assess PEPFAR’s models of implementation and contribution to sustainable management of the HIV response in partner countries. (Chapter 11)

This knowledge management framework will require that PEPFAR implement and strategically allocate resources for the following:

A. To better document PEPFAR’s progress and effectiveness, OGAC should refine its program monitoring and evaluation strategy to streamline reporting and to strategically coordinate a complementary portfolio of evaluation activities to assess outcomes and effects that are not captured well by program monitoring indicators. Efforts should support innovation in methodologies and measures where needed. Both monitoring and evaluation should be specifically matched to clearly articulated data sources, methods, and uses at each level of PEPFAR’s implementation and oversight.

OGAC’s program monitoring reporting structure can be streamlined by focusing on program improvement at the partner level, monitoring at the country level, and strategic oversight of accountability for contribution at the headquarters level. To reduce duplicative efforts and investments in its evaluation portfolio, OGAC should coordinate among country programs to strategically plan and coordinate a subset of evaluations designed not only to be useful at the country level but also to enable comparability across programs and countries in order to assess performance and inform improvements across PEPFAR.

B. To contribute to filling critical knowledge gaps that impede effective and sustainable HIV programs, OGAC should continue to redefine permitted research within PEPFAR by developing a prioritized portfolio with articulated activities and methods. The planning and implementation process at the country and program level should inform and be informed by the research portfolio, which should focus on research that will improve the effectiveness, quality, and efficiency of PEPFAR-supported activities and will also contribute to the global knowledge base on implementation of HIV/AIDS programs.

PEPFAR’s scope, scale, and experience mean that it is uniquely situated as a platform for research to spur innovation and to address knowledge gaps that can undermine the effective planning, implementation, and measurement of the effectiveness of programs at scale. Research and evaluation



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