1. STEPPING UP THE RESPONSE Roxana Rogers Acting, Deputy Office of HIV/AIDS Bureau for Global Health U.S. Agency for International Development

3. Evolution of the Expanded Response LIFE Initiative (2000) –14 countries and 1 regional program Expanded Response (2001) –17 priority countries and 3 regional programs Stepping up the Response (2002) –23 priority countries and 8 regional programs

4. Targets for 2007, in concert with other donors: Reduce HIV prevalence by 50% in 15-24 yos in high prevalence countries Reduce HIV prevalence by 50% in 15-24 yos in high prevalence countries Maintain HIV prevalence <1% in 15-49 yos in low prevalence countries Maintain HIV prevalence <1% in 15-49 yos in low prevalence countries Care to 25% of HIV +& basic services to 25% OVC Care to 25% of HIV +& basic services to 25% OVC MTCT services to 25% HIV + women MTCT services to 25% HIV + women Expanded Response: Key Elements

5. Resources focused M&E strengthened Technical areas: –Prevention –Care & Treatment –OVC –MTCT –Capacity building –Multisectoral (as outlined in Child Survival Guidance)

6. Stepping up the Response: New Elements 1.Focus resources on more priority countries.

7. Rapid Scale-Up Countries Four countries Increased budget and support to achieve measurable impact within 1-2 years Ensure that at least 80% of population receives a comprehensive package of prevention & care services within 3-5 years

8. More Priority Countries (Rapid Scale Up) Cambodia Kenya Uganda Zambia

9. Intensive Focus Countries 19 countries Increased budget and support to achieve measurable impact within 3-5 years Achieve exapanded response targets by 2007

10. More Priority Countries (Intensive focus) AFRICA (10): Ethiopia, Ghana, Malawi, Mozambique, Nigeria, Rwanda, Senegal, South Africa, Tanzania, Zimbabwe LAC (4): Brazil, DR, Haiti, Honduras ANE (3): India, Indonesia, Nepal E&E (2): Russia, Ukraine

11. Maintain Support for Non Priority Countries (Basic) Countries in every region –8 in Africa –4 in Asia –8 in Latin America – in E&E

12. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2. Strengthen regional offices.

13. Strengthen Regional Programs The regional offices will: –analyze the epidemic regionally; –assist basic and priority cos develop sound programs; –develop regional programs; –partner with other donors and help countries develop proposals; and –support non-presence countries as needed.

14. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2.Strengthen regional offices. 3. Provide support for basic countries.

15. Basic Countries in basic countries, we maintain: –technical assistance –training –commodity support, and –M & E.

16. More Money to the Field Resources for field: Increase –FY 2001 $192 million (61%) –FY 2003 $389 million (78%) Resources for AID/W: Decline –FY 2001 $71 million (23%) –FY 2003 $68 million (14%)

17. USAID CSH/HIV Funding by Region FY 02

21. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2.Strengthen regional offices. 3.Provide support for basic countries. 4. Increase staff where needed.

22. Increase Staff New Foreign Service Officers New HIVAdvisors More TCNs More FSNs

23. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2.Strengthen regional offices. 3.Provide support for basic countries. 4.Increase staff rapidly where needed. 5. Strengthen management and tracking.

24. Strengthen Management Implementation guidelines Technical review for new strategies Biannual review for all priority programs Better M&E

25. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2.Strengthen regional offices. 3.Provide support for basic countries. 4.Increase staff rapidly where needed. 5.Strengthen management and tracking. 6.Establish a central Condom & Commodity Fund for HIV/AIDS

26. Stepping up the War: New Elements 1.Focus resources on more priority countries. 2.Strengthen regional offices. 3.Provide support for basic countries. 4.Increase staff rapidly where needed. 5.Strengthen management and tracking. 6.Establish a central Condom & Commodity Fund for HIV/AIDS