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By Paul E. Torgensen

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8). The international mechanism on which most other donors and the majority of the PEPFAR focus countries rely is the World Health Organization (WHO) Prequalification of Medications Project (WHO, 2006b). When PEPFAR was initiated, however, the Coordinator determined that FDA approval would be the standard for ensuring the quality of PEPFAR-provided ARVs (OGAC, 2004). This standard posed a major challenge to implementation because most of the focus countries had selected generic versions of ARVs for their formularies, and no generic ARVs had FDA approval (GAO, 2005).

2006g. FY2006 Country Operational Plans. Washington, DC: OGAC. OGAC. 2007. PEPFAR third annual report to Congress. Washington, DC: OGAC. , D. Hogan, J. Stover, K. Stanecki, N. Walker, P. D. Ghys, and B. Schwartlander. 2005. Integrating HIV prevention and treatment: From slogans to impact. PLoS Medicine 2(1):e16. The Paris Declaration on aid effectiveness: Ownership, harmonization, alignment, results and mutual accountability. 2005. High level forum on harmonization, February 28–March 2, 2005, Paris, France.

The Committee recognized that discordance was possible—both among elements of the legislation and between the legislation and other points of reference—and that such discordance could affect program implementation. In such instances, the Committee addressed aspects of the legislation that directly affect implementation and thereby the ability of the program to achieve the goals of the legislation. S. S. S. S. teams in the focus countries (Country Teams) (UN, 2003a; The Rome Declaration, 2003; The Paris Declaration, 2005; OGAC, 2005).

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A concept of organization by Paul E. Torgensen

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