Transition Assessment

Panama Transition Readiness Assessment Country Report

This report summarizes the findings of the Transition Readiness Assessment for Panama carried out by Aceso Global and APMG Health, with financial and technical support from the Global Fund to Fight AIDS, Tuberculosis and Malaria. It aims to support Panama’s transition planning as the Global Fund scales down its financial support for the national tuberculosis and HIV/AIDS responses. To produce a complete report, the Aceso Global team used the Guidance for Global Fund Transition to inform the analysis and consulted with numerous local stakeholders, including government officials at the Ministries of Health and Finance, Global Fund staff members and local civil society organizations. 

The report summarizes the Global Fund's financial and non-financial support to the country, analyzes the epidemiological situation as well as the national response in Panama and provides a background on the institutional and enabling environments, human rights and gender situation.  

Based on a thorough analysis of the Panamanian health system, the Aceso Global team identified the most pressing opportunities and threats to be considered during the transition process. Recommendations included the following: increasing the outreach to high risk communities to improve the identification of TB patients, particularly among indigenous groups and communities with weak links to primary care clinics; merging the HIV and TB programs of the Ministry of Health and the Social Security Fund to avoid duplication of effort and reduce inefficiencies; and committing to anti-discriminations actions. In addition, the report underlined civil society organizations’ urgent need for assistance in sustainability planning.

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Dominican Republic Transition Readiness Assessment Country Report

This report summarizes the findings of the Transition Readiness Assessment for the Dominican Republic carried out by Aceso Global and APMG Health, with financial and technical support from the Global Fund to Fight AIDS, Tuberculosis and Malaria. It aims to support the Dominican Republic to undertake transition planning as the Global Fund winds down its financial support for the national tuberculosis and HIV/AIDS responses.

Specifically, the report: 1) summarizes the Global Fund's financial and non-financial support to the country; 2) describes the epidemiological situation as well as the national response in the Dominican Republic; 3) provides a background on the institutional and enabling environments, human rights and gender situation; 4) overviews the Dominican Republic's health system and analyzes healthcare financing and fiscal space issues; 5) analyzes delivery system enablers and barriers to transition, including supply chain, information systems and the health workforce; and 6) assesses the current and future role of civil society organizations in the national disease responses. The report concludes with recommendations on the pathway forward to facilitate a smooth and sustainable transition.

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Guidance for Analysis of Country Readiness for Global Fund Transition

Aceso Global was tasked by the Global Fund to develop a tool to help countries through the transition process as Global Fund contributions wane and consequently national governments and other in-country stakeholders are expected to shoulder an increasing burden of disease financing and programmatic responsibilities. This Guidance is the culmination of these efforts. It aims to help countries identify financial, programmatic and governance gaps, bottlenecks and risks in the health system that might affect transition.

Specific areas of investigation include service delivery, procurement and supply chain management, human resources, information systems, monitoring and evaluation (M&E), community systems and responses, and health financing, among others. A modular approach allows for flexibility and analysis tailored to country-specific context.

The Guidance was refined following a pilot in Paraguay led by Aceso Global in January 2017, and has since been successfully implemented in Panama and the Dominican Republic.  

 

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Preparing for Transition from Donor Funding: Developing a Stakeholder Engagement Tool for the Global Fund in LAC

This presentation introduces Aceso Global’s work for The Global Fund to Fight AIDS, Tuberculosis and Malaria, conducting Transition Readiness Assessments in Latin America to help middle-income countries transition away from reliance on donor funding for these diseases. The work, as outlined in the presentation, includes the development and testing of a transition tool comprised of specific modules that will help assess whether countries are ready – financially, managerially, and politically – to shoulder a greater share of disease funding and program oversight. The findings will inform analytical reports and country-specific recommendations on this topic.  

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Sustainability of Global Fund Supported Programs: Brazil Country Case Study

This report summarizes the policies, programs and levels of investment in malaria, tuberculosis and HIV/AIDS in Brazil, linking these to broader Brazilian healthcare initiatives and to both general and specific investments. It provides the background necessary to understanding the contribution of the Global Fund, and the country’s transition away from that support once funding for malaria and tuberculosis ended. Brazil’s strong commitment to health, early establishment of excellence, its depth of technical expertise, and its ability to implement complex health programs has translated into a level of independence that relies on outside support for only part of its agenda. That in turn facilitates adapting to declining external transfers, and an understanding that transition means establishing functioning and funded institutions.

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