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Successful Transition Example

Successful Transition Example. Transition to Local Partners South Africa Ruth Stark Catholic Relief Services. Transition in South Africa. In South Africa, Catholic Relief Services (CRS) worked through two indigenous Umbrella Partners:

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Successful Transition Example

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  1. Successful Transition Example Transition to Local Partners South Africa Ruth Stark Catholic Relief Services

  2. Transition in South Africa • In South Africa, Catholic Relief Services (CRS) worked through two indigenous Umbrella Partners: • Institute for Youth Development SA (IYDSA) with 5 ART sites in the Eastern Cape Province • Southern African Catholic Bishops Conference (SACBC) AIDS Office with 20 ART sites in 7 of the 9 provinces

  3. The Transition • In March 2010 IYDSA and SACBC transitioned to local CDC funding and receives funds directly • St. Mary’s Catholic Hospital (previously under the SACBC), now functions independently and receives USG funds directly • SACBC has a service agreement with CRS to support M&E, training, clinical coordination, and some aspects of financial management

  4. Funding flow Pre-Transition HRSA/CDC CRS/HQ US CDC/SA CRS/SA Country level SACBC IYD-SA ART site ART site St. Mary’s ART site ART site

  5. Post-Transition HRSA/CDC US CDC/SA Country level SACBC IYD-SA CRS/SA ART site ART site St. Mary’s ART site ART site

  6. Timeline for transition

  7. Preparation for Transition • Began preparation for transition on Day one • Worked as a team • Utilized local clinical experts and educational institutions • Established cooperative agreements with local governments • Local partners gained experience working with CDC and HRSA • Local partners directly applied for and managed small CDC grants

  8. Post transitionHow it looks today • Local partners are prime and lead the SACBC/CRS team • CRS continues to provide technical support to SACBC • Local clinical experts continue to provide support • OVC grants incorporated into Care and Treatment APS • CRS/SACBC continues to complement South African government health services • Transfer patients to public sector when services are available • Accept overflow patients from government • Entering into public private partnerships • Provide services for those with limited access to public services

  9. Post transitionWhat’s different? In the day-to-day operations—not much. • CRS/SACBC meetings continue with same frequency • Patterns of collaboration, joint decision-making established when CRS was prime continue as before • Donor continues contact with both CRS/SACBC BUT… • All partners are increasing efforts to align with government—filling gaps and sharing resources • Local partner more pro-active in enforcing compliance • Local partner now more exposed to cash flow issues

  10. Transition Lessons Learned • Recognize local capacity • Begin early • Learn together • Approach donors jointly • Utilize local resources • Work with the local government • Build an effective team • Work side by side • Disengage gradually

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