Table 7. Transition period (final 2–5 years before program transitioned).

National Level
Donor/Grantee	Official transition plan developed by consultants with input from a wide range of stakeholders and funded by the donor
	• High level plan • Implementation plan
Donor/Grantee	Political commitment to the transition, which includes a financial commitment.
Provincial Level
Donor/Grantee	Grantee leads review process of program outputs and outcomes to assess program effectiveness
Donor/Grantee	If patients are moving from NGO care to the public system, develop a tracking system to monitor progress.
Donor/Grantee	• Formalize the skills transfer, which should be coordinated at centralized and decentralized levels. • Prepare the public health system to absorb donor funded activities and staff
Donor/Grantee	Review M&E data.
Donor/Grantee	Clear communication with all stakeholders regarding M&E updates and budget timelines
Grantee	Develop local transition plan.
	• Stakeholders should decide what they can realistically sustain within their budgets. • Review all donor funded activities • Possibility to use a staggered approach to absorb donor- funded resources
Donor	Provide capacity and technical assistance where needed