How the Avahan HIV prevention program transitioned from the Gates Foundation to the government of India

/ / Faculty Research in Asia, Research

CGPH AFFILIATED FACULTY: Stefano Bertozzi

DATE OF PUBLICATION: July 2013

REGION: Asia (India)

REFERENCE: Sgaier SK, Ramakrishnan A, Dhingra N, Wadhwani A, Alexander A, Bennett S, Bhalla A, Kumta S, Jayaram M, Gupta P, Piot PK, Bertozzi SM, Anthony J. How the Avahan HIV prevention program transitioned from the Gates Foundation to the government of India. Health Aff (Millwood). 2013 Jul;32(7):1265-73. doi: 10.1377/hlthaff.2012.0646.

SUMMARY/ABSTRACT: 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 donor-funded 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.

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