Mark R. Dybul
American diplomat and former executive director of The Global Fund to Fight AIDS, Tuberculosis and Malaria
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Aug 11, 2026
Theory of Change: #9: Mark Dybul says this was never the plan for PEPFAR
41:12
41:24
41:43

Michael IgoeHOST
So I know that you raised this as a concern, so I'm not saying that you're not thinking about this, but help me understand how sustainability or how transition happens in that context, that atmosphere.

Mark DybulGUEST
I mean, European, UK, other Asian funders and implementers have also been keen on this and the Global Fund.

Mark DybulGUEST
They've actually funded community-based delivery because of that last issue that people are reticent to go.
15 MINS LATER
Mark Dybul says this was never the plan for PEPFAR
30:28
30:35
30:51
72:16

Mark DybulGUEST
So let me tell you a really important anecdote And then from that, drive out a little bit more.

Mark DybulGUEST
Where, where, where I've been spending most of my time in the last, um, 18 months and really, uh, since I've been at Georgetown, is supporting countries, uh, to really have their sovereignty to move forward to, to achieve what they want to achieve.

Mark DybulGUEST
And in this moment, they, as you pointed out, they actually do see opportunity, um, to, to do that.
41 MINS LATER

Michael IgoeHOST
... you know, big picture, how do you think about the technology component of this?