Setting Up Shop in Africa: A Growing Challenge for U.S. Research Institutions

Research institutions in the United States increasingly are becoming involved in sponsored programs that require them to establish significant operations in one or more countries in Africa. One example of such a program is the President's Emergency Plan for AIDS Relief (PEPFAR), which sponsors HIV/AIDS treatment programs in 15 African countries, and in over 100 other countries outside the United States. Over 40 U.S. institutions currently are involved in the PEPFAR program, and although for each of them the greatest and most important challenge is achieving the program's medical and scientific aims, each at the outset also must solve another very practical problem – how to set up shop in Africa.

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