Promoting Sustainability and Accountability

PEPFAR supports enduring contributions that build health systems as part of a broader development approach. PEPFAR is working to ensure a sustainable response by building the capacity of public and private institutions in host nations to respond to HIV/AIDS.

With support from PEPFAR, host countries are developing and expanding a culture of accountability

that is rooted in country, community, and individual ownership of and participation in the response to HIV/AIDS.

While HIV/AIDS is unmistakably the focus of PEPFAR, the initiative's support for technical and organizational capacity-building for local organizations has important spillover effects that support nations' broader efforts for sustainable development.

Progress Achieved:

• In FY2008, PEPFAR partnered with 2,667 organizations - of which 86 percent were local - up from 1,588 in FY2004.
• From FY2004 through FY2008, PEPFAR supported an estimated 3.7 million training and retraining encounters for health care workers. In FYs 2006 and 2007, PEPFAR provided approximately $322 million to support training activities. In FY2008, PEPFAR provided an estimated $310 million to support training activities.
• PEPFAR estimates that approximately $734 million in FY2008 resources were invested in capacity building in the public and private health sectors to support service delivery sites for prevention, treatment and care.