Transitioning from Health Aid: A Scoping Review of Transition Readiness Assessment Tools

32 Pages Posted: 4 Feb 2021 Last revised: 17 Feb 2021

See all articles by Wenhui Mao

Wenhui Mao

Duke University - Duke Global Health Institute

Kaci Kennedy McDade

Center for Policy Impact in Global Health, Duke University

Ipchita Bharali

Duke University - Duke Global Health Institute

Osondu Ogbuoji

Duke University - Sanford School of Public Policy

Gavin Yamey

Duke Global Health Institute

Date Written: January 27, 2021

Abstract

Many countries are now transitioning away from donor aid for health as they move from low- to middle-income status and see improved health outcomes. To promote better planning and preparedness for transition, many transition readiness assessment tools (TRAs) have been developed in recent years. The goal of this study was to identify and review existing TRAs to better understand the current landscape of how such tools are being used and the potential gaps among the currently available tools. There are several key limitations among existing tools. There are also many areas of overlap between tools, as well as clear gaps among the current tools available. For example, limited consideration has been given to emerging challenges for transitioning countries, such as demographic and disease transitions (e.g., aging populations and a shift in the burden of disease from infections to non-communicable diseases). Many critical health interventions, including vaccines and maternal and child health services, are ignored by current TRAs. Donors are the financial and technical “drivers” of all the TRAs, and so these tools are not being shaped by transitioning countries themselves. Therefore, it is difficult to determine whether or not the TRAs as designed will address the most critical needs of transitioning countries. Additionally, the role that in-country stakeholders are expected to play in the assessment process is not clearly defined and the methodologies of TRAs are not publicly available, thereby potentially limiting their usefulness to users.

Keywords: Aid for health, health aid, development assistance for health, official development assistance, transition, transition readiness, transition assessment, transition framework, transition tool, graduation, self-reliance, donor exit

Suggested Citation

Mao, Wenhui and McDade, Kaci Kennedy and Bharali, Ipchita and Ogbuoji, Osondu and Yamey, Gavin, Transitioning from Health Aid: A Scoping Review of Transition Readiness Assessment Tools (January 27, 2021). Duke Global Working Paper Series No. 27, Available at SSRN: https://ssrn.com/abstract=3779348 or http://dx.doi.org/10.2139/ssrn.3779348

Wenhui Mao (Contact Author)

Duke University - Duke Global Health Institute ( email )

310 Trent Drive
Box 90519
Durham, NC 27710
United States

Kaci Kennedy McDade

Center for Policy Impact in Global Health, Duke University ( email )

310 Trent Drive
Box 90519
Durham, NC 27710
United States

Ipchita Bharali

Duke University - Duke Global Health Institute ( email )

310 Trent Drive
Box 90519
Durham, NC 27710
United States

HOME PAGE: http://centerforpolicyimpact.org

Osondu Ogbuoji

Duke University - Sanford School of Public Policy ( email )

Durham, NC

Gavin Yamey

Duke Global Health Institute ( email )

Trent Hall
310 Trent Drive
Durham, NC 27708
United States

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