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As it wraps up its latest funding round, the President's Emergency Plan for AIDS Relief is prepared to introduce unprecedented cuts to country programs in sub-Saharan Africa, designed to spur domestic policy changes and programmatic improvements.
Planned spending in Kenya fell from $505 million in last year's Country Operational Plan to $350 million in next year's plan. Tanzania fell from $512 million to $395 million. A Center for Global Development analysis found a 44% cut from Kenya's actual funding in fiscal year 2017 — the year PEPFAR announced its pivot — and its projected funding in 2020. Tanzania saw a 30% drop.