Foundation for AIDS Research, Washington, DC, USA.
Health Aff (Millwood). 2012 Jul;31(7):1578-84. doi: 10.1377/hlthaff.2012.0204.
The President's Emergency Plan for AIDS Relief (PEPFAR) is the leading platform for US health diplomacy and a symbol of American capacity to achieve constructive and beneficial change. The program now faces an evolving context for its work that includes, on the one hand, domestic fiscal pressures in the United States, but on the other, the potential for substantial gains against the AIDS epidemic around the world. Continued success in advancing America's humanitarian and diplomatic interests through global health requires the United States to maintain robust investments in PEPFAR; implement a strategic plan to achieve an AIDS-free generation; use the program as a foundation to strengthen health systems generally and enable them to address broader health issues, such as chronic and noncommunicable diseases; carefully manage the transition to country "ownership" of the fight against HIV; and achieve greater coherence in US government health-related policy.
《总统艾滋病紧急救援计划》（PEPFAR）是美国卫生外交的主要平台，也是美国实现建设性和有益变革能力的象征。该计划目前面临着工作环境的不断变化，一方面是美国国内的财政压力，另一方面则是在全球范围内抗击艾滋病疫情取得实质性进展的潜力。要想继续通过全球卫生来推进美国的人道主义和外交利益，美国就需要保持对 PEPFAR 的大力投资；实施一项战略计划，以实现无艾滋病一代；利用该计划作为基础，加强总体卫生系统，并使它们能够应对更广泛的健康问题，如慢性和非传染性疾病；谨慎管理向国家“自主”抗击艾滋病毒过渡；并实现美国政府相关卫生政策的更大一致性。
