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DoD Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Prevention Program (DHAPP) to Support Foreign Militaries

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1. PURPOSE. This directive: a. Reissues DoD Directive (DoDD) 6485.02E (Reference

 (a)) to establish policy and assign responsibilities for DHAPP to support foreign militaries pursuant to Public Law 110-293 (Reference 

(b)).Department of Defense DIRECTIVE NUMBER 6485.02E December 6, 2013 USD(P&R)


SUBJECT: DoD Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Prevention Program (DHAPP) to Support Foreign Militaries

References: See Enclosure 1

1. PURPOSE. This directive: 

a. Reissues DoD Directive (DoDD) 6485.02E (Reference (a)) to establish policy and assign responsibilities for DHAPP to support foreign militaries pursuant to Public Law 110-293 (Reference (b)).

b. Designates the Secretary of the Navy as the DoD Executive Agent (EA) for DHAPP in accordance with DoDD 5101.1 (Reference (c)).

c. Updates the responsibilities for the Coordinating Board for DHAPP (referred to in this directive as the Coordinating Board (CB)), consistent with DoD Instruction (DoDI) 5105.18 (Reference (d)).


2. APPLICABILITY. This directive applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff (CJCS) and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities within the DoD (referred to collectively in this directive as the “DoD Components”).

3. POLICY. It is DoD policy to:

a. Support the U.S. Government policy pursuant to Reference

(b) to minimize the pain and suffering caused by HIV/AIDS and the devastating impact on families, as well as the threat of international destabilization due to HIV/AIDS.

b. Focus on increasing capacity in foreign militaries to:

.(1) Design, establish, implement, monitor, and assess management effectiveness, and the costs, outcomes, and impacts of HIV/AIDS prevention and work place safety programs.

(2) Provide training, prevention education, military personnel testing, laboratory buildings, disease tracking.

(3) Establish and equip HIV testing centers.

c. Provide funding for development of programs and interventions to protect foreign nation armed forces from HIV/AIDS.

d. Not use DHAPP funds to purchase medications, including antiretroviral drugs, for the treatment of HIV infected individuals in foreign militaries.

4. RESPONSIBILITIES. See Enclosure 2.

5. RELEASABILITY. Unlimited. This directive is approved for public release and is available on the Internet from the DoD Issuances Website at http://www.dtic.mil/whs/directives.

6. EFFECTIVE DATE. This directive:

a. Is effective December 6, 2013.

b. Must be reissued, cancelled, or certified current within 5 years of its publication to be considered current in accordance with DoDI 5025.01 (Reference (e)).

c. Will expire effective December 6, 2023 and be removed from the DoD Issuances Website if it hasn’t been reissued or cancelled in accordance with Reference (e).

Ashton B. Carter Deputy Secretary of Defense

Enclosures

1. References 2. Responsibilities 3. Structure of the CB Glossary

DoDD 6485.02E, December 6, 2013

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.DoDD 6485.02E, December 6, 2013

ENCLOSURE 1

REFERENCES

(a) DoD Directive 6485.02E, “Human Immunodeficiency Virus (HIV)/Acquired Immune

Deficiency Syndrome (AIDS) Prevention: Support to Foreign Militaries,” November 7, 2006 (hereby cancelled) (b) Public Law 110-293, “Tom Lantos and Henry J. Hyde United States Global Leadership

Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008,” July 30, 2008 (c) DoD Directive 5101.1, “DoD Executive Agent,” September 3, 2002, as amended (d) DoD Instruction 5105.18, “DoD Intergovernmental and Intragovernmental Committee

Management Program,” July 10, 2009, as amended (e) DoD Instruction 5025.01, “DoD Directives Program,” September 26, 2012, as amended (f) DoD Directive 5105.65, “Defense Security Cooperation Agency (DSCA),”

October 26, 2012 (g) Defense Security Cooperation Agency Manual 5105.38-M, “Security Assistance

Management Manual,” April 30, 2012, as amended (h) Joint Publication 5-0, “Joint Operation Planning,” August 11, 2011

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ENCLOSURE 1

.DoDD 6485.02E, December 6, 2013

ENCLOSURE 2

RESPONSIBILITIES

1. UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS (USD(P&R)). The USD(P&R) provides guidance and oversight for DHAPP through the Assistant Secretary of Defense for Health Affairs (ASD(HA)).

2. ASD(HA). Under the authority, direction, and control of the USD(P&R), the ASD(HA):

a. Serves as the OSD Principal Staff Assistant for DHAPP. Oversees the DoD EA for DHAPP consistent with Reference (c).

b. Provides strategy, direction, and oversight for DHAPP in accordance with policy established by the Under Secretary of Defense for Policy (USD(P)).

c. Monitors the funding for DHAPP provided through the Defense Health Program (DHP) and the United States President’s Emergency Plan for AIDS Relief (PEPFAR).

d. Oversees the CB. Appoints a representative to be a permanent voting member.

e. Oversees the coordination of DHAPP activities and resources with the Department of State (DOS) Office of the Global AIDS Coordinator.

f. Assesses the effectiveness and efficiency of DHAPP in accordance with the requirements in Reference (b) and the policy established by the USD(P).

g. Provides an annual update to the USD(P&R) and USD(P) on the effectiveness and efficiency of DHAPP.

3. USD(P). The USD(P):

a. Establishes DoD policy for DHAPP consistent with national defense objectives.

b. Establishes Secretary of Defense security cooperation goals and priorities for DHAPP.

c. Oversees expenditures within the Overseas Humanitarian Disaster Assistance and Civic Aid program and the International Military Education and Training program affecting DHAPP in accordance with DoDD 5105.65 (Reference (f)) and Defense Security Cooperation Agency Manual 5105.38-M (Reference (g)).

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ENCLOSURE 2

.DoDD 6485.02E, December 6, 2013

d. Appoints a representative from the office of the Assistant Secretary of Defense for Special Operations and Low Intensity Conflict and the Defense Security Cooperation Agency to the CB as permanent voting members.

4. SECRETARY OF THE ARMY. The Secretary of the Army appoints a representative from the U.S. Army Medical Research and Material Command to the CB as a permanent voting member.

5. SECRETARY OF THE NAVY. As the DoD EA of DHAPP, the Secretary of the Navy:

a. Monitors daily operations and maintains operational and functional oversight of DHAPP; and provides administrative support and technical assistance.

b. Appoints the Director of DHAPP to oversee daily operations.

c. Represents DoD on issues that relate to DHAPP activities.

d. Coordinates DHAPP activities with the DOS Office of the Global AIDS Coordinator and implements the DoD programs in the United States PEPFAR initiative in accordance with Reference (b).

e. Oversees the execution of PEPFAR funding provided to the DoD for DHAPP in accordance with the policy established by the USD(P).

f. Annually reports DHAPP activities to the CB, and to the USD(P) and DOS through the ASD(HA), in accordance with Reference (b) and the procedures in DoD 8910.1-M (Reference (h)).

g. Reviews, approves, and prioritizes proposals to use DHP DHAPP funds and develops an implementation plan for approval by the CB.

(1) Requires that each proposal demonstrates:

(a) It is an integral part of the Theater Campaign Plan in accordance with Joint Publication 5-0 (Reference (h)).

(b) Each country included in the plan has an approved and documented HIV/AIDS prevention strategy within the host military.

(c) It supports sustainable HIV/AIDS prevention capabilities with measurable results.

(2) Publishes annually any changes to the established criteria for proposals that include:

(a) Training of master trainers and peer educators.

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ENCLOSURE 2

.DoDD 6485.02E, December 6, 2013

(b) Providing troop level HIV/AIDS prevention education and behavior change communication.

(c) Prevention training for HIV testing and counseling staff.

(d) Developing HIV epidemiology and strategic information capability in host militaries.

(e) Providing infrastructure and equipment for host-military HIV testing centers.

(f) Increasing testing of all host-country recruits, active duty, and Reserve Component military personnel.

(g) Developing HIV laboratory diagnostic capability.

(h) Improving workplace HIV prevention and safety programs.

(i) Defining metrics and documenting program effectiveness.

(j) Establishing regional HIV prevention, care and treatment training activities in accordance with Combatant Commanders’ guidance.

h. Submits an implementation plan for review by the CB that establishes priorities for the use of DHP funds in accordance with the policy established by the USD(P), and recommends the level of funding for each program.

6. CJCS. The CJCS appoints a representative to the CB as a permanent voting member.

7. COMBATANT COMMANDERS. Through the CJCS, the Combatant Commanders coordinate DHAPP activities within their Theater Campaign Plan with the DoD EA for DHAPP and relevant OSD Components.

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ENCLOSURE 2

.DoDD 6485.02E, December 6, 2013

ENCLOSURE 3

STRUCTURE OF THE CB

The CB provides strategy, direction, and oversight for DHP-funded DHAPP activities. All programs and activities are to be executed with the best public health and medical science available to the DoD.

a. Permanent Voting Members. Permanent voting members include the CB chair and one representative each from the ASD(HA), Assistant Secretary of Defense for Special Operations and Low Intensity Conflict, the CJCS, the DoD EA for DHAPP, the Defense Security Cooperation Agency, and the U.S. Army Medical Research and Material Command.

b. Short-Term Voting Members. Representatives from the Combatant Commands and the relevant DoD country or regional desks will be voting members for decisions affecting countries and regions within their areas of responsibility.

c. Non-Voting Members. Non-voting members will be invited as appropriate and may include representatives from the Military Department’s Surgeon General, U.S. Agency for International Development, Centers for Disease Control and Prevention, the DOS Office of the Global AIDS Coordinator, and others as determined by the Chair.

d. Leadership

(1) The Deputy Assistant Secretary of Defense for Clinical and Program Policy chairs the CB.

(2) The Director of DHAPP serves as the Executive Secretary and coordinates the CB meetings.

e. Duties. The CB meets biannually, or more frequently at the discretion of the CB chairperson, to:

(1) Oversee the DHP appropriations for DHAPP.

(2) Establish priorities and determine the regional allocation of funding for the subsequent fiscal year no later than October 30. Reviews the implementation plan provided by the DoD EA, selects eligible countries, and determines level of funding using the following criteria:

(a) Annual DHP appropriation for DHAPP.

(b) Security cooperation goals and priorities established by the USD(P).

(c) Impact of HIV/AIDS on military populations.

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ENCLOSURE 3

.DoDD 6485.02E, December 6, 2013

(d) Input from OSD regional offices and Combatant Commanders.

(3) Develop the DHP DHAPP execution plan. Coordinates the execution plan with the DoD EA, Combatant Commanders, and OSD regional or country desks by December 30 each year.

(4) Review program expenditures in accordance with the approved DHP DHAPP execution plan. Direct reallocation of unobligated funding and redistribution of funding from programs that are not performing according to the execution plan.

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ENCLOSURE 3

.DoDD 6485.02E, December 6, 2013

GLOSSARY

ABBREVIATIONS AND ACRONYMS

AIDS acquired immune deficiency syndrome ASD(HA) Assistant Secretary of Defense for Health Affairs

CB Coordinating Board CJCS Chairman of the Joint Chiefs of Staff

DHAPP DoD HIV/AIDS Prevention Program DHP Defense Health Program DoDD Department of Defense directive DoDI Department of Defense instruction DOS Department of State

EA Executive Agent

HIV human immunodeficiency virus

PEPFAR President’s Emergency Plan for AIDS Relief

USD(P) Under Secretary of Defense for Policy USD(P&R) Under Secretary of Defense for Personnel and Readiness

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GLOSSARY


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