Both last week and this week, Health GAP staff and allies have been in Johannesburg, South Africa for the President's Emergency Plan for AIDS Relief (PEPFAR) Country Operational Plan (COP) Reviews. These two rounds of three-day intensive meetings with PEPFAR staff, representatives from country governments, civil society, UNAIDS, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Health Organization, will determine how billions of dollars in funding for HIV treatment and prevention will be spent between 2016 and 2017 in some of the highest burden countries and communities around the world.