Knowledge Transfer and Learning Within PEPFAR

•    PEPFAR has successfully established and used a variety of mechanisms to transfer knowledge throughout PEPFAR; however, more progress is needed to address limitations in current systems and to establish formal mechanisms to systematically transfer experiences across countries, implementing partners, and sites. Without this, there will be missed opportunities to capitalize on best practices and internal lessons learned.

Knowledge Dissemination External to PEPFAR

•    OGAC would benefit from developing a formal system to track and manage PEPFAR-funded dissemination products (e.g., publications, reports, abstracts, guidelines, and tools) from which to measure contribution to the global knowledge base, and the global HIV/AIDS community would benefit from a publicly available central repository of these products from which to share, collaborate, and accelerate knowledge creation.

•    PEPFAR has had some success in external dissemination of PEPFAR knowledge, including establishing formal and informal mechanisms to share knowledge externally and contributing vast amounts of evidence and publications to the global knowledge base. Despite this, more progress is needed to develop routine formal mechanisms for knowledge exchange with partner country governments and other partners, increase the amount of PEPFAR data that is publicly available for use by researchers and evaluators, and track and measure PEPFAR’s contribution to the global knowledge base.

Overall Conclusion

•    PEPFAR has made progress in managing knowledge by developing systems for data creation and collection, streamlining program monitoring data, advancing PEPFAR’s role and approach to evaluation and research, and utilizing a wide variety of mechanisms to transfer knowledge. Yet, like other entities involved in the global HIV/AIDS response, it struggles with creating, acquiring, and transferring the right knowledge, at the appropriate scale, and in a manner that facilitates use. PEPFAR has the potential to lead the global HIV/AIDS community in knowledge management by adopting a conceptual framework that articulates the vision, purposes, intended audiences, and goals of knowledge; how knowledge will be acquired, created, transferred, used, and disseminated to achieve these goals; and the complementary roles of program monitoring, evaluation, and research. PEPFAR has the opportunity to optimize program efficiency and effectiveness through an improved strategy that (1) streamlines and focuses knowledge creation within PEPFAR; (2) increases acquisition of knowledge external to PEPFAR; (3) improves the ef-

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