Addressing HIV/AIDS Challenges
In 2007, about 33 million people were living with HIV/AIDS, and about 2.5 million people were newly infected with HIV. In 2008, the U.S.-funded HIV/AIDS programs, including the President's Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Malaria, and TB, spent over $5 billion. In July 2008, Congress reauthorized the emergency plan at a total of $48 billion for fiscal years 2009-2013. Challenges remain, and policymakers should
- work with national governments and international partners to address the underlying economic
and policy factors creating the crisis in health care human resources,
Highlights of GAO-04-784 (PDF) - work with national governments and international partners to address the
underlying economic and policy factors creating the crisis in health care
human resources, and
Full Report ofGAO-04-474 (PDF, 24 pages) - ensure that HIV/AIDS programs are planned and budgeted based in part on
the actual cost of delivering commodities and services.
Highlights of GAO-08-480 (PDF), Highlights of GAO-06-395 (PDF)
^ Back to topWhat Needs to Be Done
State needs to take several actions, including the following:
- Ensure that the U.S. Global AIDS Coordinator provides appropriate guidance
to the President's Emergency Plan for AIDS Relief (PEPFAR) country teams
on how to identify and use cost-related information in their planning and
budgeting of PEPFAR programs.
Highlights of GAO-08-480 (PDF) - Work with the Global Fund’s Board Chair and Executive Director to
establish standardized expectations for, and systematic evaluations of, its
oversight entities.
Highlights of GAO-07-627 (PDF)
^ Back to topKey Reports
- Global HIV/AIDS: A More Country-Based Approach Could Improve Allocation of PEPFAR Funding
- GAO-08-480, April 2, 2008
- Summary (HTML) Highlights Page (PDF) Full Report (PDF, 73 pages) Accessible Text Recommendations (HTML)
- Global Health: Global Fund to Fight AIDS, TB and Malaria Has Improved Its Documentation of Funding Decisions but Needs Standardized Oversight Expectations and Assessments
- GAO-07-627, May 7, 2007
- Summary (HTML) Highlights Page (PDF) Full Report (PDF, 49 pages) Accessible Text Recommendations (HTML)
- Global Health: Spending Requirement Presents Challenges for Allocating Prevention Funding under the President's Emergency Plan for AIDS Relief
- GAO-06-395, April 4, 2006
- Summary (HTML) Highlights Page (PDF) Full Report (PDF, 93 pages) Accessible Text Recommendations (HTML)
- Global Health: U.S. AIDS Coordinator Addressing Some Key Challenges to Expanding Treatment but Others Remain
- GAO-04-784, July 12, 2004
- Summary (HTML) Highlights Page (PDF) Full Report (PDF, 86 pages) Accessible Text Recommendations (HTML)