countries, to comprehensively match accounting budget codes to programmatic activities, and to fully follow the types of partners that ultimately receive funding and implement PEPFAR-supported activities. Nonetheless, the funding data that were available did allow for the insights and observations that were important information for the evaluation, and these finding are presented in this chapter.

As described in Chapter 2, the committee focused most of its data collection and its assessment on the 31 countries that were writing Country Operational Plans (COPs) when the IOM evaluation study process began in 2009.1 As such, in some cases the committee’s examination of PEPFAR funding in this chapter is limited to this subset of 31 countries. These countries represented 96 percent of PEPFAR planned funding in FY 2011 (OGAC, 2011d).2 In addition, although the committee reviewed data on PEPFAR funding over time to contribute to this evaluation, the committee was not charged to conduct a financial audit of PEPFAR; that function is performed by the Offices of Inspectors General at the USG agencies responsible for the implementation of PEPFAR programs and activities, including the Department of State (DoS), the Department of Health and Human Services (HHS), and the U.S. Agency for International Development (USAID).

This chapter begins with a brief discussion of the broader global funding environment for HIV/AIDS within which PEPFAR operates as a reflection of the context in which PEPFAR contributes to the HIV response in partner countries. This is followed by an overview of the USG budget and PEPFAR funding processes and a presentation of PEPFAR financial data describing the amount and distribution of funding over time as well as the characteristics of the partner countries that have been recipients of PEPFAR funding. The chapter then presents a brief discussion of the strategic use of PEPFAR resources. The chapter also discusses some questions of interest to the committee that could not be addressed because of limited availability of quality data.


1 The 31 PEPFAR countries submitting Country Operational Plans at the time were the original 15 focus countries (Botswana, Republic of Côte d’Ivoire, Federal Democratic Republic of Ethiopia, Cooperative Republic of Guyana, Republic of Haiti, Republic of Kenya, Republic of Mozambique, Republic of Namibia, Federal Republic of Nigeria, Republic of Rwanda, Republic of South Africa, United Republic of Tanzania, Republic of Uganda, Socialist Republic of Vietnam, and Republic of Zambia) plus the following additional countries: Republic of Angola, Kingdom of Cambodia, People’s Republic of China, Democratic Republic of the Congo, Dominican Republic, Republic of Ghana, Republic of India, Republic of Indonesia, Kingdom of Lesotho, Republic of Malawi, Russian Federation, Republic of the Sudan, Kingdom of Swaziland, Kingdom of Thailand, the Ukraine, and the Republic of Zimbabwe.

2 Planned/approved funding as reported in the FY 2011 PEPFAR Operational Plan. The committee’s sources for this and other types of funding information will be explained throughout the chapter.

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