Potential Conflicts of Interest: None disclosed.
Sedio G. Evaluating Outcomes of the President's Emergency Plan for AIDS Relief in Africa. Ann Intern Med. 2010;152:131. doi: 10.7326/0003-4819-152-2-201001190-00018
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Published: Ann Intern Med. 2010;152(2):131.
TO THE EDITOR:
I applaud Bendavid and Bhattacharya (1) for undertaking a much-needed quantitative evaluation of the effectiveness of the President's Emergency Plan for AIDS Relief (PEPFAR), the largest international health initiative dedicated to a single disease.
Although it is important to recognize PEPFAR's success in decreasing AIDS-related deaths by more than 10% and in providing antiretroviral therapy to more than 2 million people (2), it is no less important for the authors to conclude that PEPFAR has had no success in lowering HIV prevalence in adults. In 2007, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates that there were 2.7 million new HIV infections, which is 5 new infections for every 2 persons receiving treatment (3).
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