Issue 3: What is the role of host country governments in PEPFAR?

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Many donors channel their AIDS funding through the government, believing that such disbursement will build public capacity and support government stewardship.¹ Despite these potential benefits, some host country governments have been slow to use the AIDS funds they receive.² As the world's largest AIDS donor, PEPFAR should be especially sensitive to the possible advantages and disadvantages of sending money through government. If it provides funds to the government, PEPFAR must seek ways to prevent the delays that have affected other donors' funding. If its money is not channeled through the government, PEPFAR must nonetheless help the government to steward the national AIDS response. The figures below offer a glance at the data on funding going to host country governments. See the new HIV/AIDS Monitor report "The Story Behind the Numbers: PEPFAR Funding for Fiscal Years 2004 to 2006" (PDF 701 KB) for further analysis. View the raw data underlying these figures: View as web page | Download in Excel (21 KB)
¹ The importance of government stewardship in coordinating the AIDS response is widely accepted. See WHO (2000). ² Oomman, Bernstein and Rosenzweig (2007). |





