1. Working Group Report 7 th Annual Track 1.0 ART Program Meeting August 4-6 th, 2009 Dar es Salaam, Tanzania 1

2.  How similar do they need to be across programs?  Agree upon major domains– but keep program flexibility ◦ Funding ◦ Technical functions ◦ Program performance of new local partners  CDC/HRSA headquarters need only broad parameters that can apply across countries at global level  Partner and CDC country offices can track more detailed benchmarks based on agreed upon plan 2

3.  Despite complexities and differences, there are some general steps that apply to all  Partners want to know the benchmarks for 2012 that we will be measured against  Need to include policy level indicators affecting progress of transition ◦ country level policies ◦ PEPFAR HHS policies 3

4.  Local partners can compete for and manage USG funds ◦ Financial ◦ Administrative ◦ Managerial  Local partners can deliver the programmatic work that needs to be accomplished ◦ Site support ◦ Lab ◦ Infrastructure ◦ Technical support 4

5.  Monitoring the transition of different components at different times  Balance of monitoring process vs. outcomes  Understanding who should monitor what and at what level (site, region, national, global)  Targets are not clear, unlike PEPFAR treatment targets  Lack of authority/access to MOH capacity and financial information 5

6.  EGPAF tools ◦ Organization, clinical, community  AIDSRelief ◦ Site level monitoring for sustainability  ICAP ◦ Organizational capacity of sub-grantees  Harvard ◦ Partner organizational readiness assessment  Issue – tools to monitor government capacity more difficult 6

7.  USG and CDC have to play active role in the capacity-building strategy with government units  Many issues will have to be handled by bilateral negotiations between governments  Benchmarks will need to be localized to context with USG and partner country teams  Need to document what is beyond scope of partners to resolve 7

8. 1) Share tools among partners 2) CDC give their benchmarks ◦ include partner feedback group 3) Make forum for discussions that is across agencies 4) Advantageous for streamlined benchmarks for both HRSA and CDC partners 5) Need transition focal point person at CDC country offices to help monitor transition across activities and integrate into partnership framework, not divide among different activity manager s 8

9. 6) Ensure partnership framework addresses any policy issues hampering transition and/or structure in place to address issues 7) Begin to extract lessons learned and share on PEPFAR.org or partners/ whatever is fastest 8) Have follow-up transition monitoring benchmarks meeting soon 9