Creating Sustainable HIV Programs through Transition Planning

In recent years, the mission of the United States President's Emergency Plan For AIDS Relief (PEPFAR) has evolved from an emergency response to one that supports sustainable HIV & AIDS programming in the developing world. This change involves shifting funds from direct service delivery to technical assistance, capacity building, and systems strengthening.  To enhance program sustainability, donors and implementers are also supporting more country-driven national HIV programs, rather than programs managed by implementing agencies.  MSH is supporting these changes by working with governments and civil society to ensure greater country ownership of HIV programs and greater local technical and financial management of national HIV activities. MSH also supports transition planning as an extension of our commitment to increase program sustainability.  

Prevention and Organizational Systems – AIDS Care and Treatment (ProACT)

In Nigeria, MSH’s ProACT program has been involved in the US government’s efforts to maximize program efficiency and coverage by consolidating HIV treatment activities under one US government-supported implementing partner in each state.  To support this transition, ProACT has helped to create state teams consisting of government, civil society, and implementing partner representatives. ProACT is also building the capacity of Nigeria’s public, private, and community sectors to support sustainable HIV & AIDS and TB control programs that are efficiently integrated with the health system. ProACT works in close collaboration with the Nigerian State AIDS Control Associations to transfer technical expertise and funding to local entities and community based organizations that will assume program responsibility. In addition, ProACT works with State AIDS Control Associations to ensure that all programmatic functions, community activities, and structures are sustained throughout the transition process.  

Vietnam Transition Support Project

Vietnam has achieved considerable progress in its response to HIV & AIDS with generous support from the international community over a number of years. Recently, this partnership has moved towards greater country ownership, including reducing external funding and refocusing assistance from a direct service delivery approach to a model that emphasizes technical support. Through the Transition Support Project, MSH supports the Vietnam Administration for HIV/AIDS Control, the US government’s PEPFAR program, and other stakeholders in effectively transitioning the donor support model and decreasing external funding. The project is creating an evidence-based approach to transitioning HIV programs to host governments by focusing on the following three areas: 

  • Leadership:  Support transition policies and processes at central and provincial levels
  • Human Resources:  Support capacity to plan and implement effective human resource transition
  • Finance:  Support funding options for an efficient and sustainable HIV & AIDS response

MSH is documenting and measuring transition processes so that successful approaches can be shared with the government of Vietnam, taken to scale, and expanded to other countries and settings.

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