**GAO-10-836**                      Published: Sep 20, 2010. Publicly Released: Sep 20, 2010.                  

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## Highlights

The President's Emergency Plan for AIDS Relief (PEPFAR), reauthorized at $48 billion for fiscal years 2009 through 2013, supports HIV/AIDS prevention, treatment, and care services overseas. The reauthorizing legislation, as well as other key documents and PEPFAR guidance, endorses the alignment of PEPFAR activities with partner country HIV/AIDS strategies and the promotion of partner country ownership of U.S.-supported HIV/AIDS programs. This report, responding to a legislative directive, (1) examines alignment of PEPFAR programs with partner countries' HIV/AIDS strategies and (2) describes several challenges related to alignment or promotion of country ownership. GAO analyzed PEPFAR planning documents and national strategies for four countries--Cambodia, Malawi, Uganda, and Vietnam--selected to represent factors such as diversity of funding levels and geographic location. GAO also reviewed documents and reports by the U.S. government, research institutions, and international organizations and interviewed PEPFAR officials and other stakeholders in headquarters and the four countries.

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Full Report (61 pages)

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David Gootnick
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## Topics

International Affairs

AIDSAppropriationsDeveloping countriesFederal aid programsFederal aid to foreign countriesForeign aid programsForeign governmentsGovernment information disseminationHealth care servicesInternational agreementsInternational cooperationInternational organizationsInternational relationsNational policiesPandemicProgram managementReporting requirementsStrategic planningProgram coordinationProgram goals or objectives