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Investigation of the sustainability of programme outcomes presents major challenges for research design.
Sustainability of Programme Interventions Sustainability is the Achilles' heel of the UNICEF NGO-Government Partnership.
The study also assessed the sustainability of programme efficacy at week 36.
The outcomes assessment at 36 weeks was designed to evaluate the sustainability of programme effectiveness after the programme ended at week 24.
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It would also help to ensure the sustainability of programmes after donor funding has dried up.
Susan Reichle, assistant to the administrator at USAid, notes that the use of contractors can present challenges, but says it would be unrealistic to rely solely on internal expertise, arguing that the effective deployment of contractors supports both the efficiency and sustainability of programmes.
Whilst there are examples worldwide of such an approach working, the sustainability of programmes based on a volunteer workforce is less certain.
29 Furthermore, these improvements promote sustainability of programmes.
The secondment of GHI staff into public sector facilities may help alleviate immediate staff shortages, but this practice risks undermining sustainability of programmes.
Formally employed CHWs are more likely than voluntary CHWs to be covered by policies and frameworks regulating their rights, this promotes sustainability of programmes.
This case study highlights the importance of strong political will and high level support for capacity building in ensuring the sustainability of programmes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com