Related Experiment Video
Updated: Jun 28, 2026
12:44
Watershed Planning within a Quantitative Scenario Analysis Framework
Published on: July 24, 2016
Sustainability science: an integrated approach for health-programme planning
Russell L Gruen1, Julian H Elliott, Monica L Nolan
1Department of Surgery, the Royal Melbourne Hospital and University of Melbourne, Melbourne, VIC, Australia.
Lancet (London, England)
|November 6, 2008
Summary
Developing a sustainable health program requires viewing it as a complex system. This approach, considering programs, health issues, and stakeholders, aids in planning and improving health initiatives, especially in low-income nations.
Area of Science:
- Health policy and systems research
- Global health
- Program management
Background:
- Programme sustainability is crucial for health and development, particularly in low- and middle-income countries.
- An evidence-based operational framework is needed to advance research and policy on health program sustainability.
- Existing research lacks a unified approach to understanding and measuring program sustainability.
Purpose of the Study:
- To systematically review existing literature on health program sustainability.
- To propose a consensus, evidence-based operational framework for understanding and improving program sustainability.
- To demonstrate the utility of the proposed framework through case studies.
Main Methods:
- Systematic literature review of conceptual frameworks and empirical studies on health program sustainability.
- Synthesis of findings to develop a complex systems perspective on program sustainability.
- Application of the proposed framework to real-world case examples.
Main Results:
- Sustainable health programs are conceptualized as complex systems.
- These systems involve dynamic interactions between the program, the health problem, and key stakeholders within a specific context.
- The proposed framework offers a novel approach to analyzing and enhancing program sustainability.
Conclusions:
- Viewing health programs as complex systems provides a robust model for sustainability planning.
- This systems approach facilitates a deeper understanding of the multifaceted factors influencing program longevity.
- The framework is applicable across diverse settings, offering practical insights for policymakers and practitioners in global health.
Related Concept Videos
01:21Dimensions of Health and Illness
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:29Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
01:26Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
01:18Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...