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Transition and Sustainability: Lessons Learned, Questions and Priorities
July 26, 2018
Transition and Sustainability: Lessons Learned, Questions and Priorities
Transition and Sustainability: Lessons, Questions and Priorities
Outline
• Sustainability• Transition• The OpCon project• Satellite agenda
Transition and Sustainability: Lessons, Questions and Priorities
Much Accomplished – and Much Remaining to be Done
Number of New HIV Infections2020 Target
UNAIDS 2017 estimates. Global AIDS Monitoring 2017
Transition and Sustainability: Lessons, Questions and Priorities
Sustainability
Transition and Sustainability: Lessons, Questions and Priorities
Resources available for HIV in LMIC: all sources
Development Assistance for HIV/AIDS: 1990-2017
Transition and Sustainability: Lessons, Questions and Priorities
PEPFAR Funding, FY 2004-2018
Kaiser Family Foundation
Transition and Sustainability: Lessons, Questions and Priorities
Where does external HIV funding go?HIV/AIDS Development Assistance for Health 2015
HIV/AIDS Development Assistance for Health 2015
Transition and Sustainability: Lessons, Questions and Priorities
What does External HIV Funding Support?
Global Fund
NGOs & Foundations
United States
Care and SupportCounseling & Testing
Prevention
Health Systems
Treatment
OVCPMTCT
Other
Transition and Sustainability: Lessons, Questions and Priorities
Resources Needed
Fast-Track update on investments needed in the AIDS response, 2016–2030. Geneva: UNAIDS; 2016.
Transition and Sustainability: Lessons, Questions and Priorities
Sustainability and the PEPFAR Agenda
Human RightsImpactEfficiencyPartnershipSustainability
“For PEPFAR, sustainability of the HIV response means that a country has the enabling environment, services, systems and resources required to effectively and efficiently contain the HIV/AIDS epidemic.”
Sustainable HIV Epidemic ControlPEPFAR Position Paper, November 2016
Transition and Sustainability: Lessons, Questions and Priorities
The PEPFAR Sustainability Index
Transition and Sustainability: Lessons, Questions and Priorities
Sustainability and the Global Fund
Transition and Sustainability: Lessons, Questions and Priorities
Transition
Transition and Sustainability: Lessons, Questions and Priorities
Global Fund Transitions
Transition and Sustainability: Lessons, Questions and Priorities
Projected Global Fund HIV Transitions 2015-2040
Silverman, Center for Global Development, July 2018
OpCon Year 1 Projects
• Zambia: Adolescent self-testing • Zimbabwe: Urban DSD models• Côte d’Ivoire: Evaluation of out-of-pocket costs for adults on ART• Mozambique: Machine learning to predict defaulters• South Africa: Evaluation of CHW scale-up (part of the “surge”)
Can be used to fund program evaluations, costing studies, modeling, technical assistance, demonstration projects
Today’s Session• Michael Ruffner, Deputy Coordinator, Financial and Programmatic Sustainability, Office of
the Global AIDS Coordinator, U.S. Department of State. Sustainability: the view from PEPFAR.• Ade Fakoya, Senior Disease Coordinator, HIV, The Global Fund for AIDS, TB & Malaria
Sustainability: the view from the Global Fund.• Emily Hyle, Assistant Professor of Medicine, Harvard Medical School. Do less harm: modeling of
HIV program contraction • Henry Zakumumpa, Makerere University & Jess Wilhelm, Johns Hopkins University. The
impact of the PEPFAR pivot on “non priority” sites in Uganda. • Anna Deryabina, Central Asia Country Director, ICAP Columbia. The impact of Global Fund
transition strategies on national HIV programs in Central Asia.• Tom Ellman, Director, Southern African Medical Unit, Médicins Sans Frontières. What happens
to HIV programs when donors leave? • Gerald Gwinji, Secretary, Ministry of Health and Child Care, Zimbabwe. Zimbabwe’s approach to
HIV program transition and sustainability.
Transition and Sustainability: Lessons, Questions and Priorities
Acknowledgements
This project is supported by the U.S. President's Emergency Plan for AIDS Relief, through the Health Resources and Services Administration (HRSA) of
the U.S. Department of Health and Human Services (HHS) under grant UJ7HA31180, Optimizing Momentum toward Sustainable Epidemic
Control. This information or content and conclusions should not be construed as the official position or policy of, nor should any endorsements be inferred
by HRSA, HHS or the U.S. Government.