Inter-regional workshop in preparation for transitioning towards domestic financing in TB, HIV and malaria programmes

17–19 October 2018, Tbilisi, Georgia

Due to economic growth and a shift towards higher income status and/or lower disease burdens, many low- and middle-income countries are gradually transitioning from donor financing towards domestically funded health systems.

It has become evident that many countries are experiencing challenges related to financial and programmatic sustainability of donor-funded interventions to address tuberculosis (TB), HIV and malaria. Sustainability challenges go beyond financial needs and the specific need to replace donor funding with national resources. Countries need to develop a more multidimensional perspective, including addressing institutional and political characteristics of health systems.

Thus, within the framework of the cooperation and financing agreement between WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria, WHO/Europe in collaboration with WHO headquarters, the Global Fund and the United States Agency for International Development (USAID) is jointly organizing this inter-regional workshop for relevant Member States of all six WHO regions.

The overall aim of the workshop is to provide a platform for countries to exchange good practices on progress and challenges in transitioning from external to domestic financing, and the opportunity to further define regional and national action points for successful transition, while maintaining and scaling up their efforts in addressing HIV, TB and malaria.

The workshop will be attended by government representatives from countries currently transitioning and/or soon to be in transition from Global Fund financing, as well as key international technical agencies and donors who are actively supporting countries to transition from externally financed to domestically funded programmes.


  • Review and exchange the existing concepts and frameworks on financial and programmatic sustainability.
  • Identify, discuss and document regional and country-specific mechanisms, approaches and lessons learned on transition.
  • Share, discuss and analyse specific thematic areas and gaps that are hindering successful transition and discuss solutions to address them.
  • Define technical assistance needs of countries.
  • Agree on follow-up action points by countries, WHO and other partners.

Expected outcomes

  • Good practices, lessons learned and challenges in transitioning from donor-supported to domestic financing are shared and documented.
  • Technical assistance needs of countries in and/or preparing for transition, responding measures and next steps are identified and agreed upon.
  • Regional and national action points on how to successfully support a transition process and address bottlenecks from inside Global Fund supported programmes are identified.