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Congress too prescriptive in saying how president's AIDS fund should be spent, report says

BMJ 2007; 334 doi: (Published 05 April 2007) Cite this as: BMJ 2007;334:715
  1. Bob Roehr
  1. Washington, DC

    The US president's international emergency plan for AIDS relief (PEPFAR), announced in President Bush's state of the union address in 2003, has made a good start to meeting its ambitious goals, a report by the independent Institute of Medicine said last week.

    But the report criticises the Congress's specification of how the money must be spent, with 55% to be spent on medical treatment and 20% on prevention, a third of which must be spent on abstinence-only programmes.

    “Having the same budget allocation formula for 15 countries with very different kinds of epidemics is not useful,” said Jaime Sepulveda, chairman of the committee that conducted the evaluation and former director of the National Institutes of …

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