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Cited by 86Evaluation and Performance AssessmentGlobal Maternal and Child HealthHealth Policy Implementation Science

A methodological approach and framework for sustainability assessment in NGO‐implemented primary health care programs

Sarriot, Eric G., Winch, Peter J., Ryan, Leo J., Bowie, Janice, Kouletio, Michelle, Swedberg, Eric, LeBan, Karen, Edison, Jay +2 more·2004·The International Journal of Health Planning and Management
DOI 10.1002/hpm.744
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Abstract

An estimated 10.8 million children under 5 continue to die each year in developing countries from causes easily treatable or preventable. Non governmental organizations (NGOs) are frontline implementers of low‐cost and effective child health interventions, but their progress toward sustainable child health gains is a challenge to evaluate. This paper presents the Child Survival Sustainability Assessment (CSSA) methodology—a framework and process—to map progress towards sustainable child health from the community level and upward. The CSSA was developed with NGOs through a participatory process of research and dialogue. Commitment to sustainability requires a systematic and systemic consideration of human, social and organizational processes beyond a purely biomedical perspective. The CSSA is organized around three interrelated dimensions of evaluation: (1) health and health services; (2) capacity and viability of local organizations; (3) capacity of the community in its social ecological context. The CSSA uses a participatory, action‐planning process, engaging a ‘local system’ of stakeholders in the contextual definition of objectives and indicators. Improved conditions measured in the three dimensions correspond to progress toward a sustainable health situation for the population. This framework opens new opportunities for evaluation and research design and places sustainability at the center of primary health care programming. Copyright © 2004 John Wiley & Sons, Ltd.

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Crossref · 10.1002/hpm.744

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  • 82% (51/62) of approaches have been designed to examine or influence sustainability at a specific intervention or programme level.

    “The majority, 82% (51/62), of approaches have been designed to examine or influence sustainability at a specific intervention or programme level (e.g. a single improvement project) [31].”

    From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [31]

  • Studies in low- and middle-income countries indicate the importance of strategic partnerships and the impact of broader social context and health system weaknesses as influences on sustainability.

    “Such studies indicate the importance of strategic partnerships (89, 112) and the impact of the broader social context and of health system weaknesses (15, 63) as important influences on sustainability.”

    From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [112]

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Authors
Sarriot, E. G., Winch, P. J., Ryan, L. J., Bowie, J., Kouletio, M., Swedberg, E., LeBan, K., Edison, J., Welch, R., & Pacqué, M. C.
Affiliations
  • ORC Macro (United States) (US)
  • Johns Hopkins University (US)
  • Save the Children (US)
Corresponding author
Sarriot, Eric G.
ORCID
Venue
The International Journal of Health Planning and Management
Publisher
Wiley
Published
2004-01
Volume
19
Issue
1
Pages
23-41
ISSN
  • 0749-6753 (ISSN-L)
  • 1099-1751
DOI
10.1002/hpm.744
OpenAlex
W2098853290
Cited by
86
References
28
Citations by year
2025: 5 · 2023: 7 · 2022: 2 · 2020: 10 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 9 · 2013: 5 · 2012: 5
FWCI
4.75
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 46 d)
Locations
  • The International Journal of Health Planning and Management (publishedVersion)
  • PubMed (publishedVersion)
Funders
United States Agency for International Development
Topics
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords
sustainability assessment, child survival, child health interventions, non-governmental organizations, participatory evaluation, community capacity, organizational capacity, social-ecological context, under-five mortality, stakeholder engagement, action planning
MeSH terms
Child, Child Welfare, Developing Countries, Humans, Organizations, Primary Health Care, United States, Program Evaluation, Survival Analysis

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