在USAID/PEPFAR过渡期的前两年,对当地执行伙伴的绩效进行评估
Lauren A White1, Latham Avery2, Lindsay Bonanno2
1Systems & Program Sustainability Division, Office of HIV/AIDS, Bureau for Global Health, U.S. Agency for International Development, Washington, DC, USA. whit1951@umn.edu.
艾滋病毒/艾滋病计划中的当地合作伙伴实现了较少的全球治疗目标,但实现了更高的测试阳性率和病毒载量抑制率. 尽管面临挑战,他们的服务质量与国际合作伙伴相提并论,这表明当地领导的发展取得了进展.
科学领域:
- 全球卫生健康 全球卫生健康
- 国际发展国际发展
- 艾滋病毒/艾滋病流行病学
背景情况:
- 当地主导的发展是国际援助的最佳实践.
- 美国国际开发署 (USAID) 的目标是到2020年将70%的总统艾滋病救援紧急计划 (PEPFAR) 资金转移到当地组织.
- 关于这种转变对艾滋病毒/艾滋病健康结果的影响的证据有限.
研究的目的:
- 评估美国国际开发署/PEPFAR投资组合中的本地与国际合作伙伴的业绩.
- 为了比较监测,评估,报告和服务质量在艾滋病毒/艾滋病治疗级联.
- 评估向当地组织提供过渡援助对艾滋病毒/艾滋病结果的影响.
主要方法:
- 评估了监测,评估和报告的表现.
- 计算了关键的艾滋病毒/艾滋病指标,并评估了服务质量.
- 2019-2020财年USAID/PEPFAR投资组合中的本地和国际合作伙伴的比较,全球和国家.
主要成果:
- 当地合作伙伴实现了全球治疗目标的比例较低,但超过了支持弱势群体的目标.
- 测试阳性,链接率和病毒载量抑制在当地合作伙伴中相当或更高.
- 当地合作伙伴提供的服务质量与国际合作伙伴相提并论.
结论:
- 当地合作伙伴面临着一些挑战,包括对资金的不熟悉以及在艾滋病毒/艾滋病和COVID-19综合症中增加目标.
- 南非当地合作伙伴对全球目标的实现产生了重大影响.
- 这些发现是评估向当地合作伙伴转变以持续控制艾滋病毒/艾滋病流行病的关键第一步.
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