ArticlePloS one2015
Transitioning a Large Scale HIV/AIDS Prevention Program to Local Stakeholders: Findings from the Avahan Transition Evaluation.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Transitioning a large-scale HIV/AIDS treatment program from an international partner to a local Nigerian implementing partner: a before-after early outcomes assessment study.BMC health services research · 2025Article
- Supporting local ownership of transition processes: a key pathway to sustaining the HIV response.BMJ global health · 2025Review
- Shaping sustainable paths for HIV/AIDS funding: a review and reminder.Annals of medicine and surgery (2012) · 2025Review
- Managing transitions from external assistance: cross-national learning about sustaining effective coverage.Health policy and planning · 2024Article
- HIV programme sustainability in Southern and Eastern Africa and the changing role of external assistance for health.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
- Stakeholders' Perspectives on the Financial Sustainability of the HIV Response in Nigeria: A Qualitative Study.Global health, science and practice · 2023Article
- The impacts of donor transitions on health systems in middle-income countries: a scoping review.Health policy and planning · 2022Article
- Rethinking external assistance for health.Health policy and planning · 2022Article
- Working toward sustainability: Transitioning HIV programs from a USA-based organization to a local partner in Zimbabwe.PloS one · 2022Article
- Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda.Globalization and health · 2021Article
- 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
- From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India.BMJ global health · 2021Article
- The differential impacts of PEPFAR transition on private for-profit, private not-for-profit and publicly owned health facilities in Uganda.Health policy and planning · 2020Article
- Article
- The Challenges of Transition From Donor-Funded Programs: Results From a Theory-Driven Multi-Country Comparative Case Study of Programs in Eastern Europe and Central Asia Supported by the Global Fund.Global health, science and practice · 2019Article
- Enhancing financial security of female sex workers through a community-led intervention in India: Evidence from a longitudinal survey.PloS one · 2019Article
- The impact of PEPFAR transition on HIV service delivery at health facilities in Uganda.PloS one · 2019Article
- Article
- Feasibility, acceptability and potential sustainability of a 'diagonal' approach to health services for female sex workers in Mozambique.BMC health services research · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetween 2009-2013 the Bill and Melinda Gates Foundation transitioned its HIV/AIDS prevention initiative in India from being a stand-alone program outside of government, to being fully government funded and implemented. We present an independent prospective evaluation of the transition.
methodsThe evaluation drew upon (1) a structured survey of transition readiness in a sample of 80 targeted HIV prevention programs prior to transition; (2) a structured survey assessing institutionalization of program features in a sample of 70 targeted intervention (TI) programs, one year post-transition; and (3) case studies of 15 TI programs.
findingsTransition was conducted in 3 rounds. While the 2009 transition round was problematic, subsequent rounds were implemented more smoothly. In the 2011 and 2012 transition rounds, Avahan programs were well prepared for transition with the large majority of TI program staff trained for transition, high alignment with government clinical, financial and managerial norms, and strong government commitment to the program. One year post transition there were significant program changes, but these were largely perceived positively. Notable negative changes were: limited flexibility in program management, delays in funding, commodity stock outs, and community member perceptions of a narrowing in program focus. Service coverage outcomes were sustained at least six months post-transition.
interpretationThe study suggests that significant investments in transition preparation contributed to a smooth transition and sustained service coverage. Notwithstanding, there were substantive program changes post-transition. Five key lessons for transition design and implementation are identified.
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