PEPFAR's top partners from 2005 to 2020

Since its inception in 2003, the U.S. President's Emergency Plan for AIDS Relief has invested over $85 billion to address HIV and AIDS. Devex dug into amfAR, the Foundation for AIDS Research’s database of PEPFAR country and regional operational plans, to identify top partners and explore their focus areas, main projects, and geographical footprint. From the data available — which spans the last 16 fiscal years — we found that some of PEPFAR’s top partners are also top U.S Agency for International Development partners. Seven of the top 10 are among the 25 organizations that received half of USAID spending between fiscal year 2015 and 2019. From fiscal year 2005, PEPFAR allocated $55.75 billion across six program areas — care, governance and systems, management and operations, prevention, testing, and treatment. Of this, 91.4% was directed toward Africa, with treatment accounting for 36.9% of the total funding. <div class='tableauPlaceholder' id='viz1633083872034' style='position: relative'><noscript><a href='#'><img alt='PEPFAR ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Ge&#47;GeographicalfootprintofPEPFARstop10suppliers&#47;PEPFAR&#47;1_rss.png' style='border: none' /></a></noscript><object class='tableauViz' style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' /> <param name='embed_code_version' value='3' /> <param name='path' value='views&#47;GeographicalfootprintofPEPFARstop10suppliers&#47;PEPFAR?:language=en-US&amp;:embed=true' /> <param name='toolbar' value='yes' /><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Ge&#47;GeographicalfootprintofPEPFARstop10suppliers&#47;PEPFAR&#47;1.png' /> <param name='animate_transition' value='yes' /><param name='display_static_image' value='yes' /><param name='display_spinner' value='yes' /><param name='display_overlay' value='yes' /><param name='display_count' value='yes' /><param name='language' value='en-US' /></object></div> <script type='text/javascript'> var divElement = document.getElementById('viz1633083872034'); var vizElement = divElement.getElementsByTagName('object')[0]; if ( divElement.offsetWidth > 800 ) { vizElement.style.width='600px';vizElement.style.height='727px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='600px';vizElement.style.height='727px';} else { vizElement.style.width='100%';vizElement.style.height='927px';} var scriptElement = document.createElement('script'); scriptElement.src = 'https://public.tableau.com/javascripts/api/viz_v1.js'; vizElement.parentNode.insertBefore(scriptElement, vizElement); </script> Interactive visualization of the geographical footprint of PEPFAR top 10 partners based on COP/ROP data. Top PEPFAR partners The top 10 partners are all United States-based companies, nonprofits, and universities, which accounted for 31% — $17.4 billion — of the total PEPFAR funding across the period. The list excludes U.S. government agencies such as the U.S. Centers for Disease Control and Prevention and USAID, which were allocated an accumulated funding of $4.59 billion or 8% of the total funding. Data for 13.89% of the total funding is not yet publicly available. <div class="flourish-embed flourish-bar-chart-race" data-src="visualisation/7030460"><script src="https://public.flourish.studio/resources/embed.js"></script></div> Breakdown of top 10 suppliers of PEPFAR from 2005 to 2020. 1. Partnership for Supply Chain Management Headquarters: Virginia, U.S. Total allocated funding from fiscal year 2005 to 2020: $3.75 billion PFSCM, a subsidiary of JSI Research & Training Institute, Inc., received $3.8 billion, or 6.7% of PEPFAR’s total funding, from 2006 to 2015. Its HIV/AIDS treatment area program — which includes adult and pediatric treatment, and antiretroviral drugs — accounted for $2.41 billion, or 64.4%, of the commitments, with Mozambique, Nigeria, and Zambia as top recipients. In 2005, PFSCM led a consortium of 15 organizations to implement the Supply Chain Management System — a $77 million contract for the efficient procurement and distribution of essential health products among populations with HIV/AIDS in several low- and middle-income countries. 2. Chemonics International Headquarters: Washington, D.C., U.S. Total allocated funding from fiscal year 2005 to 2020: $3.37 billion Almost 80% of Chemonics’ total funding, or $2.69 billion, went to the treatment program, with $1.88 billion allocated to ARVs including its procurement and freight-in. But unlike PFSCM, Chemonics’ total funding only began to skyrocket in 2016, receiving a total of $3.07 billion over the last five years. Most of its PEPFAR projects are in the African continent, with Nigeria, Zambia, Tanzania, and Mozambique accounting for $2.04 billion, or 60.3%, of the overall allocated funding. 3. FHI 360 Headquarters: North Carolina, U.S. Total allocated funding from fiscal year 2005 to 2020: $2.38 billion FHI 360’s annual funding from PEPFAR has been consistent since 2007, funding is evenly distributed among the six program areas — with no single program area receiving more than half the annual allocation. Of the $525.5 million funding to HIV/AIDS treatment for adults since 2007, a third, or 32.5%, was allocated to Nigeria, while another third, or 33.7%, went to Kenya, Zambia, and Mozambique. Some of the biggest contracts awarded to the international NGO include $84.6 million for HIV services and $40 million for health and nutrition in Kenya and $50 million for a health communication initiative in Uganda. 4. Columbia University Headquarters: New York, U.S. Total allocated funding from fiscal year 2005 to 2020: $1.61 billion Columbia University is PEPFAR’s top education and research institution partner. It mainly implemented programs related to HIV/AIDS treatment for adults and prevention of mother to child transmission of HIV worth $822.49 million, which is 51% of its total allocated funding. Almost all of its funding was allocated to countries in Africa, with only $4.3 million — less than 1% — going to Ukraine and Haiti. Its contracts ranged from research to technical assistance, such as $55 million for the improvement of health outcomes in Eswatini. The contracts were specifically awarded to ICAP, which is under Columbia University’s Mailman School of Public Health. 5. Elizabeth Glaser Pediatric AIDS Foundation Headquarters: Washington, D.C., U.S. Total allocated funding from fiscal year 2005 to 2020: $1.51 billion The nonprofit organization focuses on ending HIV and AIDS mainly in Africa, with the entire allocated funding from PEPFAR dedicated to the continent. Almost a third of this funding during the period — worth $492.69 million — was allotted to Mozambique and Tanzania. Aside from HIV/AIDS treatment for adults and prevention of mother to child transmission, which got the biggest allotment worth $901.49 million, the organization also received $262.19 million for HIV testing and counseling and adult and TB/HIV care and support. A $319 million project for health service delivery in Tanzania was among some of the biggest contracts the foundation won. 6. Johns Hopkins University Headquarters: Maryland, U.S. Total allocated funding for fiscal year 2005-2020: $1.44 billion The funding allocation to Johns Hopkins University started with $32.9 million in 2005 and in 2020, it grew by 180%. JHU’s countries which received most of the funding are in Africa with Mozambique, South Africa, and Tanzania as the top recipients, followed by the Caribbean region in which Haiti is the top recipient. Almost 80% of the total funding allocation went to biomedical prevention, sexual prevention, and HIV testing and counseling. One of the biggest contracts was a $300 million five-year project called breakthrough-ACTION, aimed to increase health behaviors to improve health and development outcomes, with an emphasis on improving family planning and reproductive health; HIV/AIDS; maternal, newborn and child health, and malaria health outcomes in Zambia. 7. Catholic Relief Services Headquarters: Maryland, U.S. Total allocated funding for fiscal year 2005-2020: $1 billion The allocated funding to CRS skyrocketed by 130% from 2005 to 2010. Shortly after, it fell by 26% in 2011 and funding continuously dropped through the following years reaching $27 million in 2020. Africa was its main geographical focus, with Nigeria receiving the largest share of funding at $188 million. Some of its biggest contracts include a $68 million award to strengthen care for children affected by HIV/AIDS in Malawi, Kenya, and Botswana. 8. Population Services International Headquarters: Washington, D.C., U.S. Total allocated funding for fiscal year 2005-2020: $798.58 million PSI is an international nonprofit organization targeting health issues such as HIV/TB, malaria, reproductive health, WASH, and noncommunicable diseases. Its allocated funding grew by 93% from $22 million in 2005 to $43 million in 2020. With PEPFAR projects present in 29 countries, Zimbabwe tops the list with a total of $139 million in funding, followed by Kenya with $75 million, and South Africa with $68 million. One of its biggest contracts was worth $100 million aimed at strengthening private sector support for health in Zimbabwe. 9. John Snow, Inc. Headquarters: Massachusetts, U.S. Total allocated funding for fiscal year 2005-2020: $753.72 million The funding for John Snow, the for-profit branch of JSI Research & Training Institute, started with $71 million in 2005 and fell by 16% in 2020. Among the top priority programs areas, HIV/AIDS prevention got 29% of the total funding — which includes male circumcision, injection safety, sexual prevention, and transmission prevention. Zambia received the biggest funding worth $282 million, followed by Uganda with $160.9 million, and Tanzania with $55 million. Among the contracts awarded, one of the biggest was a $251 million contract in partnership with FHI 360 on advancing partners and communities in African countries. 10. University of Washington Headquarters: Washington, U.S. Total allocated funding for fiscal year 2005-2020: $732.92 million The University of Washington started with $10 million funding which grew to $70 million in 2020. The major focus was treatment of HIV/AIDS in adults, with 19.5% of the $233.4 million total allocation going to Zimbabwe. Health system strengthening and biomedical prevention focusing on male circumcision were also among the other priorities, receiving $183.93 million allocation. Try out Devex Pro Funding today with a free 5-day trial, and explore funding opportunities from over 850+ sources in addition to our analysis and news content.