When there was an outbreak of Ebola in West Africa in 2014, PEPFAR-recipient countries, including Nigeria, Uganda, and Congo, were able to contain the crisis because their PEPFAR-funded labs quickly identified the disease and trained and provided health-care workers with the capacity to intervene. Liberia, Sierra Leone, Guinea, and other countries that had not been part of PEPFAR because of their low rates of HIV/AIDS infection lacked the labs and health systems necessary to detect the Ebola outbreak and thus initially were unable to contain it.

