United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2006-09-06 monographic deposited born digital 26 p. GA 1.13:GAO-06-1089T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-1089T P0b002ee180378be1 f:d061089t DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-06-1089T machine generated eng fdlp REPORT GAOREPORTS-GAO-06-1089T GAO-06-1089T Accountability Acquired immunodeficiency syndrome Appropriated funds Disease control Disease detection or diagnosis Funds management Health care programs Program evaluation Risk management Sexually transmitted diseases Strategic planning Global HIV/AIDS Initiative President's Emergency Plan for AIDS Relief Testimony A60333 The U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 authorizes the President's Emergency Plan for AIDS Relief (PEPFAR). It promotes the ABC model (Abstain, be faithful, or use Condoms); recommends that 20 percent of funds appropriated pursuant to the act be spent on prevention; and requires that, starting in fiscal year 2006, 33 percent of prevention funds appropriated pursuant to the act be spent on abstinence-until-marriage activities. The Office of the U.S. Global AIDS Coordinator (OGAC) oversees PEPFAR and administers the Global HIV/AIDS Initiative (GHAI) account, the main repository for PEPFAR funds. For our April 2006 report, GAO reviewed PEPFAR prevention funding trends; described the PEPFAR strategy to prevent sexual transmission of HIV; and examined related challenges. The report recommended that the Coordinator collect and report information on the effects of the abstinence-until-marriage spending requirement and use it to, among other things, assess whether the requirement should apply only to the GHAI account. OGAC agreed to collect information but disagreed with applying the requirement only to certain funds; GAO modified the recommendation. GAO also suggested Congress use the information to assess how well the requirement supports the Leadership Act's endorsement of both the ABC model and strong abstinence programs. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-1089T/html/GAOREPORTS-GAO-06-1089T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-1089T/pdf/GAOREPORTS-GAO-06-1089T.pdf GAO-06-1089T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-1089T Testimony GAO-06-1089T; Global Health: Spending Requirement Presents Challenges for Allocating Prevention Funding under the President's Emergency Plan for AIDS Relief; Accountability Acquired immunodeficiency syndrome Appropriated funds Disease control Disease detection or diagnosis Funds management Health care programs Program evaluation Risk management Sexually transmitted diseases Strategic planning Global HIV/AIDS Initiative President's Emergency Plan for AIDS Relief