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Preclinical Development: Overview

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PEPFAR Laboratory Implementation Strategy as a Component of PEPFAR's 5-Year Strategy.

George Alemnji1, Ann Sangthong1, Nicole Espy1

  • 1Office of the Global AIDS Coordinator and Health Diplomacy, US Department of State, Washington, District of Columbia, USA.

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The President's Emergency Plan for AIDS Relief (PEPFAR) has significantly boosted laboratory capacity for HIV response. These investments now support broader public health, aiding in pandemic preparedness and response.

Keywords:
5-Year StrategyPEPFAR laboratoryhigh quality diagnosticsimplementation strategyleveraging to support other pandemics

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Area of Science:

  • Global Health Security
  • Laboratory Systems Strengthening
  • Infectious Disease Epidemiology

Background:

  • Past investments by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) have substantially improved clinical and public health laboratory capacity globally.
  • These laboratory systems are crucial for broader health system functioning, including diagnostics for various diseases and outbreak response.

Purpose of the Study:

  • To outline how PEPFAR's strategic approaches can sustain HIV/AIDS gains.
  • To guide integrated support for national public health systems.
  • To strengthen local capacity for future pandemic preparedness and response.

Main Methods:

  • Leveraging existing PEPFAR-supported laboratory infrastructure.
  • Collaborating with national governments and global health stakeholders.
  • Implementing PEPFAR's 5 × 3 strategic approaches.

Main Results:

  • PEPFAR laboratory investments have demonstrably improved diagnostic capabilities for HIV and tuberculosis.
  • Existing PEPFAR laboratory systems were successfully adapted for coronavirus disease 2019 and mpox outbreak response.
  • Sustained focus on HIV and tuberculosis gains while enhancing pandemic preparedness.

Conclusions:

  • PEPFAR's laboratory strengthening efforts have built resilient health systems capable of addressing multiple health threats.
  • Integrated approaches are key to sustaining HIV/AIDS progress and bolstering pandemic preparedness.
  • Continued collaboration is essential for national health system strengthening and global health security.