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    Who were PEPFAR’s top partners in 2022?

    The U.S. President’s Emergency Plan for AIDS Relief spent $4.1 billion in the fiscal year 2022. We looked into the data to see who the top partners were and where they spent the money.

    By Miguel Antonio Tamonan // 06 February 2023
    On Jan. 28, the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, celebrated its anniversary — marking its 20th year of working toward the eradication of HIV/AIDS. According to its data portal, PEPFAR’s total expenditures have been steadily increasing in the past years, breaching $4 billion in 2018. However, this slightly dipped to $3.8 billion at the start of the COVID-19 pandemic in 2020. Its spending remained at $4.1 billion in the past two years. PEPFAR is managed by the Office of the U.S. Global AIDS Coordinator and Health Diplomacy, under the United States Department of State. Funds for its projects are distributed via various other U.S. agencies, including the United States Agency for International Development, the U.S. Department of Defense, or DoD, and the U.S. Department of Health and Human Services. In this piece, we looked into PEPFAR’s data to see who its top partners were in 2022 — how much they received and where the money went. PEPFAR’s geographic priorities and program areas According to its data, PEPFAR funded 6,102 activities in the fiscal year that ended in September 2022. These were divided into three regional and 25 country units — covering a total of over 50 countries across the globe. The regional units are Asia, West Africa, and the Western Hemisphere. Among the countries, South Africa accounted for the biggest portion, with $457.1 million — 11.1% of the total. Then Tanzania, with $414.4 million; Nigeria, with $406.5 million; and Zambia, with $363.7 million. The activities were classified into six program areas: • Care and treatment — which includes therapeutics and clinical and laboratory services. • HIV testing services, which are divided into facility-based and community-based testing. • Prevention, which ranges from contraceptives to voluntary circumcision programs to reproductive health education. • Socioeconomic, which includes education assistance, food and nutrition, psychosocial support, and economic strengthening programs. • Above-site programs, which include procurement and supply chain management, information systems, human resources, and technical assistance and capacity building services. • Program management, which covers administrative costs — from planning to post-project activities. Care and treatment accounted for more than half of the total spending, with $2.3 billion. Prevention followed, with $659.3 million; above-site programs, with $406.9 million; HIV testing services, with $365.7 million; then socioeconomic, with $345.1 million. A further $4.3 million went to program management. PEPFAR’s top 10 partners in 2022 The top 10 partners received $1.7 billion in 2022 — or 40.1% of the total. Among them, six are nonprofit organizations: FHI 360, Elizabeth Glaser Pediatric AIDS Foundation, Henry M. Jackson Foundation for the Advancement of Military Medicine, Pact, Management and Development for Health, and Anova Health Institute. Three are affiliates of U.S. universities: ICAP, Jhpiego, and the University of Washington Department of Global Health. Chemonics — the overall top partner — is the only private organization. Meanwhile, Management and Development for Health and Anova are the only non-U.S. recipients. MDH is based in Tanzania, while Anova is based in South Africa. 1. Chemonics Founded: 1975 Location: Washington, D.C., U.S. Total expenditures in FY 2022: $709.7 million Chemonics is a leading partner of various U.S. government agencies. In 2022, it accounted for 17.2% of PEPFAR’s total spending. The bulk of the PEPFAR funding for Chemonics was provided through USAID’s Global Health Supply Chain Procurement and Supply Management. In 2015, Chemonics led a consortium that was awarded $9.5 billion for the implementation of the Global Health Supply Chain - Procurement and Supply Management contract, or GHSC-PSM. Among PEPFAR’s programs areas, Chemonics focused on four: • Care and treatment — $634.4 million • Prevention — $43.6 million • Above-site programs — $28.5 million • HIV testing services — $3.2 million It implemented 22 country-level programs and three regional ones. The top countries were: • Nigeria — $147.1 million • Zambia — $108.3 million • Tanzania — $94.2 million • Mozambique — $70.1 million • Kenya — $64.5 million 2. FHI 360 Founded: 1971 Location: North Carolina, United States Total expenditures in FY 2022: $207.4 million FHI 360 is a nonprofit organization working in a range of sectors, including education, gender, health, and nutrition. More than half of its money was funded through Meeting Targets and Maintaining Epidemic Control — a five-year global program on HIV epidemic control, known as EpiC, and funded by PEPFAR and USAID. EpiC was first awarded to FHI 360 in 2019, along with Right to Care, Palladium, and PSI. FHI 360 focused on five areas: • Care and treatment — $74.3 million • Prevention — $52 million • HIV testing services — $37.5 million • Above-site programs — $26.2 million • Socioeconomic — $17.4 million A significant portion of its budget went to regional activities — $40.8 million to Asia and $34.3 million to West Africa. Its priority countries include: • South Africa was the priority — $22.8 million • Mozambique — $22.5 million • Tanzania — $18.2 million • Nigeria — $14.5 million • Democratic Republic of Congo — $7.3 million FHI 360 was USAID’s top international organization grantee in 2022. 3. ICAP Founded: 2003 Location: New York, U.S. Total expenditures in FY 2022: $153.4 million Founded at Columbia University Mailman School of Public Health, ICAP provides research, knowledge sharing, and technical assistance services in global public health. The entire $153.4 million was funded through the Centers for Disease Control and Prevention, an agency under the U.S. Department of Health & Human Services. Its priority areas were: • Care and treatment — $82.6 million • Above-site programs — $29.8 million • Prevention — $23.9 million • HIV testing services — $15.8 million • Socioeconomic — $1.3 million Among the countries: • Mozambique — $25.8 million • Tanzania — $23.6 million • South Sudan — $18.8 million • Ethiopia — $18.2 million • Cameroon — $9.1 million 4. Elizabeth Glaser Pediatric AIDS Foundation Founded: 1988 Location: Washington, D.C., U.S. Total expenditures in FY 2022: $133.5 million EGPAF is a nonprofit focused on providing HIV/AIDS prevention, diagnosis, and treatment services. Its priorities were: • Care and prevention — $99.2 million • HIV testing services — $16.8 million • Above-site programs — $8.5 million • Prevention — $7.9 million • Socioeconomic — $1.1 million Three-fourths of its spending went to five countries: • Mozambique — $28.4 million • Malawi — $28.3 million • Lesotho — $22.2 million • Tanzania — $14.1 million • Cameroon — $11.7 million 5. Jhpiego Founded: 1973 Location: Maryland, U.S. Total expenditures in FY 2022: $98.1 million Jhpiego — an affiliate of Johns Hopkins University — is a leading nonprofit that works on a range of health issues, including family planning and reproductive health, maternal and newborn health, and cervical and breast cancer prevention and treatment. The bulk of its spending, worth $41.1 million, was funded through USAID. Jhpiego consistently ranked among the agency’s top partners, ranking fifth among international grantees in 2022. Among program areas, the priorities were: • Prevention — $46.8 million • Care and treatment — $33.4 million • HIV testing services — $9.3 million • Above-site programs — $6.8 million • Socioeconomic — $1.8 million Jhpiego primarily implemented activities in Africa. The top recipients were: • Mozambique — $19.5 million • Malawi — $18.7 million • Nigeria — $18.1 million • South Africa — $11.8 million • Zambia — $11.3 million 6. Henry M. Jackson Foundation for the Advancement of Military Medicine Founded: 1983 Location: Maryland, U.S. Total expenditures in FY 2022: $75.2 million HJF is a nonprofit focusing on military medicine, established by the U.S. Congress. Its entire budget was funded through DoD, in the form of a cooperative agreement — a mechanism that involves substantial staff involvement from the agency. HJF focused on the following areas: • Care and treatment — $43.8 million • Prevention — $21.4 million • Above-site programs — $4.4 million • HIV testing services — $3.3 million • Socioeconomic — $2.2 million It implemented projects in just three countries: Tanzania, with $52 million; Kenya, with $14.3 million; and Nigeria, with $8.9 million. 7. Pact Founded: 1971 Location: Washington D.C., U.S. Total expenditures in FY 2022: $74 million Pact is a nonprofit that works in various sectors, including energy, environment, global health, human rights, and women’s empowerment. Its entire budget was funded through USAID. Of this, $33 million came from the Reaching Pregnant Breastfeeding Women, Children, and Youth Project — an HIV/AIDS epidemic control project focused on pregnant and breastfeeding women, infants, children, and youth. Among the program areas: • Socioeconomic — $49.9 million • Prevention — $19.2 million • Above-site programs — $4.1 million • Care and treatment — $424,000 • HIV testing services — $373,000 Meanwhile, the primary recipient countries include: • Tanzania — $33 million • Eswatini — $10.1 million • Zambia — $8.6 million • Namibia — $6.1 million • South Africa — $5.6 million 8. University of Washington - Department of Global Health Founded: 2007 Location: Washington, U.S. Total expenditures in FY 2022: $70.9 million Founded through an endowment from the Bill & Melinda Gates Foundation, the UW Department of Global Health provides capacity building, research, and other services in a range of sectors, including infectious diseases, mental health, and women’s, adolescents’ and children’s health. Half of its disbursement went to Supporting the Provision of Comprehensive HIV Testing, Treatment, Care, and Support Services — a five-year HIV epidemic control program in Zimbabwe. Among the program areas: • Care and treatment — $38.7 million • Prevention — $13 million • Above-site programs — $10.7 million • Socioeconomic — $5.2 million • HIV testing services — $3.3 million The priority countries were: • Zimbabwe — $42.1 million • Malawi — $9.5 million • Namibia — $7 million • Mozambique — $4 million • Botswana — $1 million 9. Management and Development for Health Founded: 2010 Location: Dar es Salaam, Tanzania Total expenditures in FY 2022: $69.6 million MDH is a Tanzanian nonprofit focused on public health services and research. It succeeded the Harvard-PEPFAR program that worked with the government in 2004 to address the HIV/AIDS epidemic in the country. To date, MDH has implemented over 20 projects, worth more than $500 million. Its priority areas were: • Care and treatment — $42.1 million • HIV testing services — $15.5 million • Prevention — $7.1 million • Above-site programs — $4.9 million The entire budget went to Tanzania. 10. Anova Health Institute Founded: 2008 Location: Johannesburg, South Africa Total expenditures in FY 2022: $62 million Anova Health Institute is a nonprofit health organization focused primarily on HIV. By program area, the bulk, worth $58.1 million, went to care and treatment, while a further $3.9 million went to prevention. The entire money was spent on South Africa. PEPFAR, through USAID, is Anova’s major funder. Try out Devex Pro Funding today with a free five-day trial, and explore funding opportunities from over 850 sources in addition to our analysis and news content.

    On Jan. 28, the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, celebrated its anniversary — marking its 20th year of working toward the eradication of HIV/AIDS.

    According to its data portal, PEPFAR’s total expenditures have been steadily increasing in the past years, breaching $4 billion in 2018. However, this slightly dipped to $3.8 billion at the start of the COVID-19 pandemic in 2020.

    Its spending remained at $4.1 billion in the past two years.

    This story is forDevex Promembers

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    Read more:

    ► How PEPFAR aims to spur medical manufacturing in Africa

    ► Who were USAID’s top grantees in 2022?

    ► PEPFAR's top partners from 2005 to 2020

    • Global Health
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    • U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
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    About the author

    • Miguel Antonio Tamonan

      Miguel Antonio Tamonan@migueldevex

      Miguel Tamonan is a Senior Development Analyst at Devex, where he analyzes data from public and private donors to produce content and special reports for Pro and Pro Funding readers. He has a bachelor’s degree in Political Science with a Major in International Relations from the Polytechnic University of the Philippines.

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