The Avahan transition: Effects of transition readiness on program institutionalization and sustained outcomes

Sachiko Ozawa, Suneeta Singh, Kriti Singh, Vibha Chhabra, Sara C Bennett

Research output: Contribution to journalArticle

Abstract

Background: With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition. Methods: Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS). Exploratory factor analysis was used to develop two measures: 1) transition readiness pre-transition, and 2) institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors) post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization. Results: Transition readiness data revealed 3 factors (capacity, alignment and communication), on a 15-item scale with adequate internal consistency (alpha 0.73). Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60). Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p

Original languageEnglish (US)
Article numbere0158659
JournalPLoS One
Volume11
Issue number7
DOIs
StatePublished - Jul 1 2016

Fingerprint

management information systems
Institutionalization
ownership
animal communication
least squares
Sustainable development
Health
India
Management information systems
Factor analysis
Management Information Systems
Ownership
Condoms
Least-Squares Analysis
Statistical Factor Analysis
Communication
Acquired Immunodeficiency Syndrome
methodology
Demography
HIV

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

The Avahan transition : Effects of transition readiness on program institutionalization and sustained outcomes. / Ozawa, Sachiko; Singh, Suneeta; Singh, Kriti; Chhabra, Vibha; Bennett, Sara C.

In: PLoS One, Vol. 11, No. 7, e0158659, 01.07.2016.

Research output: Contribution to journalArticle

Ozawa, Sachiko ; Singh, Suneeta ; Singh, Kriti ; Chhabra, Vibha ; Bennett, Sara C. / The Avahan transition : Effects of transition readiness on program institutionalization and sustained outcomes. In: PLoS One. 2016 ; Vol. 11, No. 7.
@article{613d9042995948ef97db105d0c28a8ca,
title = "The Avahan transition: Effects of transition readiness on program institutionalization and sustained outcomes",
abstract = "Background: With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition. Methods: Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS). Exploratory factor analysis was used to develop two measures: 1) transition readiness pre-transition, and 2) institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors) post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization. Results: Transition readiness data revealed 3 factors (capacity, alignment and communication), on a 15-item scale with adequate internal consistency (alpha 0.73). Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60). Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p",
author = "Sachiko Ozawa and Suneeta Singh and Kriti Singh and Vibha Chhabra and Bennett, {Sara C}",
year = "2016",
month = "7",
day = "1",
doi = "10.1371/journal.pone.0158659",
language = "English (US)",
volume = "11",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "7",

}

TY - JOUR

T1 - The Avahan transition

T2 - Effects of transition readiness on program institutionalization and sustained outcomes

AU - Ozawa, Sachiko

AU - Singh, Suneeta

AU - Singh, Kriti

AU - Chhabra, Vibha

AU - Bennett, Sara C

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Background: With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition. Methods: Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS). Exploratory factor analysis was used to develop two measures: 1) transition readiness pre-transition, and 2) institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors) post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization. Results: Transition readiness data revealed 3 factors (capacity, alignment and communication), on a 15-item scale with adequate internal consistency (alpha 0.73). Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60). Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p

AB - Background: With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition. Methods: Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS). Exploratory factor analysis was used to develop two measures: 1) transition readiness pre-transition, and 2) institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors) post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization. Results: Transition readiness data revealed 3 factors (capacity, alignment and communication), on a 15-item scale with adequate internal consistency (alpha 0.73). Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60). Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p

UR - http://www.scopus.com/inward/record.url?scp=84979502850&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84979502850&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0158659

DO - 10.1371/journal.pone.0158659

M3 - Article

C2 - 27434542

AN - SCOPUS:84979502850

VL - 11

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 7

M1 - e0158659

ER -