Sustaining effective coverage in the context of transition from external assistance – Lessons from Georgia


15-month long project

Introduction & Overview

Six country case studies examining how governments have responded (or not) to reductions in donor funding through changes in the service delivery architecture, health financing arrangements, information systems, and governance arrangements, and how these changes have or have not influenced whether effective coverage of priority interventions previously funded by donors is sustained or not.

Little is known about the domestic, country-level impact of, and policy responses to, the cessation of funding on account of two or more donors transitioning.

CIF undertakes study in Georgia and particularly the case for understanding how health systems adapt (or do not) to the changing context created by these transitions, something where HSR has much to contribute.


  • Support the generation of knowledge on how countries have (or have not) been able to maintain effective coverage of priority interventions previously funded by donors.
  • Develop analytically generalizable, cross-national learning based on this knowledge for researchers, policy- and decision-makers, and donors presented in outputs suitable for these audiences.
  • Share this learning broadly, particularly among policy- and decision-makers to better inform country-led processes to manage anticipated reductions in external funding and take advantage of the opportunities provided by these reductions for health systems strengthening efforts.


Organizations involved

Alliance for Health Policy and Systems Research, CIF