Abstract
Government partnerships are essential for many health solutions to sustain impact at scale, particularly in low-resource settings where strengthening health systems is critical for Universal Health Coverage. Many non-governmental organizations (NGOs) and funders ultimately want solutions to be integrated into public health systems by transitioning solution ownership, management and/or operation to government. However, NGOs and their government partners have limited guidance on how to effectively determine when a solution is ready to transition in a way that will maintain impact long term. To address this need, VillageReach developed the Transition Readiness Assessment (TRA) based on our transition to government theoretical framework. The framework was developed to define both factors related to a solution, as well as external influences that affect a solution's success. The framework identifies seven dimensions of solution readiness: the political, economic, and social context; solution design; resource availability; financial management; government strategy; government policy and regulations; and organizational management. The TRA measures those dimensions and assigns each one a readiness score. We developed the framework and TRA for VillageReach solutions, as well as to share with government partners and stakeholders. This Open Letter outlines the TRA development, details empirical examples from applying the tool on two VillageReach solutions, and presents recommendations based on our lessons learned. Stakeholders working to transition solutions to government can utilize both the TRA and our lessons.
Highlights
For many non-governmental organizations (NGOs), transitioninga a solution to government ownership, management, and/or operation is the best way to sustain solution impact at scale
The framework is based on the concept that successful solutions require an enabling environment, which includes measurable factors both within and external to a solution. We have identified these factors as the seven dimensions of solution readiness, which we define as an indication that a solution is likely to maintain impact post transition. (Here we define a solution as a combination of processes, products, principles, organization, tools, metrics, and collaboration that provides the functionalities needed to solve a defined problem)
Transitioning solution ownership to government enables greater likelihood that solutions will be sustained at scale and strengthen, rather than burden, health systems
Summary
Any reports and responses or comments on the article can be found at the end of the article. Author roles: Lawrence E: Conceptualization, Data Curation, Formal Analysis, Investigation, Methodology, Validation, Writing – Original Draft Preparation, Writing – Review & Editing; Pain A: Conceptualization, Writing – Original Draft Preparation, Writing – Review & Editing; Crawford J: Conceptualization, Funding Acquisition, Writing – Review & Editing; Baker K: Formal Analysis, Visualization, Writing – Review & Editing; Bechtel R: Conceptualization, Validation, Writing – Review & Editing; Coelho AL: Validation, Writing – Review & Editing; Ofumane A: Conceptualization, Formal Analysis, Investigation, Validation, Writing – Review & Editing; Roussel J: Conceptualization, Investigation, Validation, Writing – Review & Editing; Magadzire B: Conceptualization, Investigation, Project Administration, Supervision, Validation, Writing – Original Draft Preparation, Writing – Review & Editing.
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