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    What PEPFAR's political paralysis means for the Global Fund

    PEPFAR's authorizing legislation expired on Sept. 30. While the flagship U.S. global AIDS program's work will continue, experts warn the ongoing political stalemate could have knock-on effects for PEPFAR's multilateral partner.

    By Michael Igoe // 27 October 2023

    Advocates for the United States global AIDS relief program PEPFAR are urging supporters not to panic about the political battle that has prevented the initiative’s reauthorization in the U.S. Congress.

    While that legislation is important, they say, the program will continue operating without it.

    “Just because it hasn't been reauthorized doesn't mean it ends,” Jennifer Kates, director of global health and HIV policy at KFF, said in a webinar on Thursday. “PEPFAR is a permanent part of U.S. law. As long as it continues to be funded by Congress, it continues.”

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    More reading:

    ► Abortion politics cast shadow over PEPFAR reauthorization

    ► What ‘extremism’ in US politics means for PEPFAR’s future (Pro)

    ► Could faith groups face backlash from PEPFAR's abortion battle?

    • Global Health
    • Trade & Policy
    • Funding
    • Democracy, Human Rights & Governance
    • The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)
    • U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
    • United States
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    About the author

    • Michael Igoe

      Michael Igoe@AlterIgoe

      Michael Igoe is a Senior Reporter with Devex, based in Washington, D.C. He covers U.S. foreign aid, global health, climate change, and development finance. Prior to joining Devex, Michael researched water management and climate change adaptation in post-Soviet Central Asia, where he also wrote for EurasiaNet. Michael earned his bachelor's degree from Bowdoin College, where he majored in Russian, and his master’s degree from the University of Montana, where he studied international conservation and development.

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