Fiscal Year 2024 Inspectors General Coordinated PEPFAR Oversight Plan

    Report Contents

    The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the largest global health initiative by any one nation to address a single disease. Through PEPFAR, the United States has invested $100 billion in the global HIV/AIDS response—saving 25 million lives, preventing millions of infections, and accelerating progress toward controlling the global HIV/AIDS pandemic in more than 50 countries.1

    In January 2003, President Bush asked the U.S. Congress to authorize $15 billion over 5 years to address the urgent and severe crisis of HIV/AIDS to the most afflicted nations of Africa and the Caribbean. Congress authorized this initiative, and it was signed into law in May 2003 as the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003. Congress has shown consistent bipartisan support by reauthorizing PEPFAR three times across four presidential administrations and 10 U.S. Congresses through Fiscal Year (FY) 2023.2 As PEPFAR marked its 20th anniversary in the global fight against HIV/AIDS, the United States remains committed to reaching the United Nations (UN) Sustainable Development Goal of ending the global HIV/AIDS pandemic as a public health threat by 2030.3

    The offices of inspectors general (OIGs) of the U.S. Department of State (State), the U.S. Agency for International Development (USAID), the U.S. Department of Health and Human Services (HHS), and the Peace Corps have jointly developed a coordinated PEPFAR oversight plan for FY 2024 to avoid duplication of efforts, identify gaps in oversight, and ensure our oversight efforts are comprehensive, relevant, and timely. As we implement this plan during FY 2024, we look forward to continued engagement by the agencies, Congress, and other key stakeholders around the world.


    1 PEPFAR Latest Global Program Results, December 2022.
    2 Subsequent reauthorizations are the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008, Public Law 110-293; the PEPFAR Stewardship and Oversight Act, Public Law 113-56; and the PEPFAR Extension Act of 2018, Public Law 115-305.
    3 PEPFAR’s Five-year Strategy, Fulfilling America’s Promise to End the HIV/AIDS Pandemic by 2030, December 2022.