The Global Fund defines transition as “the mechanism by which a country, or a country-component, moves towards fully funding and implementing its health programs independent of Global Fund support while continuing to sustain the gains and scaling up as appropriate.”
The rationale for transitioning is based on the core belief that planning for sustainability is inherent to programme design and should be considered by recipient countries as early as possible in the development continuum. Transition planning and investment should thus be envisaged in all stages from advocacy project design and implementation to training and evaluation.
The challenges of transition have particular consequences in the fight against infectious diseases such as HIV/AIDS, TB and malaria. Deterioration of the once established and effective components to reduce morbidity and prevalence can lead to a resurgence of new infections, with a loss of all previous investment, unnecessary human suffering, the risk of spill-over effects to other countries and a setback in efforts to achieve the SDG to end these diseases by 2030.
That is why we, the Friends of the Global Fund Europe, want to encourage a broad debate on which relevant actors at state level, civil society, the international community and international health institutions could contribute to ensure that these transition processes are as successful as possible and that no one is “left behind”.
Countries that have faced or that are currently going through transitions start providing insight into some issues that are important to consider, identifying weaknesses or achievements of transitions so as to improve practices. On its side, the GF has also recognized that a number of key questions should be carefully considered during transition planning.
To give you a better understanding of the transition process, the following section answers and explains the key questions