The ability of a coalition to sustain its impact in a community over time is a vital element of success. Four sustainability strategies have emerged among Allies Against Asthma coalitions: (a) resource development; (b) institutionalization; (c) system change, including policy change; and (d) capacity building. Although it is too early to determine their ultimate success, a number of important lessons have been learned about the coalitions' sustainability efforts: (a) sustainability must be considered as a planning principle, (b) data demonstrating success will enhance efforts to sustain worthy efforts, (c) ongoing communication and relationship building are critical elements of sustainability, (d) considering sustainability can help guide membership recruitment efforts, (e) coalitions with previous asthma and/or coalition experience may be better prepared to address sustainability within a short project period, and (f) although difficult to fund, the coalition infrastructure itself is key to successfully sustaining outcomes and activities.
"Among some of the popular views on sustainability include the ability of a system to maintain benefits  ; continuation of health programmes and institutionalisation of programmes within organisational systems  ; and community capacity to continue with programmes  . "
[Show abstract][Hide abstract] ABSTRACT: Objectives. To solicit the views of some key stakeholders involved in TB control in Ghana on the sustainability of the current programme and corresponding interventions and to further discuss these views in the context of improving and/or ensuring the sustainability of existing interventions and structures. Methods. The study employed an interpretivist (qualitative) approach in order to obtain the "lived" experiences of personnel who are involved in TB control, either directly or indirectly. Purposive sampling was applied to select 19 respondents who provided data for the study through in-depth interviews (IDIs). The IDI data was analysed inductively in a progressive manner. Thus, respective codes were allowed to emerge from the data as opposed to deductive coding where themes are precoded. Results. The findings reveal two main strands of views about the sustainability of the current TB control programmes: optimism and pessimism. The optimists revealed that the integration of TB into the generalised health system, integration of TB and HIV control services, the use of internally generated funds of health facilities, and a general improvement in socioeconomic conditions of the general population could provide positive pathways to sustainability. The pessimists on the other hand noted that the existing programme was not likely to be sustainable so long as much of the operational funds were derived from external sources. Largely, the views of the pessimists were influenced by their past experiences in TB control. Conclusions. This paper has shown both opportunities and threats to sustainability of TB control in Ghana. The opportunities and threats could be managed positively depending on how policy actors respond to the issues raised.
[Show abstract][Hide abstract] ABSTRACT: Coalitions develop in and recycle through stages. At each stage (formation, implementation, maintenance, and institutionalization), certain factors enhance coalition function, accomplishment of tasks, and progression to the next stage. The Allies Against Asthma coalitions assessed stages of development through annual member surveys, key informant interviews of 16 leaders from each site, and other evaluation tools. Results indicate all coalitions completed formation and implementation, six achieved maintenance, and five are in the institutionalization stage. Differences among coalitions can be attributed to their maturity and experience working within a coalition framework. Participants agreed that community mobilization around asthma would not have happened without coalitions. They attributed success to being responsive to community needs and developing comprehensive strategies, and they believed that partners' goals were more innovative and achievable than any institution could have created alone.
Health Promotion Practice 05/2006; 7(2 Suppl):34S-43S. DOI:10.1177/1524839906287063 · 0.55 Impact Factor
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