Transition Readiness Scale Items and Factor Loadings.

<p>Transition Readiness Scale Items and Factor Loadings.</p

Characteristics of Surveyed Targeted Interventions.

<p>Characteristics of Surveyed Targeted Interventions.</p

Relationship between transition readiness, institutionalization and service outcomes.

<p>Relationship between transition readiness, institutionalization and service outcomes.</p

Sustainability of outcomes 12 months pre-transition and 6 months post-transition.

<p>Sustainability of outcomes 12 months pre-transition and 6 months post-transition.</p

Relationships between transition readiness, institutionalization and outcomes.

<p>Relationships between transition readiness, institutionalization and outcomes.</p

Median health system and productivity loss cost per norovirus illness by age group for each region and globally (total bar represents societal cost).

<p>Median health system and productivity loss cost per norovirus illness by age group for each region and globally (total bar represents societal cost).</p

Input values and sources.

<p>Input values and sources.</p

Number of norovirus illnesses and deaths [median (95% uncertainty interval)] and costs of norovirus disease [Median (95% uncertainty interval), $US in millions] for all countries and areas per year stratified by region with baseline assumptions.

<p>Number of norovirus illnesses and deaths [median (95% uncertainty interval)] and costs of norovirus disease [Median (95% uncertainty interval), $US in millions] for all countries and areas per year stratified by region with baseline assumptions.</p

Transitioning a Large Scale HIV/AIDS Prevention Program to Local Stakeholders: Findings from the Avahan Transition Evaluation

<div><p>Background</p><p>Between 2009–2013 the Bill and Melinda Gates Foundation transitioned its HIV/AIDS prevention initiative in India from being a stand-alone program outside of government, to being fully government funded and implemented. We present an independent prospective evaluation of the transition.</p><p>Methods</p><p>The evaluation drew upon (1) a structured survey of transition readiness in a sample of 80 targeted HIV prevention programs prior to transition; (2) a structured survey assessing institutionalization of program features in a sample of 70 targeted intervention (TI) programs, one year post-transition; and (3) case studies of 15 TI programs.</p><p>Findings</p><p>Transition was conducted in 3 rounds. While the 2009 transition round was problematic, subsequent rounds were implemented more smoothly. In the 2011 and 2012 transition rounds, Avahan programs were well prepared for transition with the large majority of TI program staff trained for transition, high alignment with government clinical, financial and managerial norms, and strong government commitment to the program. One year post transition there were significant program changes, but these were largely perceived positively. Notable negative changes were: limited flexibility in program management, delays in funding, commodity stock outs, and community member perceptions of a narrowing in program focus. Service coverage outcomes were sustained at least six months post-transition.</p><p>Interpretation</p><p>The study suggests that significant investments in transition preparation contributed to a smooth transition and sustained service coverage. Notwithstanding, there were substantive program changes post-transition. Five key lessons for transition design and implementation are identified.</p></div

Avahan transition evaluation logic model.

<p>Avahan transition evaluation logic model.</p