Sustaining Public Health Gains after Donor Transition: What can we learn about Georgia?

The CIF research team publishes Synthesis Report entitled: “Sustaining Public Health Gains after Donor Transition: What can we learn about Georgia?”. The research project aimed to comprehensively evaluate donor transitions that took place in Georgia in the immunization program (NIP) after introducing new vaccines with Gavi support and the Global Fund-supported opioid substitution treatment (OST) and Tuberculosis (TB) program by focusing on the first-line drug (FLD) supply transition to the government. The objective was to understand better how and why Georgia was (or was not) able to sustain coverage with the selected health interventions after transition and identify the enablers and barriers to this. To achieve this objective following research questions were defined:

  1. How does the cessation of external support affect the coverage of interventions previously supported by donor funding?
  2. What contextual and health system factors influence whether coverage of the intervention/service was sustained (or not sustained) once donor funding was no longer available?

While answering these questions, the paper tries to understand a) WHAT has (or not) changed in the programs/interventions as they transitioned out of donor support; b) WHY these changes (or no-changes) have happened; and c) WHETHER and HOW we can link these to changes (or lack of it) to attainments in service coverage after donor transition.

This research was supported by funding from the Alliance for Health Policy and Systems Research, World Health Organization. The Alliance is supported through both core funding as well as project-specific designated funds. The full list of Alliance donors is available here.

This research also benefited from technical support from the Alliance for Health Policy and Systems Research, the World Health Organization, the Department of Health Systems Governance and Financing, the World Health Organization, and UHC 2030.

The authors are grateful to the key informants for their invaluable cooperation and support in preparing the case study.

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