“The plan is on track to focus on prevention, care and treatment, which is what we need to do,” he said.
The renewed PEPFAR program calls for a greater focus on economic, social and behavioral factors that contribute to the spread of HIV. Lawmakers also removed the previous requirement that a third of prevention money go to abstinence programs, instead putting in a benchmark that if abstinence and fidelity spending drops below 50 percent of funding for prevention, the program would have to justify those decisions.
Serra Sippel, executive director at the Center for Health and Gender Equity, said they worry that could still be seen as encouraging local officials to do abstinence education even when it's not an effective option. She said they want to see President Obama issue clear guidelines so providers aren't confused.
That will fall to a new global AIDS coordinator. Mr. Obama asked Mr. Dybul to step down.
Stephen Dinan can be reached at firstname.lastname@example.org.
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