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Related Experiment Videos

Public health program capacity for sustainability: a new framework.

Sarah F Schell¹, Douglas A Luke, Michael W Schooley

¹Center for Public Health Systems Science, George Warren Brown School of Social Work, Washington University in St, Louis, 700 Rosedale Ave, Campus Box 1009, St, Louis, MO, 63112, USA.

Implementation Science : IS

|February 5, 2013

Summary

A new framework synthesizes nine core domains for public health program sustainability. This model aids decision-makers in ensuring long-term program impact and benefits.

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Area of Science:

Public Health
Health Services Research
Program Implementation Science

Background:

Public health programs require sustained activities for long-term benefits.
Existing literature on program sustainability is fragmented, lacking consensus on core constructs.
A new conceptual framework is needed to guide public health program sustainability.

Purpose of the Study:

To present a novel conceptual framework for public health program sustainability.
To identify and synthesize core domains influencing program capacity for sustainability.
To provide a tool for enhancing the longevity of public health initiatives.

Main Methods:

Developmental study utilizing a comprehensive literature review.
Incorporated input from an expert panel and concept-mapping methodology.
Concept-mapping involved diverse participants (scientists, funders, practitioners) across multiple public health areas.

Main Results:

Identified nine core domains critical for public health program sustainability: Political Support, Funding Stability, Partnerships, Organizational Capacity, Program Evaluation, Program Adaptation, Communications, Public Health Impacts, and Strategic Planning.
The framework encompasses 93 items with strong face validity, 89% supported by existing sustainability literature.
Literature review analyzed 85 empirical studies, predominantly on community-level, prevention-oriented programs.

Conclusions:

The developed framework highlights key factors influencing a program's ability to sustain activities and benefits.
Synthesizes and interrelates previously discussed factors, offering a cohesive model for sustainability.
Provides essential domains for public health decision-makers, program managers, and evaluators to consider for program development and implementation.