The President’s Emergency Plan for AIDS Relief (PEPFAR) has saved over 25 million lives and allowed 5.5 million babies to be born HIV-free. For 20 years, PEPFAR has enriched communities, pushed on progress for human rights, and supported democracy around the world.

The National Association of Evangelicals joined a letter organized by George W. Bush Institute to call for Congress to reauthorize PEPFAR without delay. The letter is included below. We also encourage you to advocate with us. Through our Advocacy Center, you can send a letter directly to your representatives, and we have a draft ready to go.

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Dear Members of Congress,

The President’s Emergency Plan for AIDS Relief (PEPFAR) is up for reauthorization. It’s a program that has saved over 25 million lives and allowed 5.5 million babies to be born HIV-free. For 20 years, PEPFAR has enriched communities, pushed on progress for human rights, and supported democracy around the world. It’s one of the greatest bipartisan success stories of the modern era, a testament to what we can accomplish when we focus on the greater good.

Before PEPFAR, AIDS was the leading cause of death in sub-Saharan Africa and the fourth-biggest killer worldwide. Thanks to the broad support of PEPFAR over four administrations and 11 Congresses, that’s no longer the case. We must continue this lifesaving program that symbolizes America at its best. We are a diverse coalition of organizations and leaders whose work spans faith, democracy, human rights, and global health. We are calling on Congress to reauthorize PEPFAR, so that the program can continue to save mothers, fathers, and children.

PEPFAR works. It’s one of the only programs that requires transparent data collection, which enables smarter health care investments at the local level. Funding over the years has helped build public health infrastructure, including laboratories, training 340,000 health workers, creating networks of clinics and hospitals, and generating data-reporting systems. When Ebola and COVID-19 tore through communities in sub-Saharan Africa, health officials were equipped because of PEPFAR.

The program is built on the democratic values of transparency, accountability, and data-driven decision-making. It emphasizes citizen involvement, responsiveness to stakeholder feedback, and the strengthening of institutions. Further, over half of PEPFAR funding goes to local organizations, many at the community level, which supports opportunity, inclusivity, and civic engagement. PEPFAR is a model for democratic governance.

As authoritarian China and Russia seek to increase their influence in Africa by any means possible, PEPFAR has been a shining example of compassion, transparency, and accountability, as well as a massive strategic success story for the United States.

Additionally, between 1995 and 2015, HIV treatment saved lives while providing global economic benefits of over $1 trillion, according to a 2019 study in Health Affairs. PEPFAR stabilized countries that would have otherwise been devastated by the HIV pandemic and potentially become breeding grounds for insurgencies and extremism. Communities have been transformed and health inequities reduced.

It’s important to remember that America benefits from PEPFAR as well. Data show that residents of PEPFAR countries think more highly of the United States than the global average. Stronger relationships and alliances can be leveraged to tackle global challenges like combating extremism and authoritarian influence.

Forty million people across the world were living with HIV/AIDS in the early 2000s. It was a death sentence for young adults, people in the prime of their lives — leaving a trail of orphaned children and deteriorating economies.

Today, the overall death rate in PEPFAR countries is 20% lower than it would have been without the program. Because of PEPFAR, more than 7 million orphans, children, and their caregivers have received critical care and support. More than 5.5 million babies have been born HIV-free. With access to treatment, more people can receive an education and join the workforce to provide for their families.

PEPFAR is more than a program to end the HIV/AIDS epidemic. It’s a program of hope and courage.

Thanks to the generosity of the American people and bipartisan congressional support, PEPFAR is a model of United States leadership and a source of great national pride. It is one of the most successful international development programs since World War II. Abandoning it abruptly now would send a bleak message, suggesting we are no longer able to set aside our politics for the betterment of democracies and the world. It would also undo the tremendous progress we have made, threatening the reemergence of HIV/AIDS as an existential threat.

Congress should act swiftly to protect this great American aid program. As President George W. Bush wrote on Sept. 13, “I urge Congress to reauthorize PEPFAR for another five years without delay.” We recommend a clean reauthorization of PEPFAR as it has been done in the past.


George W. Bush Institute
National Association of Evangelicals
The Carter Center
Bipartisan Policy Center
The ONE Campaign
Pastor Rick and Kay Warren
World Vision
See the full list of signatories here.