You are hereHome › College of Arts, Social Sciences & Humanities (CASSH) › Department of Anthropology › Marten, Meredith › From emergency to sustainability Style APAChicagoHarvardIEEEMLATurabian Choose the citation style. Marten, M. G. (2017). From emergency to sustainability: Shifting objectives in the US Government’s HIV response in Tanzania. Global Public Health, 12(8), 988-1003. doi:10.1080/17441692.2015.1094707 From emergency to sustainability Details Type Academic Journal Article Title From emergency to sustainability: Shifting objectives in the US Government's HIV response in Tanzania Contributor(s) Marten, Meredith G. (author) Located In Global Public Health ISSN 1744-1692 Volume 12 Issue 8 Start Page 988 End Page 1003 Date 2017 DOI 10.1080/17441692.2015.1094707 Use/Reproduction 2015 Informa UK Limited, trading as Taylor & Francis Group Abstract The US President’s Emergency Plan for AIDS Relief (PEPFAR) was originally designed as an emergency initiative, operating with considerable funds, immediate roll-out, fast scale-up, and topdown technocratic administration. In a more recent iteration, PEPFAR shifted its focus from an emergency response to more closely account for healthcare sustainability. This transition came on the heels of the 2008 financial crisis, which threatened to stall the ‘marvellous momentum’ of the 2000’s boom in donor aid for global health overall. Now many programmes are having to do more with less as funding flattens or decreases. This paper examines how this transition took shape in Tanzania in 2011–2012, and the successes and challenges associated with it, using participant observation and interview data from 20 months of fieldwork in rural and urban healthcare settings. In particular, I discuss (1) efforts to increase sustainability and country ownership of HIV programmes in Tanzania, focusing on the shift from PEPFAR-funded American non-governmental organisations to Tanzanian partner organisations; (2) principal challenges stakeholders encountered during the transition, including fragmented systems of healthcare delivery and a weakened healthcare workforce; and (3) strategies informants identified to better integrate services in order to build a stronger, more equitable, and sustainable health system in Tanzania. Subject(s) health systemsHIVTanzaniaPEPFARsustainability PID uwf:23695