{"content":[{"text":"program areas level, along with the work teams have done, to build relationships and co-planning with \n your partner government, the Global Fund, UN organizations and other donors. These relationships and \n planning efforts are critical to supply chain stability for key commodities as well as understanding \n COVID relief and other potential funding available in country to ensure most effective and efficient use \n of PEPFAR’s contributions to the national HIV response in COP21.","bbox":{"left":0.117686,"top":0.08911,"width":0.746285,"height":0.08165800000000001}},{"text":"We understand that specific programs will have carryover and others may not and these funds will be \n critical to ensure stabilization and expansion of critical prevention programming.","bbox":{"left":0.117686,"top":0.184893,"width":0.728676,"height":0.03465499999999999}},{"text":"The COVID pandemic also laid bare the depth and breadth of inequities still across the globe and clear \n evidence that when constrained, Ministries of Health and governments make choices that differentially \n impact specific programming areas and specific populations. The pandemic revealed vulnerabilities in \n our non-public sector community efforts that we knew were present, and are now fully exposed, as these \n specific activities were the first to be dropped. Communities of women and children, and key populations \n including men who have sex with men, transgender individuals, sex workers, people who inject drugs, \n and people in prisons and other closed settings are not being adequately and sustainably supported by \n public-sector mechanisms. We have lost ground in all of our prevention services for all populations \n and for our most vulnerable and marginalized populations and must make every effort to recover.","bbox":{"left":0.117686,"top":0.232923,"width":0.7629940000000001,"height":0.14636000000000005}},{"text":"Despite the disruptions caused by the COVID-19 pandemic, a number of countries have shown a level of \n resiliency were achieving epidemic control of HIV, and others are on the brink of epidemic \n control. With continued implementation, most PEPFAR countries are on a path to achieving program \n coverage goals. With that in mind, PEPFAR programs should focus on four key themes as we approach \n Country Operational Plan 2021 planning and implementation: advancing client-centered services; \n engaging with communities; implementing resilient and adaptive approaches; and supporting capacities \n for sustainable epidemic control.","bbox":{"left":0.117686,"top":0.392658,"width":0.7553070000000001,"height":0.11435199999999995}},{"text":"We commend you and your team for your attention to the adoption and implementation of the public \n health policies that have the greatest impact on HIV, particularly as these very policies are critical to \n ensuring sustained HIV services during COVID-19. Also, we appreciate your role in supporting PEPFAR \n teams through this challenging period, and continuing to hold implementing partners accountable for their \n performance. ","bbox":{"left":0.117686,"top":0.52041,"width":0.762788,"height":0.08163299999999996}},{"text":"We are grateful to your incredible PEPFAR team in country, working together across agencies to ensure \n the most effective and efficient use of U.S. taxpayer dollars. We know there are strengths and weaknesses \n across the board and across the implementing agencies; and we look forward to working together to \n support those strengths and address those challenges.","bbox":{"left":0.117686,"top":0.616168,"width":0.7612650000000001,"height":0.06662499999999993}},{"text":"We are very excited about your progress in:","bbox":{"left":0.117686,"top":0.696016,"width":0.314857,"height":0.018595000000000028}},{"text":"• \n • \n •","bbox":{"left":0.147098,"top":0.730059,"width":0.007485999999999993,"height":0.047375999999999974}},{"text":"Improving the rate of viral load suppression relative to COP19. \n Increasing linkage to treatment in COP20, and the steady improvement since COP18. \n Greatly improving the DREAMs primary package completion rate.","bbox":{"left":0.176503,"top":0.728024,"width":0.614859,"height":0.05056499999999997}},{"text":"Together with the Government of Kenya and civil society leadership we have made tremendous progress \n together. Kenya should be proud of the progress made over the past 18 years of PEPFAR implementation \n and we are deeply grateful for the ongoing deep coordination with the Global Fund and UNAIDS.","bbox":{"left":0.117686,"top":0.791963,"width":0.762953,"height":0.05056500000000008}},{"text":"As you will see in COP guidance this year, there are no substantial changes in program direction. While \n assessing possible deficits in programming arising from COVID-19 our fundamental challenges continue \n and we again highlight 5 overarching issues we see across PEPFAR.","bbox":{"left":0.117686,"top":0.855903,"width":0.7564110000000001,"height":0.05040800000000001}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}