Office of Research and Science in the Office, US Global AIDS Coordinator, Department of State, Washington, DC, USA.
Health Aff (Millwood). 2012 Jul;31(7):1553-60. doi: 10.1377/hlthaff.2012.0562.
Amid the global economic crisis, the President's Emergency Plan for AIDS Relief (PEPFAR) and other organizations have been pressed to do more with constrained resources to meet unmet needs in the worldwide HIV/AIDS pandemic. PEPFAR has approached this challenge through the development of an Impact and Efficiency Acceleration Plan, which includes improving the collection and use of economic and financial data, increasing the efficiency of HIV/AIDS program implementation, and collaborating with governments and multilateral organizations to maximize the impact of the resources provided by the United States. For example, by linking financial data with program outputs, PEPFAR was able to help its implementing partners in Mozambique reduce mean unit expenditures for people receiving antiretroviral treatment by 45 percent, from $265 to $145 per person, between 2009 and 2011. This article describes the plan's elements, provides examples of progress and challenges to its implementation, and assesses the prospects for further improvements in efficiency and impact.
在全球经济危机中，总统艾滋病紧急救援计划（PEPFAR）和其他组织被迫在资源有限的情况下，通过开发影响和效率加速计划来满足全球艾滋病毒/艾滋病大流行中的未满足需求，该计划包括改善经济和财务数据的收集和使用、提高艾滋病毒/艾滋病规划实施的效率，并与政府和多边组织合作，最大限度地发挥美国提供资源的影响。例如，通过将财务数据与方案产出联系起来，PEPFAR 得以帮助其在莫桑比克的实施伙伴在 2009 年至 2011 年期间将接受抗逆转录病毒治疗的每人平均单位支出减少 45%，从每人 265 美元降至 145 美元。本文介绍了该计划的要素，提供了实施进展和挑战的实例，并评估了进一步提高效率和影响的前景。
