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<classification authority="sudocs">GA 1.13:GAO-01-449</classification>
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 <subject>Acquired immunodeficiency syndrome</subject>
 <subject>Program evaluation</subject>
 <subject>Federal aid to foreign countries</subject>
 <subject>Strategic planning</subject>
 <subject>Performance measures</subject>
 <subject>Reporting requirements</subject>
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<abstract>The Acquired Immunodeficiency Syndrome (AIDS) epidemic in sub-Saharan
Africa has grown beyond a public health problem to become a humanitarian
and developmental crisis. The Agency for International Development (AID)
has contributed to the fight against human immunodeficiency virus
(HIV)/AIDS in sub-Saharan Africa by focusing on interventions proven to
slow the spread of the disease. However, AID&apos;s ability to measure the
impact of its activities on reducing transmission of HIV/AIDS is limited
by (1) inconsistent use of performance indicators, (2) sporadic data
collection, and (3) lack of routine reporting of results to
headquarters. As part of its approach for allocating the 53 percent
increase in funding for HIV/AIDS prevention activities in sub-Saharan
Africa for fiscal year 2001, AID prepared a plan to expand monitoring
and evaluation systems in countries designated as in need of significant
increases in assistance. However, when implemented, the monitoring and
evaluation requirements in the plan will not initially include all
countries where AID missions and regional offices in sub-Saharan Africa
implement HIV/AIDS programs. Further, the plan does not specify to whom
these data will be reported or how the information will be used. Failure
to address these issues not only inhibits AID&apos;s ability to measure the
performance of its HIV/AIDS activities but also hinders the agency&apos;s
decision-making regarding allocation of resources among missions and
regional offices and limits efforts to identify best practices.</abstract>
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<identifier type="preferred citation">GAO-01-449</identifier>
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<note>Letter Report</note>
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<subject>
 <topic>Acquired immunodeficiency syndrome</topic>
 <topic>Program evaluation</topic>
 <topic>Federal aid to foreign countries</topic>
 <topic>Strategic planning</topic>
 <topic>Performance measures</topic>
 <topic>Reporting requirements</topic>
</subject>
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  <title>United States Code</title>
  <partNumber>Title 22 Section 2420</partNumber>
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  <title>United States Public Law 429 (106th Congress)</title>
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