TY - JOUR
T1 - Innovation profile
T2 - How the avahan HIV prevention program transitioned from the gates foundation to the government of India
AU - Sgaier, Sema K.
AU - Ramakrishnan, Aparajita
AU - Dhingra, Neeraj
AU - Wadhwani, Alkesh
AU - Alexander, Ashok
AU - Bennett, Sara
AU - Bhalla, Aparajita
AU - Kumta, Sameer
AU - Jayaram, Matangi
AU - Gupta, Pankaj
AU - Piot, Peter K.
AU - Bertozzi, Stefano M.
AU - Anthony, John
PY - 2013
Y1 - 2013
N2 - Developing countries face diminishing development aid and time-limited donor commitments that challenge the long-term sustainability of donor-funded programs to improve the health of local populations. Increasing country ownership of the programs is one solution. Transitioning managerial and financial responsibility for donorfunded programs to governments and local stakeholders represents a highly advanced form of country ownership, but there are few successful examples among large-scale programs. We present a transition framework and describe how it was used to transfer the Bill & Melinda Gates Foundation's HIV/AIDS prevention program, the Avahan program, to the Government of India. Essential features recommended for the transition of donor-funded programs to governments include early planning with the government, aligning donor program components with government structures and funding models prior to transition, building government capacity through active technical and management support, budgeting for adequate support during and after the transition, and dividing the transition into phases to allow time for adjustments and corrections. The transition of programs to governments is an important sustainability strategy for efforts to scale up HIV prevention programs to reach the populations most at risk.
AB - Developing countries face diminishing development aid and time-limited donor commitments that challenge the long-term sustainability of donor-funded programs to improve the health of local populations. Increasing country ownership of the programs is one solution. Transitioning managerial and financial responsibility for donorfunded programs to governments and local stakeholders represents a highly advanced form of country ownership, but there are few successful examples among large-scale programs. We present a transition framework and describe how it was used to transfer the Bill & Melinda Gates Foundation's HIV/AIDS prevention program, the Avahan program, to the Government of India. Essential features recommended for the transition of donor-funded programs to governments include early planning with the government, aligning donor program components with government structures and funding models prior to transition, building government capacity through active technical and management support, budgeting for adequate support during and after the transition, and dividing the transition into phases to allow time for adjustments and corrections. The transition of programs to governments is an important sustainability strategy for efforts to scale up HIV prevention programs to reach the populations most at risk.
UR - http://www.scopus.com/inward/record.url?scp=84880604408&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880604408&partnerID=8YFLogxK
U2 - 10.1377/hlthaff.2012.0646
DO - 10.1377/hlthaff.2012.0646
M3 - Article
C2 - 23836743
AN - SCOPUS:84880604408
SN - 0278-2715
VL - 32
SP - 1265
EP - 1273
JO - Health Affairs
JF - Health Affairs
IS - 7
ER -