Transitioning a Large Scale HIV/AIDS Prevention Program to Local Stakeholders: Findings from the Avahan Transition Evaluation

PloS One
Sara BennettNeeraj Dhingra

Abstract

Between 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. The 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. Transition 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,...Continue Reading

References

Apr 9, 1999·International Journal of Epidemiology·J P HabichtJ P Vaughan
Sep 24, 2011·American Journal of Public Health·Mary Ann Scheirer, James W Dearing
Oct 14, 2011·Journal of the International AIDS Society·Ashley M FoxTill Bärnighausen
Jul 20, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Eric GoosbyThomas Walsh
Dec 12, 2012·The International Journal of Health Planning and Management·Shunsuke MabuchiSara Bennett
Dec 19, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Matthew M Kavanagh
Aug 12, 2014·The Lancet Global Health·Chris Collins, Chris Beyrer

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Citations

Jan 21, 2016·African Journal of AIDS Research : AJAR·Gemma Oberth, Alan Whiteside
Jul 19, 2021·Globalization and Health·Mary QiuSara Bennett

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