Abstract: | The President's Emergency Plan for AIDS Relief was intended to be complementary to existing US work to fight HIV/AIDS through the broader multilateral efforts of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. This article explores the history of this collaboration, highlighting lessons learned through a case study of Tanzania and challenges overcome through ongoing improvements, such as ensuring reliable access to antiretroviral drugs. Improved communication and a more formalized partnership between PEPFAR's bilateral efforts and the Global Fund have been key to improving health outcomes in Tanzania, and this case can be used as a model for other countries. If PEPFAR is reauthorized in 2013, its partnership with the Global Fund should be further formalized and expanded. |