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The '''President's Emergency Plan For AIDS Relief''' ('''PEPFAR''') is a United States governmental initiative to address the global [[HIV]] epidemic and help save the lives of those suffering from the disease. Launched by U.S. President George W. Bush in 2003on the advice of [[Anthony Fauci]], PEPFAR has provided more than $85 billion in cumulative funding for [[HIV]]/[[AIDS ]] treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history.

PEPFAR ignominiously ended the provision of non-therapeutic [[circumcision ]] of boys under age 15 in November 2019 due to significant , complications, injuries, and other abuses and complications.

==FACT SHEET: The Beginning of the End of AIDS 2011 ==

Note that the 60% is a relative risk reduction (absolute risk reduction 1.31%) during 18 months - not life-long.<ref name="boyle2011">{{BoyleGJ HillG 2011}}</ref>-->

|quote=The Ministry of Health, supported principally by [[UNICEF ]] and [[PEPFAR]], is currently working to introduce and scale up neonatal circumcision.

From the PEPFAR Blueprint: Creating an [[AIDS]]-free Generation (emphasis added):<REF>{{REFweb

From a blog.AIDS.gov entry by Jeffrey S. Crowley, {{MPH}}, Director, Office of National [[AIDS ]] Policy dated 26 May 2011:<ref>{{REFweb

The United States Ambassador to Swaziland, the Honorable Earl Irving, was an incredible host. I attended a large reception at the Ambassador’s residence with the Honorable Minister of Health, Benedict Xaba and other Swazi leaders working on [[HIV]], as well as representatives from PEPFAR, Peace Corps, CDC, USAID, DoD, and private American institutions, including Columbia University’s International Center for [[AIDS ]] Care and Treatment Programs (ICAP) project. Another evening, the Ambassador hosted a dinner with leaders from the Swazi Cabinet, the Ministry of Health and the national [[AIDS ]] commission. I participated in a handover ceremony where the Ambassador ceremoniously transferred nine vehicles from PEPFAR to the government of Swaziland that will support their [[HIV]] work in the field. Through this event I also had the opportunity to meet His Excellency the Right Honorable Prime Minister of Swaziland.

Boyle & Hill (2011) established conclusively that the randomized controlled trials had disabling methodological and statistical flaws that invalidated their findings,<ref name="boyle2011" >{{BoyleGJ HillG 2011}}</ref> therefore the PEPFAR VMMC program is based on false information. [[Robert S. Van Howe|Van Howe]] & Storms (2011) correctly forecast that institution of a circumcision program would increase the number of [[HIV]] infections.<ref>{{REFjournal

|init=RS

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}}</ref> [[Robert S. Van Howe|Van Howe]] & Boyle (2018) added further critical comment and suggested the possibility of fraud.<ref name="vanhowe2018">{{REFjournal |last=Van Howe |first= |init=RS |author-link=Robert S. Van Howe |last2=Boyle |first2= |init2=GJ |author2-link=Gregory J. Boyle |etal=no |title=Meta-analysis of HIV-acquisition studies incomplete and unstable |journal=BJU Int |date=2018-10-31 |url=https://www.bjuinternational.com/letters/meta-analysis-circumcision-incomplete-unstable/ |quote=Given the effectiveness of condoms, the lack of consistent findings on national levels, the methodologically flawed RCTs, the lack of translational research, and the impressive potential uptake and effectiveness of pre-exposure prophylaxis, circumcision as an intervention to prevent HIV infection should be treated with greater scepticism. |pubmedID= |pubmedCID= |DOI= |accessdate=2022-01-01}}</ref> PEPFAR, however, paid no attention to these warnings and continued to promote the harmful VMMC program.

|Text=Through its Global [[HIV]]/[[AIDS ]] Program, CDC implemented the President's Emergency Plan for AIDS Relief (PEPFAR), working with ministries of health and other in-country partners to combat [[HIV]]/[[AIDS ]] by strengthening health systems and building sustainable [[HIV]]/[[AIDS ]] programs in more than 75 countries. Through a 5-year cooperative agreement, CDC awarded PEPFAR funds totaling $20.6 million to the Republic of Namibia, Ministry of Health and Social Services (the Ministry) for the budget period September 30, 2009, through September 29, 2010.

|Text=The President's Emergency Plan for AIDS Relief (PEPFAR) program authorized $78 billion from 2003 through 2014 in support of international programs for prevention, treatment, and care to combat [[HIV]]/[[AIDS]], tuberculosis, and malaria. OIG examined the funds spent through this program in a 2011 report focusing on whether the Centers for Disease Control and Prevention's (CDC) oversight met departmental and Federal regulations. OIG found that while CDC performed some oversight of recipients' fund use, most of the award files did not include all required documents or evidence to demonstrate that CDC performed required monitoring. Because of these concerns, OIG expanded its audits internationally to include CDC's monitoring of PEPFAR funds by offices in other countries as well as audits of recipient organizations abroad. OIG issued two audits on Namibia, one in 2012 and another in 2013, and has an additional eight audits conducted there and in South Africa and Vietnam that are near completion." OIG is also planning seven more audits of PEPFAR grantees in Ethiopia and Zambia for FY 2013.

[[Michel Garenne |Garenne]] & Matthews (2019) reported that there is little difference in the incidence of [[HIV]] infection between circumcised men and intact men in Zambia. The authors stated that the "effectiveness of VMMC could therefore be seriously questioned."<ref name="garrenne2019">{{REFjournal

|init=M |author-link=Michel Garenne

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[[George C. Denniston]], {{MD}}, {{MPH}}, the president of [[Doctors Opposing Circumcision (D.O.C.)| Doctors Opposing Circumcision]], in a letter to Ambassador Deborah L. Birx, {{MD}}, {{MPH}}, dated 29 June 2020, the head of the President’s Emergency Plan for AIDS Relief (PEPFAR), has called on PEPFAR to suspend the provision of male [[circumcision]] because it is ineffective and may increase the reception of [[HIV]] infection due to the loss of [[Immunological and protective function of the foreskin| immunological protections]] of the [[foreskin]], and to focus on the provision of anti-retroviral therapy and condoms.<ref name="denniston2020">{{REFdocument

|publisher=[[Doctors Opposing Circumcision(D.O.C.)]]

[[George Hill]], CFI, ATR, acting for [[Doctors Opposing Circumcision(D.O.C.)]], wrote to Deborah L. Birx on 28 January 2021 regarding her lack of action and to transmit a copy of the article by Fish et al. (2020).<ref name="hill2021">{{REFdocument

|publisher=[[Doctors Opposing Circumcision(D.O.C.)]]

|last=[[Foregen ]] Staff

|publisher=[[Foregen]]