pepfar. in the past seven years, pepfar has provided millions of people with prevention services across africa, asia, and the caribbean. it has also changed the conventional wisdom about treatment. before pepfar, many believed that treating people with hiv in poor countries was impossible, because the drugs were effective only if they were taken according to a precise daily schedule and with sufficient food. for people living in places with food shortages and without health clinics, pharmacies, or health professionals, it seemed like treatment would forever be out of reach. but the united states could not accept the injustice of allowing millions to die when we did have the drugs to save them. and through pepfar, we set up clinics, trained health professionals, and improved shipping and storage. so the experiment worked. seven years ago, the number of people in sub-saharan africa on antiretrovirals was fewer than 50,000. today, more than 5 million people in the developing world are safely and

global aids coordinator at pepfar. and dr. tom frieden, the director of the centers for disee control. their agencies, along with the national institutes of heah and other agencies from the departments of health and human services, defense, the peace corps, among others, will work together under the guidance and direction of deputy secretary of state jack lew who is also here with us today. now, ts is a unique leadership structure and it embeds our commitment to coordination at every level, from the white house down. sixth, we are working with existing partners and seeking out new ones. we want to align our efforts with that of other donor countries and multilateral organizations, many of which do outstanding work to improve global health. let me just mention one in particular. the global fund to fight aids, tuberculosis, and malaria. this organization has had a transformative impact on the world, not only in the millions ofives it has saved, but by creating a new model for how global community can come together to contribute

global aids coordinator at pepfar. and dr. tom frieden, the director of the centers for disease control. their agencies, along with the national institutes of health and other agencies from the departments of health and human services, defense, the peace corps, among others, will work together under the guidance and direction of deputy secretary of state jack lew who is also here with us today. now, this is a unique leadership structure and it embeds our commitment to coordination at every level, from the white house down. sixth, we are working with existing partners and seeking out new ones. we want to align our efforts with that of other donor countries and multilateral organizations, many of which do outstanding work to improve global health. let me just mention one in particular. the global fund to fight aids, tuberculosis, and malaria. this organization has had a transformative impact on the world, not only in the millions of lives it has saved, but by creating a new model for how global community can come together to con

so the immediate impact for pepfar is clear. its funding will increase, its impact will increase, and its prevention strategies will become more comprehensive. similarly, we are strengthening our support for the other health programs we fund around the world. we are increasing our support for the president's malaria initiative, with the goal of reducing the malaria burden by 50 percent for 450 million people. against tuberculosis, we intend to save 1.3 million lives by increasing access to treatment. and we are scaling up our work in family planning and maternal and child health -- areas in which the united states can and must lead. every year, hundreds of thousands of women die from complications related to pregnancy or childbirth, nearly all of them in the developing world, and for every one woman who dies, 20 more suffer debilitating injuries or infections. and every year, millions of children in the developing world die from wholly preventable causes. saving the lives of women and children requires a range of care, from impr

i've seen a lot of diplomatic opportunitiein pepfar.hink one of the questions we ought to ask again is now how does it limit us diplomatically, but how do we have more opportunities we are not taking diplomatically because we are imposing partnership agreements every few years. >> i seem to be completely ineffective asking to you ke your questions shorter to get more of them in. let's make another global effort in that. >> thank you for the excellent discussion. academy for educational development. i work more for the development side than the diplomatic side. what i'm not hearing much of at all is what are we doing within either the pepfar program or d&g to increase, if you will, the hiv governance in the countries? what are the countries doi? what are we promoting so that the countries can do more within their, albeit limited, budgets to work particularly on the prevention side to get down to that bill gates sort of maybe we'll only have half as many new infections? >> let me synsthesize these questions. given all things we've seen an

i have never seen harder working people in the people i have seen from usaid, pepfar, or the cdc. the work so hard to improve lives, change lives, change governments. very often in the countries in which they serve, they do not work together. i have had members of congress tell me repeatedly who are interested in their development work that they go to the embassy in the country in latin america, europe, asia, and they want to meet people in development. all the different leaders and workers come together. that is the only time they are together. we need to end that. we have the smartest, most able, dedicated people working in development working in the united states government. if they do not work together, they cannot possibly leverage what they're doing to get anywhere near the goals that we set. this is a passion of mine. i want this to be viewed as the best in the world across the board and wanted to become the premier development agency across the world. we cannot afford in a time of limited financial resources to have everybody be doing their own thing, you know? if we are g