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

2. 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

3. 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