There’s a growing consensus that sustainable HIV/AIDS programs are built around local systems rather than international NGOs. To that end, the President’s Emergency Plan for AIDS Relief plans to commit 70% of its funding to host country governments or organizations by 2020. But simply shifting money and accountability won't ensure success.

As evidenced by USAID and the CDC’s slower-than-expected efforts to form strong, direct local partnerships, the timeline may not be realistic, write Sarah Rose and Rachel Silverman. PEPFAR’s targets are still worthwhile in pushing for tough changes. But countries vary in their capacity to take on direct funding, and US agencies can be erratic to work with, they write.

Center for Global Development (Commentary)

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