In June 2001, at the United Nations General Assembly Special Session on HIV/AIDS (UNGASS), 189 national governments, including the United States, adopted the Declaration of Commitment on HIV/AIDS. The document commits governments to improve responses to their domestic AIDS epidemics and sets targets for AIDS-related financing, policy, and programming.

The Declaration also stipulates that governments conduct periodic reviews to assess progress on realizing their UNGASS commitments. In recognition of the crucial role civil society plays in the response to HIV/AIDS, the Declaration calls on governments to include civil society, particularly people living with HIV/AIDS, in the review process.

OSI's Public Health Watch HIV/AIDS Monitoring Project partners with civil society organizations in Nicaragua, Senegal, Ukraine, the United States, Vietnam, and Zambia to monitor and advocate for improved governmental efforts to comply with the UNGASS Declaration of Commitment on HIV/AIDS. This report provides an overview of Public Health Watch partners' findings in these six countries, as well as a lengthier assessment of U.S. HIV/AIDS policy.