PEPFAR Implementation Progress and Promise (2007) / Chapter Skim
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Appendix B Methods
Appendix B Methods
Pages 287-300
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From page 287... ...
Additional members who serve only on the subcommittees provide expanded expertise in the following areas: child psychology/psychiatry, child welfare/services, demography, health communication, health education, infectious disease (pediatric) , laboratory quality, logistics, palliative care, and pharmaceutical care.
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From page 288... ...
monthly outreach meetings, relevant Congressional hearings, meetings of the Center for Strategic and International Studies Task Force on HIV/AIDS, the Partnership for Supply Chain Management launch meeting on May 24, 2006, in Washington, DC -- "Delivering HIV/AIDS Commodities to Customers Insights and Partnerships for Seamless Supply Chains" -- and the PEPFAR Gender and HIV/AIDS Consultation on June 1, 2006, also in Washington, DC. EVALUATION PLAN On October 31, 2005, the Committee published its plan for carrying out this short-term evaluation of PEPFAR.
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From page 289... ...
The Committee heard from officials from the Office of the U.S. Global AIDS Coordinator, as well as some of the implementing agencies, including the Office of Global Health Affairs at the Department of Health and Human Services, the Global Health Bureau at the U.S.
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From page 290... ...
practices Problem State Less than Ideal State Country is pursuing sound plans Country is pursuing unsound and programs, but PEPFAR is plans and programs, but not supporting them PEPFAR is not supporting them No Demonstrates the challenge of Not characterized as ideal harmonization for PEPFAR's because we would prefer to see policies and practice countries engaging in sound practice But from the perspective of evaluating PEPFAR, this is OK -- at least PEPFAR is not supporting unsound practice FIGURE B-1 Nexus of evidence base and harmonization. NOTE: The schematic has been oversimplified to make a general point -- the responses would not be "Yes/No" but rather a matter of degrees.
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From page 291... ...
, implementing partners, the U.S. embassies in the focus countries, and the focus country governments and/or lead HIV/AIDS entities; the PEPFAR strategy, operational plans, and first and second annual reports; the 2005 and 2006 Country Operational Plans for all of the focus countries as well as the
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From page 292... ...
The primary sources for PEPFAR data were PEPFAR 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, the World Bank, and Kaiser Family Foundation.
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From page 293... ...
Thus, visits to the focus countries to directly observe implementation activities were a critical part of the Committee's evaluation plan. The Committee anticipated that these country visits would provide insight into the programmatic successes and challenges through concrete examples and first-hand accounts of how PEPFAR was working on the ground, and found that they did.
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From page 294... ...
The majority of BOX B-1 Generic Agenda for Focus Country Visits Day 1 -- Monday Purpose: Understand PEPFAR Mission staff's perspective on program implementation (especially coordination and harmonization) • Morning: Introductory Meeting with U.S.
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From page 295... ...
groups, community leaders, partner nongovernmental organizations, other nongovernmental organizations) • Debrief and work on visit report Day 4 -- Thursday Purpose: Examine PEPFAR-supported prevention, treatment, and care programs • Morning and Afternoon: IOM Team breaks into two groups for program visits • Team 1: For example, visit different types of care programs • Team 2: For example, visit different types of orphan programs • Evening: Debrief and work on visit report Day 5 -- Friday Purpose: Examine PEPFAR-supported capacity-building efforts • Morning and Afternoon: IOM Team breaks into two groups for program visits • Team 1: For example, visit to offices responsible for national supply chain management, blood bank, information technology program, etc.
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In practice, no major unanticipated issues were identified and later delegations did not produce these reports. Analyses of Country Visit Information Pre-Visit Analysis To guide the development and conduct of each country visit, the Committee reviewed and analyzed information available about the country's demography and general and AIDS-specific epidemiology, as well as national AIDS strategies and plans, PEPFAR focus country profiles, and PEPFAR Country Operational Plans for fiscal year 2005.
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From page 297... ...
For example, findings related to coordination were pulled from each of the summary reports to provide a view Findings based on Review Mission Perspective of Documentation and Data, e.g., comparison of Focus Country Strategies and Operational Plans with PEPFAR Country Finding re: View on Operational Plans Harmonization in (Committee's Analysis) Country X Ministry of Health Partner Perspective "Triangulation" at the Perspective PEPFAR Level Overall Conclusion "Triangulation" at the Focus Country Level about how well PEPFAR One "triangle" for each country (Visit Team's Analysis)
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From page 298... ...
. A great deal of information about the focus countries is a matter of public record -- for example, information about the nature of their HIV/ AIDS epidemics, their national AIDS strategies and sometimes their operational plans, and their PEPFAR Country Operational Plans.
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From page 299... ...
Because OGAC determined that some portions of the Country Operational Plans are procurement sensitive and therefore could not be in the public domain, they provided the Committee with redacted versions of the full Country Operational Plans, in addition to the Country Operational Plan information that is available on the OGAC website. Because the Committee's interest was not in appreciating the finest level of detail in the Country Operational Plans, it accepted OGAC's assertion that the missing material would have little effect on the Committee's ability to develop a general understanding of the programming in a country or its alignment with national plans and priorities.
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