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.

I had the opportunity to present one of the most relevant pillars for transition at the Interregional workshop in preparation for transitioning towards domestic financing in TB, HIV and Malaria response, held in Tbilisi, Georgia, 17–19 October 2018.

On my keynote, I addressed the importance of integrated, people-centered and efficient health services by presenting:

• The current situation
• Integrated people-centred health services
• Examples for moving forward
• and finally some Take away messages

Please have a look on the presentation bellow:

Interregional workshop in preparation for transitioning towards domestic financing in TB, HIV and Malaria response

An interregional workshop to prepare countries for transitioning to domestic financing in the tuberculosis, HIV and malaria response, organized jointly by the WHO Regional Office for Europe, WHO headquarters, the Global Fund to Fight AIDS, Tuberculosis and Malaria and the United States Agency for International Development, took place on 17–19 October 2018, in Tbilisi, Georgia.

The overall objective was to provide a platform for countries and key partners to exchange good practices, lessons learned and common challenges in transitioning to domestic financing, and to define the next steps and technical assistance needs. Participants included representatives from 23 countries that have transitioned, are transitioning or may soon transition from external financing; representatives from civil society and community organizations; representatives from donor and partner organizations; and staff of the Global Fund, WHO headquarters, and several WHO regional offices. This document reviews the meeting content and summarizes outcomes and action points.