This report, titled “Improving Women’s Heath in South Africa: Opportunities for PEPFAR,” by Janet Fleischman of the Center for Strategic and International Studies, says that with “major change … unfolding in health and HIV services in South Africa,” “[t]he United States can find feasible, flexible ways to support” the decentralization of “HIV services to the primary care level … even though its health program through the President’s Emergency Plan for AIDS Relief (PEPFAR) is scaling down. As PEPFAR transitions from an emergency to a more sustainable response, this is a crucial moment to demonstrate that it can address HIV-related goals by linking to more comprehensive services for women — notably linking HIV with family planning (FP), reproductive health (RH), and maternal child health (MCH). The stakes are high for PEPFAR and for the Global Health Initiative (GHI) to show results and, most importantly, for the women and children most at risk” (10/27).

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