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... has saved lives but, as the IOM report s, it has the potential to save many more. While not minimizing its achievements, the IOM report notes that PEPFAR imposes limitations upon its own potential through faulty budget and resource allocation framework, on the one hand, and its failure to allow local agencies and partners, comparative and constructive autonomy, on the other.
At present, PREPFAR allocates a mere 20% to prevention and, in further constraint upon the ability and capacity of local agencies to combat the spread of AIDS, precisely articulates the prevention strategies which have to be implemented. Accordingly, it allocates a third of the prevention budget to abstinence programs, even ...