**GAO-08-480**                      Published: Apr 02, 2008. Publicly Released: Apr 28, 2008.                  

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## Highlights

The President's Emergency Plan for AIDS Relief (PEPFAR) provides assistance for combating HIV/AIDS in 15 focus countries and elsewhere, with global targets for prevention, treatment, and care. The U.S. Leadership Against HIV/AIDS, TB and Malaria Act of 2003, which authorizes the $15 billion program, contains directives to guide the Office of the U.S. Global AIDS Coordinator's (OGAC) allocation of this funding. The act expires in September 2008. The President announced his intention to ask Congress to authorize $30 billion for these efforts for the next 5 years. In 2007, the Institute of Medicine (IOM) recommended eliminating the directives. GAO was asked to describe (1) the views of HIV/AIDS experts on these directives, (2) an alternative approach to allocating funds, and (3) potential challenges related to this approach. GAO interviewed 22 experts, surveyed PEPFAR officials in the 15 focus countries, and reviewed pertinent documentation.

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## Topics

Health Care

AIDSAllocation (Government accounting)Appropriated fundsBudget outlaysCost analysisDisease controlDisease detection or diagnosisDisease surveillanceFederal aid to foreign countriesForeign aid programsHealth care programsInfectious diseasesInternational cooperationInternational relationsProgram evaluationStrategic planningCost estimates