Center for Global Development: PEPFAR’s New Targets for Local Implementation: Commendable in Theory, Complicated in Practice
Rachel Silverman, senior policy analyst and assistant director of global health policy, and Sarah Rose, policy fellow, both at CGD, discuss recently announced PEPFAR targets for the funding of local implementation of HIV/AIDS efforts. They write, “In July, United States Global AIDS Coordinator Deborah Birx made a striking commitment: under her leadership, the President’s Emergency Plan for AIDS Relief (PEPFAR) would direct at least 40 percent of its funding to host country governments or organizations by the end of 2019 — rising to 70 percent by the end of 2020. … The bottom line: PEPFAR’s local targets are commendable in theory, but we suspect their application in practice will prove complicated. Below is our take on the related issues — and some recommendations for PEPFAR to forge the most effective path forward” (8/9).