Issue 4: Has PEPFAR been building local capacity by funding local recipients?

Issue 4: Has PEPFAR been building local capacity by funding local recipients?

PEPFAR has made considerable progress toward meeting its five-year targets by rapidly scaling up services. However, as the Institute of Medicine argued in its 2007 evaluation, PEPFAR's next phase must work to build local capacity—moving from an emergency response to a sustainable response.¹

Discussions of PEPFAR's commitment to capacity building have often suffered from the absence of important information about how PEPFAR interacts with local organizations. The figures below offer a glance at what we can learn about this issue from the newly released data. 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 (PDF 19 KB)

¹ "[T]he continuing challenge for the U.S. Global AIDS Initiative is to simultaneously maintain the urgency and intensity that have allowed it to support a substantial expansion of HIV/AIDS services in a relatively short time while also placing greater emphasis on long-term strategic planning and increasing the attention and resources directed to capacity building for sustainability" (Institute of Medicine 2007).