Abstract

When President George W. Bush announced the President's Emergency Plan for AIDS Relief (PEPFAR) in 2003, the $15 billion 5-year program was an ambulance racing to the global AIDS firestorm. With no consensus that it was even possible to administer large-scale AIDS services in sub-Saharan African countries, the goal then was to provide antiretroviral treatment to 2 million people with HIV and to prevent 7 million new HIV infections.

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