Learning From Our Global HIV/AIDS Programs
I came here hoping to learn lessons from Africa and other parts of the world to apply to the domestic epidemic. There are lots of lessons as we work to implement the National HIV/AIDS Strategy. What I found is that PEPFAR is grappling with so many of the same issues. There has been a lot of talk about combination prevention. As with domestic HIV programs, there is concern here about the challenging fiscal environment—and this is leading everyone to ask if they are prioritizing the right programs and interventions to save as many lives as possible. Interestingly, there has been a lot of discussion about coordination among PEPFAR’s implementing agencies—State, CDC, USAID, Peace Corps, Department of Defense—and working with the host countries and their health systems. This mirrors the challenges and opportunities of coordinating CDC, CMS, HRSA, and HUD, as well as the challenges and opportunities working with state and local governments. I am not walking away with any magic solutions, but this meeting has given me a lot to think about… We definitely need to do more to integrate our domestic and global efforts.
As I left this meeting, I was energized by the committed people I met who are working so hard to achieve the vision similar to the U.S. National HIV/AIDS Strategy, but on a global scale.
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