Since 2004, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has funded HIV/AIDS prevention, care and treatment programs credited with extending the lives of millions of people in sub-Saharan Africa, including South Africa, which has received the majority of PEPFAR funding, reaching more than $500 million annually. In a place where a positive diagnosis of HIV/AIDS used to be a death sentence, America brought hope for longer lives.