OGAC

OGAC, or the Office of the U.S. Global AIDS Coordinator and Health Diplomacy, is a U.S. government office within the Department of State responsible for coordinating international HIV/AIDS policy and diplomacy, primarily through the President's Emergency Plan for AIDS Relief (PEPFAR).

The office develops strategy, coordinates policy and diplomacy, and oversees the implementation of PEPFAR. It ensures alignment among U.S. agencies, including the Department of State, USAID, and the Department of Health and Human Services, and works with partner governments, multilateral organizations, and non-governmental organizations. It also supports program monitoring and accountability, annual reporting, and data-driven decision making.

Leadership: The office is headed by the U.S. Global AIDS Coordinator and Health Diplomacy, a position usually filled by an ambassador-level appointee who is designated by the President and confirmed by the Senate. The coordinator leads cross-agency policy development, budget planning, and oversight of PEPFAR's international HIV/AIDS activities.

History: OGAC emerged to provide centralized leadership for the U.S. global HIV/AIDS relief program under PEPFAR, which was established by law in 2003. Since its creation, OGAC has guided U.S. international HIV/AIDS assistance through successive administrations, emphasizing rapid scale-up, country-led planning, and sustainable program approaches.