Hiv aids and pepfar
Centers for Disease Control and Prevention CDC provides technical assistance to 75 countries through its country and regional offices, with approximately staff members at headquarters and 1, overseas more than 1, of them locally employed nationalsincluding physicians, epidemiologists, public health advisors, behavioral scientists, and laboratory scientists.
Hiv aids and pepfar
Organizational chart of the office of the U. Thus, in addition to attempting to implement well-established practices and interventions and to incorporate scientific advances, PEPFAR has also had to navigate diverse political pressures while developing its priorities, guidance, and programming. You make us proud. Review of the office of the U. These activities are implemented through direct military-to-military assistance, support to nongovernmental organizations and universities, and collaboration with other USG agencies. Accountability and funding[ edit ] PEPFAR reports to Congress on an annual basis, providing programmatic and financial data as required by law. For example, USG agency program directors make up the group of deputy principals who give policy and programmatic guidance to political appointees in the agency principals groups as well as to the AIDS Coordinator. Chapter 11 provides an in-depth discussion of PEPFAR's knowledge management, including systems for monitoring, evaluation, research, and information transfer. These activities include directly supporting service provision as well as supporting activities that promote or facilitate the delivery of services, such as strengthening health care and other systems, building capacity, providing technical assistance, and engaging with governments and other stakeholders to encourage a policy environment that supports an effective response to HIV OGAC, , b. Such efforts have included providing technical support to work toward the development and implementation of HIV-related laws and policies within countries as well as of other laws that affect the response to HIV. CDC, for example, had an administrative framework for grants primarily with a U. Mission team staff members also participate in joint planning committees or working groups organized by the partner country government or by multilateral organizations. OGAC staff members, including detailees from other USG agencies, coordinate administrative, financial, and programmatic implementation, oversight, and guidance. The organizational structure of OGAC has changed over time; the current structure at the time of this evaluation is shown in Figure
PEPFAR Implementation and the Policy Environment in Partner Countries In the partner countries where PEPFAR is implemented, the countries' policies affect every aspect of program implementation, from how prevention, treatment, and care services can be provided to the infrastructure and functioning of health and other systems that contribute to the HIV response as well as the broader policy and legal environment.
Input also comes from the country support teams that liaison with and share information from the country and region implementing teams.
It saved my life and I can now continue to speak and advocate so that many more can live. The participants renewed their call to national governments to not only maintain, but increase, support in order to end AIDS and TB as public health threats by You make us proud. The use of evidence and the threshold for evidence required to instigate a change in guidance also seems to have varied by programmatic area. Although the general structure is similar across countries, the model of implementation and types of activities vary, ranging from direct support for service delivery to primary technical assistance. One is a lack of clarity concerning such things as appropriate service packages, allowable activities, and efforts in emerging areas of program emphasis, such as country ownership, capacity building, health systems strengthening, and transitioning to new models of implementation ES; ES; ES; ES. Examples of such barriers perceived by interviewees included a lack of government commitment to specific populations or programs, restrictive or punitive national policies, governmental resistance to acknowledging some populations at elevated risk as part of their epidemic, and the criminalization of some behaviors or practices associated with these populations ES; ES; ES; ES; ES; ES; ES; ES; ES. As discussed in depth in the description of the evaluation approach in Chapter 2 , the committee endeavored to conduct a rigorous evaluation of PEPFAR that took into account the complexities of implementation in order to develop a credible assessment of the contribution of PEPFAR to changes in health outcomes and health impact within the landscape of other funding sources, other HIV programs, and other factors that affect health.
Beyond supporting the direct provision of services, PEPFAR has supported partners in the provision of training, mentoring, technical assistance, and other capacity building for not only service delivery but also program management, leadership, and governance.
In the course of collecting data about the implementation and effects of PEPFAR-supported programs in partner countries, the committee learned about some of the advantages and challenges of the interagency implementation approach.
This section is a brief overview that synthesizes some key general aspects of PEPFAR's relationship with and role in the policy environment; this overview is linked to the committee's assessment of specific policy issues that intersect with specific programmatic areas, which are discussed in more depth in the pertinent chapters of the report.
Accountability and funding[ edit ] PEPFAR reports to Congress on an annual basis, providing programmatic and financial data as required by law.
However, by policy development and alignment was offered as one of the selection of potential implementation activities in PEPFAR's guidance in nearly every program area OGAC, Interviewees across countries and stakeholder types described several challenges in the implementation of PEPFAR programs through a whole-of-government, interagency model; this process was a notable source of tension in several countries.
In addition to supporting providers and providing commodities required to deliver these services, PEPFAR has supported the strengthening of infrastructure, such as equipment and facilities.
What is most important is working together with compassion, love, generosity, empathy and kindness—with these, we will change the face of the HIV and tuberculosis epidemics together.
The participants included faith leaders and health service providers from different religious traditions.
When was pepfar launched
Beyond supporting the direct provision of services, PEPFAR has supported partners in the provision of training, mentoring, technical assistance, and other capacity building for not only service delivery but also program management, leadership, and governance. There are about 6 million women living with HIV in those eight countries. The relative influence of factors that contribute to vulnerability and that drive the HIV epidemic varies by country and by region within countries. The epidemiology of HIV infection among young people aged years in southern Africa. At the same time PEPFAR also has the articulated goal of working to better harmonize its efforts with national priorities and the national response. For many populations and individuals, various of these factors intersect. Input also comes from the country support teams that liaison with and share information from the country and region implementing teams. In addition to supporting providers and providing commodities required to deliver these services, PEPFAR has supported the strengthening of infrastructure, such as equipment and facilities. It will also leverage the powerful advocacy of first ladies, ministers, civil society, global health leaders and funders to improve implementation efforts and speed progress against the goal of eliminating cervical cancer. Faith-based organizations have long played a critical role in the response to tuberculosis TB. Finally, PEPFAR must also navigate its relationship with global bodies, other donors, and, as discussed in the preceding section, the governments and other stakeholders in the countries where it works. The participants included faith leaders and health service providers from different religious traditions. Global AIDS funding is provided in the Foreign Operations and Labor, Health and Human Services appropriations bills, which, if the process goes smoothly, are agreed to by the House and Senate in advance of the federal fiscal year beginning October 1.
These included revisiting and refining strategies and processes for decision making and program management, including streamlining responsibility for potentially difficult decisions such as budget allocations and strategic planning; empowering foreign service nationals to take leadership roles in the interagency team and technical working groups; and having strong leadership from the chief of mission that values and facilitates a more positive interagency process ES; ES; ES; ES.
CDC, for example, had an administrative framework for grants primarily with a U. Although some PEPFAR-supported activities are implemented directly by members of the mission team, most PEPFAR-supported programs and services within countries are implemented by a variety of different partners, including international and partner country nongovernmental organizations, academic institutions, partner country governments, private-sector entities, civil society organizations, and faith-based organizations.
based on 78 review