Assessing PEPFAR’s Impact: Analysis of Mortality in PEPFAR Countries

PEPFAR, the U.S. global HIV program and the largest commitment by any nation to address a single disease in history, is at an important juncture nearing its two decade mark. We assessed its health impact by analyzing the change in the mortality rate in 90 PEPFAR recipient countries between 2004-2018 compared to similar low and middle income countries. We find that PEPFAR was associated with large, significant declines in mortality, as follows: