Funded by the United States President’s Emergency Plan for AIDS Relief (PEPFAR), the Sustainable Financing Initiative for HIV/AIDS (SFI) aims to increase sustainability of the HIV response by promoting shared financial responsibility with host country governments. Since 2014, the U.S. Agency for International Development (USAID) has implemented SFI in 16 countries and two regional programs, with a budget of nearly $48 million.

Engaging with and leveraging capabilities of the private sector helps SFI increase domestic resources for HIV/AIDS programming. By using private sector facilities, growing private markets for populations willing and able to pay for HIV care, and incorporating new service delivery models, countries have reduced the pressure on overburdened public facilities and increased access to HIV testing and treatment.