Abstract
There is no substitute for either local knowledge or national leadership as the world moves towards the endgame in the HIV/AIDS epidemic. Increased country engagement, or so-called country ownership, in HIV and health programming is central to achieve adequate scale in service delivery, improve the acceptability of interventions, increase domestic investments in health, and advance integration of HIV programming with national health goals and systems. The concept of country ownership was established as a cornerstone of international assistance by the 2005 Paris Declaration on Aid Effectiveness,1 and was reaffirmed by the 2008 Accra Agenda for Action.
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