Attachments
Executive summary
This operational guidance provides a structured approach to support countries in sustaining priority services for HIV, viral hepatitis and sexually transmitted infections in the context of reduced external funding. The guidance is intended for national governments, public health programmes, community-led organizations, civil society, technical partners and donors working to safeguard priority services, support phased adaptation, protect health outcomes and preserve hard-won gains.
The publication outlines practical steps to support countries in assessing risks, setting priorities and adapting services and systems (Fig. 1). It introduces a stepwise priority-setting framework that organizes services into three tiers based on their contribution to achieving national and global health outcomes.
Key elements of the guidance include:
• key steps to assess and monitor service disruptions and health financing risks;
• a systematic process for setting priorities for services and interventions;
• cross-cutting enablers such as health workforce strategies, resilient supply chains, integrated data systems and inclusive governance;
• emphasis on people-centred approaches and sustained community engagement to ensure that services remain accessible, acceptable and responsive to those most severely affected;
• opportunities for service integration, especially within primary health care, to enhance efficiency and sustainability; and
• strategic recommendations for financing transitions, including alignment with public f inancial management systems and domestic resource mobilization.
Although the publication focuses on HIV, viral hepatitis and sexually transmitted infections, the approaches and tools presented can inform broader efforts to strengthen health system resilience. WHO will continue to update and provide technical guidance and support to Member States as they navigate service disruptions, funding shifts and recovery strategies, ensuring continuity of care and the protection of public health.