Government Agencies
Several U.S. government agencies play a role in the U.S. response to global HIV/AIDS. Below is a list and description of the main agencies that implement or evaluate PEPFAR.
Implementation
Office of the Global AIDS Coordinator (OGAC)
Housed in the Department of State, the Office of the Global AIDS Coordinator oversees the implementation of PEPFAR and ensures coordination among the various agencies involved in the U.S global response to HIV/AIDS. United States Ambassadors from the State Department provide essential leadership to interagency HIV/AIDS teams and engage in policy discussions with host-country leaders.
U.S. Agency for International Development (USAID)
An independent federal agency, USAID receives overall foreign policy guidance from the Secretary of State and is the agency primarily responsible for administering civilian foreign aid. USAID supports the implementation of PEPFAR programs in nearly 100 countries, through direct in-country presence in 50 countries and through seven other regional programs.
Director of Foreign Assistance & USAID Administrator: Dr. Rajiv Shah
Department of Health and Human Services (HHS)
Under PEPFAR, the Department of Health and Human Services (HHS) implements PEPFAR-funded prevention, treatment and care programs through the Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), Health Resources and Services Administration (HRSA), Food and Drug Administration (FDA), and Substance Abuse and Mental Health Services Administration (SAMHSA). The Office of Global Health Affairs within HHS coordinates all of the HHS agencies to be sure PEPFAR resources are being used effectively.
Director of Office of Global Health Affairs: Dr. Nils Daulaire
Centers for Disease Control and Prevention (CDC)
As part of the Department of Health and Human Services, the Centers for Disease Control and Prevention uses PEPFAR funding to implements its Global AIDS Program (GAP). GAP works with highly trained physicians, epidemiologists, public health advisors, behavioral scientists, and laboratory scientists in 29 countries, who are part of USG teams implementing PEPFAR. Through partnerships with host governments, Ministries of Health, NGOs, international organizations, U.S.-based universities, and the private sector, GAP assists with HIV prevention, treatment, and care; laboratory capacity building; surveillance; monitoring and evaluation; and public health evaluation research.
Department of Defense (DoD)
The Department of Defense (DoD) implements PEPFAR programs by supporting HIV/AIDS prevention, treatment, care, strategic information, human capacity development and program/policy development in host military and civilian communities. The DoD HIV/AIDS Prevention Program (DHAPP) is the DoD Executive Agent for the technical assistance, management, and administrative support of the global HIV/AIDS prevention, care and treatment for foreign militaries.
Department of Commerce (DoC)
The Department of Commerce (DoC) provides support for PEPFAR by furthering private sector engagement through public-private partnerships. Housed within DoC, the U.S. Census Bureau assists with data management and analysis, survey support, estimating infections averted and supporting mapping of country-level activities.
Department of Labor (DoL)
The Department of Labor (DoL) implements PEPFAR workplace-targeted projects that focus on the prevention and reduction of HIV/AIDS-related stigma and discrimination. DoL programs (in over 23 countries) consist of three main components: increasing knowledge about HIV/AIDS, implementing workplace policies to reduce stigma and discrimination and building capacity of employers to provide support services.
Peace Corps
With programs in 73 countries, the Peace Corps is heavily involved in the fight against HIV/AIDS. Peace Corps volunteers provide long-term capacity development support to nongovernmental, community-based, and faith-based organizations as they provide holistic support to people living with and affected by HIV/AIDS.
Evaluation
Institute of Medicine (IOM)
At the request of the U.S. Congress, the Institute of Medicine (IOM) is assigned the responsibility of evaluating the implementation of PEPFAR. The task of the IOM is to examine a variety of measures of program success that can be ascertained at different points across the implementation timeline.
Report - PEPFAR Implementation: Progress and Promise, March 30, 2007
Government Accountability Office (GAO)
As the mission of the Government Accountability Office (GAO) is to investigate how taxpayer dollars are being used and report their findings to Congress, the GAO supports PEPFAR by issuing reports on how PEPFAR funds are being spent.
Report - Global Health: Trends in U.S. Spending for Global HIV/AIDS and Other Health Assistance in FY 2001-2008, October 8, 2010
Report - PEPFAR: Efforts to Align Programs with Partner Countries' HIV/AIDS Strategies and Promote Country Ownership, September 20, 2010
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