Replicate PEPFAR's localization model across all of USAID

What has happened

1. Jun 30, 2026 Partially done

   Extended beyond health. The PEPFAR transition strategy delivered to Congress on 2026-06-10 commits every partner country to a two-to-five-year structured transition to country-led ownership with declining U.S. budgets and "an effort to move from international implementing partners to direct government-led programming"; the locally-led development report of 2026-06-30 applies the same approach to development and humanitarian assistance. `partial` and not `done`: the Mandate's model was a rising share of funding disbursed to local entities, and the replicated mechanism routes money to recipient governments and to OCHA-administered pooled funds rather than to local implementers as such - the published local-partner share of the first OCHA contribution is 13 percent, not the 70 percent the Quote cites for PEPFAR. USAID, the organization the Quote said to replicate it across, no longer exists.

   • Report to Congress on A Multi-Year Structured Transition of Programs Supported by PEPFAR to Country-Led Ownership (SFOAA sec. 7058(d))

     Primary Executive branch Jun 10, 2026

   • Report to Congress on Advancing Locally Led Development and Humanitarian Response (SFOAA sec. 7019(e))

     Primary Executive branch Jun 30, 2026

2. Sep 18, 2025 Partially done

   The America First Global Health Strategy extends PEPFAR's country-ownership logic across all U.S. health foreign assistance: multi-year bilateral agreements with recipient governments, co-investment and performance benchmarks, funding for 100 percent of frontline commodity purchases and frontline healthcare workers, and a shift of technical assistance "from supporting individual clinical sites to supporting governments in taking over key functions", explicitly leveraging the private sector and faith-based organizations. The strategy's own diagnosis is the Mandate's: only about 40 percent of PEPFAR's budget reaches service delivery, and Uganda alone had 57 implementing partners and more than 300 sub-recipients in FY2024.

   • America First Global Health Strategy (State Department, Bureau of Global Health Security and Diplomacy)

     Primary Executive branch Sep 18, 2025