Global HIV/AIDS: A More Country-Based Approach Could Improve Allocation of PEPFAR Funding
DIANE Publishing, 2008 - 68 pages
The Pres. Emergency Plan for AIDS Relief (PEPFAR) provides assistance for combating HIV/AIDS in 15 focus countries and elsewhere, with global targets for prevention, treatment, and care. The U.S. Leadership Against HIV/AIDS, TB and Malaria Act of 2003, which authorizes the $15 billion program, contains directives to guide the allocation of this funding. The act expires in Sept. 2008. The Pres. intends to ask Congress to authorize $30 billion for these efforts for the next 5 years. In 2007, the Institute of Med. recommended eliminating the directives. This report describes: (1) the views of HIV/AIDS experts on these directives; (2) an alternative approach to allocating funds; and (3) potential challenges related to this approach. Charts and tables.
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15 focus countries 22 experts 5-year country-level targets AB programs Act’s spending directives AIDS Coordinator Appendix AIDS Relief allocating funds allocating PEPFAR funds annual country-level targets Antiretroviral drugs approach to allocating appropriate Congress considering costs COPs Country Operational Plan country team officials country-based approach country-based programming country’s Data-Gathering Tools develop evidence-based programming fiscal year 2007 funding allocation Global AIDS Coordinator Global Health global HIV/AIDS global targets HIV/AIDS experts host country government implementing partners infections interventions to meet Leadership Act’s spending Malaria officials noted officials who responded OGAC provides OGAC’s orphans and vulnerable Partners in Health PEPFAR country teams PEPFAR Implementation PEPFAR programs percent planning and budgeting PMTCT potential challenges President’s Emergency Plan Prevention Funding proposed targets provide guidance recommendation selecting interventions selection of interventions semi-structured interviews spending requirements structured interview Survey of PEPFAR team officials reported team’s U.S. Global AIDS USAID World Health Organization