Table 3.

Summary of stakeholders’ recommendation for making progress in transitioning from DAH and reaching UHC

Building block	Stakeholders’ recommendation
Leadership and governance	Intensive advocacy is needed to put transition preparedness on the agenda and to get all hands-on deck towards a robust transition plan. Coordination, management and oversight should be decentralized to the lower levels with commensurate resources and authority. Implementing good governance and accountability can help strengthen health systems and build strong institutions. Stakeholder inclusion at all levels down to the end users is necessary to make meaningful progress.
Financing	Increased fiscal space for, and budgetary allocation to, health are crucial to make progress. Greater efficiencies are needed in the health financing system. A joint funding basket for both domestic and external funds is desirable.
HMIS	A well-coordinated quality HMIS is essential to enable proper planning. Good-quality HMIS will enable effective planning, coordination and allocation of funds to priority areas.
Service delivery	A strong and robust PHC system will enable complete ownership of all forms of service provision at the grass roots, including HIV services. The BHCPF is a good start, but it needs to be followed to the letter with utmost transparency and accountability.
Medical products and technology	Efficiency in the procurement processes needs to be increased by elimination of bureaucracies that introduce avenues for mismanagement of available resources.
	Donor support should be directed towards capacity building for local production of vaccines with intensive deliberations on feasible solutions to the challenges of local production of vaccines.