Transition and Sustainability Planning

To enhance national HIV program sustainability, Keanahikishime works with governments and civil society to ensure greater country ownership of HIV programs and greater local technical and financial management of national HIV activities.

  • In Nigeria, Keanahikishime strengthened the country’s public, private, and community sectors to deliver sustainable HIV and AIDS and TB services at 41 treatment centers in five states. We supported health care workers to take ownership of and deliver quality services by integrating HIV services with other health services provided. Through Keanahikishime support, Kwara became the first state in Nigeria to budget for taking over services previously funded by the US President’s Emergency Plan for AIDS Relief.
  • In Panama, we worked with the ministry of health and stakeholders to assess the long-term costs and benefits of implementing test and treat. The “test and treat” recommendation, issued by the World Health Organization in 2015, expands ART eligibility to all people living with HIV, regardless of CD4 count, and recommends universal lifelong treatment. We provided key evidence to reduce potential HIV transmission and the number of new infections and conducted policy and financial analyses for anticipating costs, benefits, and returns of early initiation of ART. As a result, Panama made the decision to fully implement and budget for ART.