Lessons Learned from Sustained Global Health Investments: Slow and steady builds the tower. Photo (bottom right) courtesy of Bogomolets National Medical University, www.nmu.edu.ua

Six Case Examples How were they transitioned? Are they still contributing to national health system improvements? What can we learn about sustainability from these examples? Ethiopia’s Laboratory Strengthening Initiative Transitioned 2008 Haiti’s Electronic Medical Record System (iSanté) Transitioned 2012 Caribbean Guidelines for the Prevention, Treatment, Care and Control of TB and HIV Transitioned 2012 Botswana’s National Monitoring & Evaluation (M&E) Cadre Transitioned 2012 Namibia’s HIV Clinical Mentoring Program Transitioned 2015 Tanzania’s Clinical Assistant to Clinical Officer Upgrade Course Transitioned 2016

The Sustainability Tower Transition Communication of transition plans through high level diplomacy Stakeholder participation in planning Government support, including alignment with policies, salaries, etc. Use of planning tools Further adaptation to local context Sustainability Involvement of a champion Partner motivated by demand/need A period of financial and technical support to assure implementation, adaptation, and quality