Abstract
The AIDS Prevention and Control Project (APAC), a unique public private partnership, has been described as USAID/Indias HIV/AIDS flagship project. Operating in the southern state of Tamil Nadu from 19952012 with a budget of $47.25 million, it has provided direct HIV-prevention services through local nongovernmental organizations (NGO) and technical assistance to both the Tamil Nadu State AIDS Control Society (TANSACS) and the National AIDS Control Organization (NACO). This evaluation provides a rigorous analysis of APACs impact on health outcomes in Tamil Nadu and of the elements contributing to APACs successful reputation. This report provides contextual information about HIV/AIDS in India and Tamil Nadu and describes APACs three phases. Evaluation methodology is followed by findings in three key areas of inquiry: (1) the NGO-government partnership model; (2) health outcomes; and (3) technical assistance. The report then offers the teams conclusions and identifies factors that contributed to the findings. Finally, the report offers recommendations for future HIV/AIDS and health systems strengthening (HSS) programming to USAID as well as to NACO and TANSACS, as both remain active partners in APAC.