Evaluation of the impact of PEPFAR transition on retention in care in South Africa's Western Cape.

Background: Research on the impact of the PEPFAR transition in South Africa (SA) in 2012 found varying results in retention in care (RIC) of people living with HIV (PLWH).

Objectives: We investigated the factors that impacted RIC during the U.S.

Program sustainability post PEPFAR direct service support in the Western Cape, South Africa.

Background: Public health practitioners have little guidance around how to plan for the sustainability of donor sponsored programs after the donor withdraws. The literature is broad and provides no consensus on a definition of sustainability. This study used a mixed-methods methodology to assess program sustainability factors to inform donor-funded programs.