USAID):
--In FY03, the HIV/AIDS budget of USAID for bilateral activities will reach $540 million, a 24% increase over the FY02 budget of $435 million.
--USAID's HIV/AIDS strategy comprises six components: prevention; care, treatment and support; working with children affected by AIDS; surveillance; encouraging other donor countries and organizations; and engaging national leaders.
--USAID resources for field programs will rise to $389 million in FY02. This amount is twice what was spent in FY01 and represents 78% of USAID's FY02 budget for HIV/AIDS programs. The vast majority of USAID's HIV/AIDS field assistance goes to non-governmental organizations that have direct connections to the poorest of the poor and those most vulnerable to infection.

Department of Health and Human Services (HHS):
--In FY02, HHS will spend a total of $343 million on bilateral international HIV/AIDS programs and research including surveillance, interventions and evaluation. Of that total, the Centers for Disease Control (CDC) will spend $155 million and the National Institutes of Health (NIH) and will spend $188 million on research. In FY03, the total amount for HHS is expected to increase to $377 million including $155 million for CDC and $222 million for NIH.
--The elements of CDC's Global AIDS Program (GAP) are primary prevention; surveillance and infrastructure development; and care, support, and treatment.

Department of Defense (DOD):
--In FY02 Congress earmarked $14 million for DOD HIV/AIDS prevention training programs. Working with African militaries, DOD helps to create policies for dealing with HIV/AIDS within a military setting and prevention education programs that reach both the troops and African communities.

Department of Labor (DOL):
--In FY02 DOL will spend $10 million on projects targeting the workplace for prevention education and strengthening the response to HIV/AIDS by providing technical assistance to government, employees and labor leaders. These projects take place in 17 countries.

III. U.S. Government Support for Research
Research and development programs have direct benefits for the international community in the form of new drugs and other medical and scientific advances. In FY02, the U.S. will spend $2.62 billion on HIV/AIDS research. For FY03, this amount is expected to increase by 9.3% to $2.86 billion.
--HHS is the largest public sector investor in HIV/AIDS research in the world. In FY02, NIH will spend its $188 million international HIV/AIDS budget on research outside the U.S. The CDC will spend approximately 7% of its HIV/AIDS budget on international HIV/AIDS research in and FY02.
--The DOD runs a Military HIV Prevention and Treatment Research program to research HIV/AIDS prevention and treatment protocols. This includes extensive vaccine research.
--In FY01 and FY02, USAID has spent almost 6% of its HIV/AIDS budget on vaccine research and development of microbicides.

IV. U.S. Contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria

The U.S. is an active participant in and supporter of the newly established Global Fund to Fight AIDS, Tuberculosis and Malaria. The U.S. has made the largest pledge, $500 million, to the Fund: $100 million in the FY01 budget, $200 million in FY02 budget and $200 million requested in the President's proposed FY03 budget. Of the nearly $2.1 billion pledged to the Fund to date, $700 to $800 million is expected to be available for disbursement this year. Of this $700 to $800 million, the U.S. is expected to contribute $300 million.

(end fact sheet)

(Distributed by the Office of International Information Programs, U.S. Department of State. Web site: http://usinfo.state.gov)

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