ficiency and effectiveness of knowledge transfer within and external to PEPFAR; and (4) institutionalizes the use of knowledge to improve the way work is accomplished.

Recommendations Presented in This Chapter

Recommendation 11-1: The Office of the U.S. Global AIDS Coordinator (OGAC) should develop a comprehensive knowledge management framework, including a program monitoring and evaluation strategy, a prioritized and targeted research portfolio, and systems for knowledge dissemination. This framework should adapt to emerging needs to assess PEPFAR’s models of implementation and contribution to sustainable management of the HIV response in partner countries.

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.

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.

C.   To maximize the use of knowledge created within PEPFAR, OGAC should develop systems and processes for routine, active transfer and dissemination of knowledge both within and external to PEPFAR. As one component, OGAC should institute a data-sharing policy, developed through a consultative process. The policy should identify the data to be included



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