ArticleBMC infectious diseases2015
"From me to HIV": a case study of the community experience of donor transition of health programs.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Reducing violence and increasing condom use in the intimate partnerships of female sex workers: study protocol for Samvedana Plus, a cluster randomised controlled trial in Karnataka state, south India.BMC public health · 2016Trial
- The impact of shifts in PEPFAR funding policy on HIV services in Eastern Uganda (2015-21).Health policy and planning · 2024Article
- From External to Local: Opportunities and Lessons Learned from Transitioning COMSA-Mozambique.The American journal of tropical medicine and hygiene · 2023Article
- The impacts of donor transitions on health systems in middle-income countries: a scoping review.Health policy and planning · 2022Article
- Effects of transition on HIV and non-HIV services and health systems in Kenya: a mixed methods evaluation of donor transition.BMC health services research · 2021Article
- The impact of loss of PEPFAR support on HIV services at health facilities in low-burden districts in Uganda.BMC health services research · 2021Article
- How donors support civil society as government accountability advocates: a review of strategies and implications for transition of donor funding in global health.Globalization and health · 2020Review
- Political commitment for vulnerable populations during donor transition.Bulletin of the World Health Organization · 2017Article
- The Avahan Transition: Effects of Transition Readiness on Program Institutionalization and Sustained Outcomes.PloS one · 2016Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundAvahan, a large-scale HIV prevention program in India, transitioned over 130 intervention sites from donor funding and management to government ownership in three rounds. This paper examines the transition experience from the perspective of the communities targeted by these interventions.
methodsFifteen qualitative longitudinal case studies were conducted across all three rounds of transition, including 83 in-depth interviews and 45 focus group discussions. Data collection took place between 2010 and 2013 in four states: Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu.
resultsWe find that communication about transition was difficult at first but improved over time, while issues related to employment of peer educators were challenging throughout the transition. Clinical services were shifted to government providers resulting in mixed experiences depending on the population being targeted. Lastly, the loss of activities aimed at community ownership and mobilization negatively affected the beneficiaries' view of transition.
conclusionsWhile some programmatic changes resulted in improvements, additional opportunity costs for beneficiaries may pose barriers to accessing HIV prevention services. Communicating and engaging community stakeholders early on in future such transitions may mitigate negative feelings and lead to more constructive relationships and dialogue.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.