PEPFAR Implementation Progress and Promise (2007) / Chapter Skim
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Part I The U.S. Global AIDS Initiative, 1 Introduction
Part I The U.S. Global AIDS Initiative, 1 Introduction
Pages 21-34
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Part I The U.S. Global AIDS Initiative
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In 2006 alone, more than 4 million people are estimated to have become infected with HIV, including nearly 2 million women and over half a million children under the age of 14. The Joint United Nations Programme on HIV/AIDS (UNAIDS)
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projected general levels of resources needed to achieve the stated goals. The legislation emphasized the establishment of programs focused on national HIV/AIDS strategies of recipient countries, the needs of women and children, strengthening of countries' health care infrastructure and workforce, and effective monitoring and evaluation to assess programmatic success.
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government oversight and direction of PEPFAR activities; drawing on the scientific evidence base in developing interventions; establishing and ensuring accountability for measurable goals; harmonizing program development and implementation with the host countries; integrating prevention, treatment, and care programs; building national capacity; encouraging national leadership; and coordinating with other partners (OGAC, 2004)
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(1) of the Leadership Act states: Not later than 3 years after the date of the enactment of this Act, the Insti tute of Medicine shall publish findings comparing the success rates of the various programs and methods used under the [PEPFAR]
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The role of donors is to support and participate in three country-determined elements critical to an effective response -- one national AIDS plan, one national AIDS coordinating mechanism, and one national AIDS monitoring and evaluation framework (UNAIDS, 2004b)
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How is PEPFAR evaluating its own performance? Focus Countries Harmonization To what degree is PEPFAR harmonized with the national plan, national coordinating entity, and national monitoring Strategy Science and evaluation framework?
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government officials at OGAC, at the implementing agencies, and on the Country Teams; focus country officials; partners; program officials; community groups; and officials from other donor organizations. To encourage the participants in these discussions to speak candidly, the Committee assured them that it would not attribute their statements to individuals by name, organization, or country.
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The primary sources for PEPFAR data were Congressional Notifications, Country Operational Plans, annual reports and other interim reports, and analyses of the Country Operational Plan Reporting System provided by OGAC. The primary sources of data on the focus countries were their own websites and publications, OGAC, UNAIDS, WHO,
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EVALUATING THE SUCCESS OF PEPFAR Ultimately the "success" of PEPFAR will be judged by whether it has achieved its targets of effectively supporting the prevention of 7 million HIV infections, treatment for 2 million people with HIV/AIDS with ART, and care for 10 million people living with and affected by HIV/AIDS, as well as its longer-term goal of achieving sustainable gains against the HIV/AIDS
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Global AIDS Initiative -- and its context. Following this introductory chapter, Chapter 2 briefly describes the HIV/AIDS pandemic that the Leadership Act was designed to address, as well as the global context for the U.S.
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Global AIDS Initiative: Context and Background Part II: Progress on the First 5-Year Strategy -- PEPFAR Chapter 3: PEPFAR's Management Chapter 4: PEPFAR's Prevention Category Chapter 5: PEPFAR's Treatment Category Chapter 6: PEPFAR's Care Category Chapter 7: PEPFAR's Orphans and Other Vulnerable Children Category Part III: Looking to the Future Chapter 8: Toward Sustainability Appendixes development of the strategy required by the Leadership Act. Chapters 4 through 7 provide progress reports on the implementation of the strategy according to its four major categories of activities and programs -- prevention, treatment, care, and orphans and vulnerable children -- and suggest how the Coordinator could improve programming in each of these categories.
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2004a. 00 report on the global AIDS epidemic: th global report.
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