I. Transition definition, rationale and need

Definition and rationale: The Global Fund (hereafter the Global Fund) defines transition as “the mechanism by which a country, or a countrycomponent, 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.

In its 35th Board meeting2, the Global Fund decided to adopt a new transition policy, as part of a wider “Sustainability, Transition and Co-financing policy” (hereafter STC policy), that it defined as follows:

“Long-term sustainability is a fundamental aspect of development and global health financing. It is essential that countries are able to scale up and sustain programs to achieve lasting impact in the fight against the three diseases and to move towards eventual achievement of Universal Health Coverage. Countries that have experienced economic growth over the last decade are able to move progressively from external-donor financing for health toward domestically funded systems that deliver results but must be supported to do so…

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