Category Archive for "Transition and Sustainabuility"

Transition Preparedness Assessment

Sustainability of national HIV and TB programs gains importance in light of recent changes in the global health landscape when external funders are redirecting resources to poorer states while phasing out from middle-income countries.

TPA tool

TPA framework structure

Objectively evaluation of the country transition readiness is a key in transition process. With this aim in 2015 Curatio International Foundation developed a Transition Preparedness Assessment (TPA) Framework with the Global Fund financial support and piloted in four Eastern European countries Belarus, Bulgaria, Georgia, Ukraine.

The country Case Studies present findings in a standardized way that enable country stakeholders to prioritize areas that need most attention during transition planning and implementation. In addition, the assessment findings are useful for the donors to guide the country in the transition process. These countries share important similarities that are presented in the Synthesis Report. The three countries case studies are also downloadable below.

Synthesis report – 4 countries
Ukraine-case study
Georgia-case study
Belarus – case study

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Assessment of GAVI Alliance HSS support to Tajikistan

In August 2014, Curatio International Foundation conducted an assessment of GAVI Alliance HSS support to Tajikstan to provide solid evidence of to what extent the support achieved its objectives and contributed to strengthen the health system of the country.

The assessment aimed to identify successes, key challenges and lessons learned that may help GAVI Alliance to improve the design and implementation of future HSS support to Tajikistan and other countries. The assessment covered the period of GAVI’s HSS grant to Tajikistan from 2008-2014.

The full report of the assessment is now available on GAVI’s website. Please visit the page for more information.

You can also download the full report here.

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Final Evaluation of Gavi’s Support to Albania

After the conclusion of Gavi’s support period (2014) to the Albania, Curatio International Foundation conducted the evaluation study and assessed financial and programmatic sustainability through an in-depth analysis of Albania’s experiences and immunization programme performance before, during and after the conclusion of Gavi’s support period to the country.

The evaluation also identified factors contributing to the sustainability of these programs and their achievements. The evaluation considered the types and quality of support received and the way in which Gavi’s support to Albania was considered.

Main Findings:
  • The coordination mechanism between partners  established at the time of Gavi support continues to operate, although the frequency of the meetings has decreased
  • All Gavi supported activities have been continued : The Hep B and pentavalent vaccines and Auto-Disable (AD) syringes are fully financed by the Government, and are safeguarded in the MoH budget
  • Stable and high immunization coverage rates (> 95%) for all antigens included in the national immunization schedule have been sustained as of today at the national and district levels
  • Achievements in safe injection have been sustained in Albania
  • After Gavi support ended, Albania has continued to introduce new vaccines
  • The budget planning mechanism used for vaccine procurement during the Gavi support period has been maintained and institutionalized
  • The use of the UNICEF procurement mechanism for purchasing all vaccines in the immunization schedule has been sustained.

The full report of the evaluation is now available on the GAVI’s website, please visit the page for more information.

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Response to the “Final evaluation of GAVI support to Bosnia and Herzegovina”

Gavi, the Vaccine Alliance published response to the “Final evaluation of Gavi support to Bosnia and Herzegovina” conducted by Curatio International Foundation.

Gavi assess the final evaluation and the given recommendations as an important document for the transition country program development.

Sarajevo (Bosnia): A city walk; Photo Thomas Alboth

Sarajevo (Bosnia): A city walk; Photo Thomas Alboth

“We view these evaluations as particularly important to help inform how we can better help countries transition away from Gavi support in the future and to provide lessons learned and recommendations that could inform Gavi’s Graduation Policy going forward.” – Read the full document.

The evaluation assessed both financial and programmatic sustainability through an in-depth analysis of BiH’s experiences and immunization program performance before, during and after the conclusion of Gavi’s period of support for the country. The evaluation also identified factors contributing to the sustainability of these programs and their achievements and gives five key recommendations to Gavi.

To read the final evaluation report, please follow the link.

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Final Evaluation of GAVI Alliance’s Support to Bosnia and Herzogovina

In 2014 Curatio International Foundation conducted a final evaluation of GAVI’s support to Bosnia & Herzegovina (BiH), commissioned by the Global Alliance for Vaccines and Immunization (GAVI) Alliance Secretariat.

The evaluation assessed both financial and programmatic sustainability through an in-depth analysis of BiH’s experiences and immunization program performance before, during and after the conclusion of GAVI’s period of support for the country. The evaluation also identified factors contributing to the sustainability of these programs and their achievements.

GAVI’s support to BiH was evaluated along three-evaluation focus areas: planning (pre-GAVI support), implementation (support received during GAVI period) and outcomes (post-GAVI support). Additionally, evidence related to each of the focus areas was assessed against five OECD/DAC evaluation criteria: relevance, efficiency, effectiveness, impact/results, and sustainability, with greatest emphasis on sustainability.

The recommendations derived after the evaluation are planned to help further define M&E and potential programmatic activities to be conducted in graduating countries in the future.

To read the final evaluation report, please follow the link.

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National and subnational HIV/AIDS coordination: are global health initiatives closing the gap between intent and practice?

The research article prepared by the international experts and representatives of Curatio International Foundation was published in the international journal Globalization and Health web site. The article is available at US National Library of Medicine as well.

The paper identifies residual national and subnational obstacles to effective coordination and optimal use of funds by focal GHIs, which these GHIs, other donors and country partners need to collectively address.

Follow the link to view the abstract and the full version of the article.

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Health in Times of Transition

Health in Times of Transition: Trends in Population Health and Health Policies in CIS countries (“HITT-CIS”) is primarily funded by the European Commission (DG Research – FP7). HITT-CIS is a large scale international study of 10 post-soviet countries that tries to understand long-term trends in population health, social and economic burden of disease, living conditions, patterns of nutrition, habits of alcohol and tobacco consumption, public health policies, access to health care. The overall aim of HITT is to contribute to the improvement of the health of the populations and health care systems CIS countries. Project started in the spring 2009 and will continue until 2013. HITT-CIS research consortium is a partnership of 13 teams from leading universities and research companies from the European Union, the CIS and Canada. CIF participates as an expert partner in the consortium and works in collaboration with the LSHTM.

For further information read the publication.

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