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Research and Practice

Programmatic Transition

Programmatic transition, the process by which a public health program that is externally supported by donors is transferred to local recipients, can have significant implications for sustainability. When done thoughtfully, transition has the potential to address local ownership, mobilize resources, clarify roles and responsibilities, and maintain the successes of health programs—all of which are key concerns as donor funding for specific public health programs in developing countries declines.

During programmatic transition, the transfer of responsibilities can occur at many levels, including financial, managerial and leadership. Programmatic transition varies in scope from programs that are well-integrated into local health systems to fully parallel delivery systems. Conducting monitoring and evaluation can help inform and smooth the complicated process of programmatic transition and facilitate sustainability of public health programs.

The Department of International Health at JHSPH has been working in this field for several years. From empirical research to conceptual thinking about how to best to implement, monitor and evaluate transitions, the faculty at DIH are contributing to this understudied area to inform policy and practice.


Strategic Issues in Global Health Program Transitions, hosted by Johns Hopkins and Research for Development


Conversations on Sustainable Financing for Development, a special series hosted by Johns Hopkins and Research for Development

Faculty working on programmatic transition

Recent Publications

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