PEPFAR Implementation: Progress and Promise

by Sepulveda, Jaime

• ISBN13: 9780309109826
• ISBN10: 0309109825
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-10-01
• Publisher: NATL ACADEMY OF SCIENCE

Summary

The year 2006 marked the twenty-fifth anniversary of the description of human immunodeficiency virus/acquired immunodefciency syndrome (HIV/AIDS). During that year, nearly 40 million people were living with HIV/AIDS worldwide and nearly 3 million people died of AIDS-related illnesses. In addition, 4 million people became newly infected with HIV, including more than half a million children.

Table of Contents

Abstract	p. 1
Summary	p. 3
Introduction	p. 3
The Progress of PEPFAR	p. 5
The Promise of PEPFAR	p. 7
References	p. 18
The U.S. Global Aids Initiative
Introduction	p. 23
Background	p. 24
Study Goals and Approach	p. 26
Conduct of the Evaluation	p. 29
Evaluating the Success of PEPFAR	p. 31
Organization of the Report	p. 32
References	p. 33
The U.S. Global AIDS Initiative: Context and Background	p. 35
The HIV/AIDS Pandemic	p. 37
The Global Response to HIV/AIDS in the Developing World	p. 40
Harmonization in the Global Response to HIV/AIDS	p. 44
Challenges to HIV/AIDS Programs	p. 49
The PEPFAR Focus Countries	p. 58
PEPFAR's Authorizing Legislation: The Leadership Act	p. 62
The 5-Year Strategy: The President's Emergency Plan for AIDS Relief	p. 67
References	p. 73
Progress on the First 5-Year Strategy-Pepfar
Pepfar's Management	p. 81
Coordination	p. 83
Harmonization	p. 87
Policy Guidance	p. 92
Planning and Reporting	p. 93
Technical Working Groups	p. 94
Functioning as a Learning Organization	p. 94
Budget Allocations	p. 98
Targets	p. 101
Resource Allocation	p. 102
Conclusion	p. 109
References	p. 109
Pepfar's Prevention Category	p. 113
Category, Target, and Results	p. 115
Review of Progress to Date	p. 120
Issues and Opportunities for Improvement	p. 131
Conclusion	p. 137
References	p. 137
Pepfar's Treatment Category	p. 141
Category, Target, and Results	p. 143
Review of Progress to Date	p. 146
Issues and Opportunities for Improvement	p. 153
Conclusion	p. 164
References	p. 164
Pepfar's Care Category	p. 169
Category, Target, and Results	p. 171
Background: Models of Care	p. 176
Review of Progress to Date	p. 181
Issues and Opportunities for Improvement	p. 190
Conclusion	p. 200
References	p. 202
Pepfar's Orphans and Other Vulnerable Children Category	p. 205
Category, Target, and Results	p. 207
Background	p. 210
Review of Progress to Date	p. 217
Issues and Opportunities for Improvement	p. 231
Conclusion	p. 237
References	p. 237
Looking to the Future
Toward Sustainability	p. 243
Common Themes	p. 245
Conclusion	p. 267
References	p. 268
Appendixes
Acknowledgments	p. 271
Methods	p. 287
Plan for a Short-term Evaluation of PEPFAR Implementation	p. 301
Selected Bibliography for 25-Year Overview of Global HIV/AIDS	p. 333
Abbreviations and Acronyms	p. 335
Committee and Staff Biographies	p. 337
Information-Gathering Meeting Agendas	p. 355
Index	p. 363
Table of Contents provided by Ingram. All Rights Reserved.