The United States' President’s Emergency Plan for AIDS Relief (PEPFAR) has proposed significant cuts to certain country programs in Sub-Saharan Africa, including countries which had been designated as “priority” countries. These designations were part of PEPFAR’s effort to achieve “epidemic control” by focusing on 13 high-burden countries with the goal of reducing the number of new infections each year to less than the number of deaths among people living with HIV.
In the latest funding decisions, however, countries that have not met certain goals now face significant cuts. Kenya's and Tanzania's are among the programs slated for funding reductions. PEPFAR's decisions brought swift expressions of concern about the impact on HIV populations, particularly marginalized groups. PEPFAR also has outlined steps that countries can take to regain some of the funding.