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We used the definition of sustainability provided by Shediac-Rizkallah and Bone [ 8], in which the key aspects of program sustainability are defined as 1) maintenance of health benefits from the program; 2) institutionalization of a program within an organization; and 3) capacity building in the recipient community.
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This dramatically improved the speed and completeness of reporting at the time, but was an important constraint to the institutionalization of the program.
How effectively have the elements of the Avahan transition strategy translated into institutionalization of the program?
5. How effectively have the elements of the Avahan transition strategy translated into institutionalization of the program?
The intermediate result is the institutionalization of the program, by which we mean the development of policies, norms, and structures to sustain the program within the recipient organization's health system.
Institutional support hereby refers to investment, approval, and support for the integration or institutionalization of the program at higher levels within health care settings or institutions, and occasionally involved making linkages with community resources [ 12].
This institutionalization is underway with the development of a program management unit within the Ministry of Health.
Institutionalization occurs when a program becomes an integral part of an organization, and the LoIn instrument is a beginning effort to measure the extent of program integration into organizations.
Institutionalization occurs when a program becomes imbedded into these subsystems.
This contrasts notions of sustainability that are based solely on the institutionalization of program activities, where "inappropriately" engrained changes could in fact occur in the absence of benefits and development.
New commodities were added and local adaptation and institutionalization of these programs was encouraged.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com