Information from the Committee on Planning the Assessment and Evaluation
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR), launched in 2003 to combat global HIV/AIDS, comprised a five-year, $15 billion commitment to provide antiretroviral therapies to 2 million individuals, prevent seven million new HIV infections, and care for 10 million people, including orphans and other children made vulnerable by HIV/AIDS. This legislation represented the largest commitment by any nation to combat a single disease in history and the largest international public health program ever undertaken by the United States.
The law was reauthorized in 2008 under the Tom Lantos and Henry J Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act. The bill extended the program for five additional years, through 2013, and authorized up to $48 billion for HIV/AIDS, TB, and Malaria programs and U.S. contributions to the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria.
The IOM Committee on Planning the Assessment/Evaluation of HIV/AIDS Programs Implemented Under the US Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 developed a plan for a congressionally mandated evaluation of HIV/AIDS programs implemented under the recent reauthorization legislation. The plan for the evaluation took into account the need to assess the following aspects of these programs:
- Progress toward prevention, treatment, and care targets
- Effects on health systems
- Efforts to address gender-specific aspects of HIV/AIDS
- Impact of programs on child mortality
- Impact of interventions on behalf of orphans and vulnerable children
The committee held a number of both open and closed meetings between November 2009 and July 2010 and issued a report to the U.S. Congress on the plan's proposed design and budget in July 2010.