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An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition

INTRODUCTION: Locally led and owned development is considered the best practice for international aid. As an implementing agency for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Agency for International Development (USAID) supported the goal of transitioning 70% of its port...

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Autores principales: White, Lauren A., Avery, Latham, Bonanno, Lindsay, Knight, Christy, Irwin, Courtney, Hoeflich, Kathryn, Kaliel, Deborah, Hijazi, Mai, Raulfs-Wang, E. Callie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Global Health: Science and Practice 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285723/
https://www.ncbi.nlm.nih.gov/pubmed/37348934
http://dx.doi.org/10.9745/GHSP-D-22-00337
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author White, Lauren A.
Avery, Latham
Bonanno, Lindsay
Knight, Christy
Irwin, Courtney
Hoeflich, Kathryn
Kaliel, Deborah
Hijazi, Mai
Raulfs-Wang, E. Callie
author_facet White, Lauren A.
Avery, Latham
Bonanno, Lindsay
Knight, Christy
Irwin, Courtney
Hoeflich, Kathryn
Kaliel, Deborah
Hijazi, Mai
Raulfs-Wang, E. Callie
author_sort White, Lauren A.
collection PubMed
description INTRODUCTION: Locally led and owned development is considered the best practice for international aid. As an implementing agency for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Agency for International Development (USAID) supported the goal of transitioning 70% of its portfolio funding directly to local organizations by 2020, including partner country governments. However, limited evidence or evaluation exists on how such a transition can help achieve HIV-related health outcomes. METHODS: We evaluated monitoring, evaluation, and reporting performance; calculated indicators; and quality of service across the HIV/AIDS treatment cascade for local and international partners in the USAID/PEPFAR portfolio implementing similar programs during the U.S. Government fiscal years (FY) 2019 to 2020 (October 1, 2018–September 30, 2020). We compared results aggregated globally, by country, and across individual partners. RESULTS: Globally, local partners met a lower proportion of their treatment targets than international partners and did not meet targets for pre-exposure prophylaxis or voluntary medical male circumcision in FY2020. However, local partners exceeded targets in programs supporting orphans, vulnerable children, and key populations affected by HIV/AIDS. Local partners also had testing positivity, linkage rates, and viral load suppression that were equivalent to or higher than that of international partners. Based on available assessments, local partners displayed quality of service delivery comparable to international partners. CONCLUSION: Local partners faced challenges, including unfamiliarity with USAID funding, increasing targets across several indicators, and the syndemics of HIV/AIDS and COVID-19. A higher percentage of targets and funding led South African local partners to yield an outsized effect on global percent target achievement. While these findings should be interpreted cautiously due to limited sample size and short time horizon, they are a key first step in evaluating the local partner transition support of the long-term goal of sustained epidemic control of HIV/AIDS.
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spelling pubmed-102857232023-06-23 An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition White, Lauren A. Avery, Latham Bonanno, Lindsay Knight, Christy Irwin, Courtney Hoeflich, Kathryn Kaliel, Deborah Hijazi, Mai Raulfs-Wang, E. Callie Glob Health Sci Pract Article INTRODUCTION: Locally led and owned development is considered the best practice for international aid. As an implementing agency for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. Agency for International Development (USAID) supported the goal of transitioning 70% of its portfolio funding directly to local organizations by 2020, including partner country governments. However, limited evidence or evaluation exists on how such a transition can help achieve HIV-related health outcomes. METHODS: We evaluated monitoring, evaluation, and reporting performance; calculated indicators; and quality of service across the HIV/AIDS treatment cascade for local and international partners in the USAID/PEPFAR portfolio implementing similar programs during the U.S. Government fiscal years (FY) 2019 to 2020 (October 1, 2018–September 30, 2020). We compared results aggregated globally, by country, and across individual partners. RESULTS: Globally, local partners met a lower proportion of their treatment targets than international partners and did not meet targets for pre-exposure prophylaxis or voluntary medical male circumcision in FY2020. However, local partners exceeded targets in programs supporting orphans, vulnerable children, and key populations affected by HIV/AIDS. Local partners also had testing positivity, linkage rates, and viral load suppression that were equivalent to or higher than that of international partners. Based on available assessments, local partners displayed quality of service delivery comparable to international partners. CONCLUSION: Local partners faced challenges, including unfamiliarity with USAID funding, increasing targets across several indicators, and the syndemics of HIV/AIDS and COVID-19. A higher percentage of targets and funding led South African local partners to yield an outsized effect on global percent target achievement. While these findings should be interpreted cautiously due to limited sample size and short time horizon, they are a key first step in evaluating the local partner transition support of the long-term goal of sustained epidemic control of HIV/AIDS. Global Health: Science and Practice 2023-06-21 /pmc/articles/PMC10285723/ /pubmed/37348934 http://dx.doi.org/10.9745/GHSP-D-22-00337 Text en © White et al. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-22-00337
spellingShingle Article
White, Lauren A.
Avery, Latham
Bonanno, Lindsay
Knight, Christy
Irwin, Courtney
Hoeflich, Kathryn
Kaliel, Deborah
Hijazi, Mai
Raulfs-Wang, E. Callie
An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title_full An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title_fullStr An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title_full_unstemmed An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title_short An Evaluation of Local Implementing Partner Performance During the First 2 Years of the USAID/PEPFAR Transition
title_sort evaluation of local implementing partner performance during the first 2 years of the usaid/pepfar transition
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285723/
https://www.ncbi.nlm.nih.gov/pubmed/37348934
http://dx.doi.org/10.9745/GHSP-D-22-00337
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