Transition Readiness Assessment for the Lao PDR National HIV Response

Having graduated to lower-middle-income country status, and having a low national HIV prevalence, HIV program leaders in Lao PDR have begun discussions to transition from external donor funding to self-reliance for the national HIV response. Two applications of the PEPFAR Sustainability Index tool (in 2015 and 2017) indicate that the country has made progress in transitioning to self-reliance. This report examines the state of readiness of the national response to engage in that transition process. It elaborates on the 15 elements of sustainability that are measured by the PEPFAR tool and examines broader health systems issues, including government prioritization of the health sector and fiscal space prospects as they pertain to transition from external support for the national HIV response.

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