PEPFAR and Preventing HIV Transmission: Evidence from Sub-Saharan Africa


President’s Emergency Plan for AIDS Relief or PEPFAR is the US Government’s global strategy for preventing AIDS/HIV. PEPFAR’s main prevention program featured the controversial ABC strategy: Abstain, Be faithful, and correct and consistent use of Condoms. This study uses the “difference-in-differences” (DID) estimator to assess impact of ABC on slowing the spread of HIV in PEPFAR’s Sub-Saharan recipient countries. Applying DID analysis to a panel of 40 African countries in 2001 and 2009, we found PEPFAR’s preventative measuresdid not reduce adult HIV rates. These results call into question the effectiveness of ABC as a HIV preventative strategy in Sub-Saharan Africa.


                                        Daniel Barkley, EOTM Executive Director                                           Opeyemi Adeniyi, EOTM Research Fellow

                   International Journal of Business and Social Science Vol. 6, No. 7; July 2015

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