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The administration of government is closely related to public policy and will be effective if it is accompanied by a healthy bureaucracy. Policymakers at each level have different powers based on their authority. As a result, policymakers' actions in the form of government programs must achieve the goals or objectives. This article describes the interrelationship between the role of bureaucrats and transformational leadership in an effort to maintain organizational balance in HIV/AIDS prevention efforts. Elements of transformational leadership, such as idealized influence, inspirational motivation, intellectual stimulation, and individual consideration, must be consistently maintained to maintain organizational balance. A transformational leader must be able to inspire and result in more innovative organizational performance and commitment to achieving organizational goals.