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Donor Transition and Sustainability: Implications for the future of international health

Summer Institute
International Health
Academic Year
2022 - 2023
Instruction Method
Synchronous Online with Some Asynchronous Online
Auditors Allowed
Yes, with instructor consent
Available to Undergraduate
Grading Restriction
Letter Grade or Pass/Fail
Contact Name
Frequency Schedule
Every Year
Are you invested in strengthening domestic health systems and sustaining coverage of essential health services? Have you faced barriers to effectively managing transition, and building for sustainability in international health programs? Looking at real-world experiences and learning from each other, this course is an opportunity to rethink how we structure external assistance, and to develop practical skills for improving transition and sustainability of global health efforts.
Explores issues around programmatic transition and sustainability of public health programs particularly in low and middle-income settings, through case-based inquiry. Examines definitional debates, strategies for enhancing the sustainability of health outcomes throughout the development and implementation of public health initiatives, and methods for monitoring and evaluation of sustainability determinants and outcomes. Covers historical and ongoing challenges in sustaining health outcomes in diverse health system settings and opportunities for advancing research and practice in this area. Includes topics: issues related to health financing, political will, institutional capacity, leadership, and tools for planning and assessment. Examines how power is reproduced through global health actors, institutions, and systems, and implications for sustaining health outcomes and building resilient health systems.
Learning Objectives
Upon successfully completing this course, students will be able to:
  1. Describe frameworks for sustainability and their application in public health
  2. Explain strategies for monitoring and evaluating programmatic transition and sustainability, and the challenges therein
  3. Analyze issues related to programmatic transition (i.e., the process through which an externally supported program is transferred to local recipients)
  4. Apply strategies for enhancing sustainability in global health programs through research and practice
  5. Evaluate how power structures affect sustainability of health outcomes and the resiliency of health systems
Methods of Assessment
This course is evaluated as follows:
  • 20% Participation
  • 30% Presentation(s)
  • 30% Final Paper
  • 20% Attendance
Special Comments

We are finalizing the course schedule, we anticipate this course will run as 5 half day seminars with some additional asynchronous elements.

While we have listed primary and co-instructors responsible for course development and delivery, we anticipate additional colleagues from within and outside the university will be engaged as guest lecturers to present on relevant work-based experiences, and offer a wider diversity of perspectives.