Generally speaking, in poor countries, people can only afford generic drugs because they are cheap. The World Health Organization also encourages the production of generic drugs to treat AIDS.
The President's Emergency Plan for AIDS Relief (PEPFAR), initiated by the President of the United States, has accelerated the drug approval process and allowed temporary approval of generic drugs. Provisional approval means that these drugs meet all the safety, effectiveness and quality requirements, but they cannot be listed in the United States and can only be used in the President's Emergency Plan for AIDS Relief. USAID can purchase "completely" or "temporarily" approved drugs so that they can be used in developing countries.