Financing the Transition: Health Insurance as a Bridge from Donor-Funded to Domestic HIV Programs

As PEPFAR and other donors accelerate the transition of HIV programs to domestic ownership, countries face mounting pressure to mobilize sustainable financing while protecting hard-won health gains. This brief examines health insurance – both public and private – as a mechanism for absorbing donor-funded HIV services into general health systems, drawing on lessons from USAID’s Sustainable Financing Initiative, the Ryan White AIDS Drug Assistance Program, and family planning graduation experiences in Latin America.