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Thierno Oumar Fofana, Werner Soors, Abdoulaye Sow

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |August 10, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Project performance issues in Guinea were caused by a lack of initial capacity assessment and resource planning. Understanding the national context and conducting a thorough assessment are crucial for the success of health service projects.

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    Area of Science:

    • Health Systems Research
    • Project Management in Global Health

    Background:

    • The Community Observatory on Access to Health Services (OCASS) project in Guinea (2014-2017) experienced significant performance challenges.
    • Identifying factors contributing to poor project outcomes is essential for future initiatives.

    Purpose of the Study:

    • To identify factors influencing the poor performance of the OCASS project.
    • To formulate recommendations for the project's continuation and future endeavors.

    Main Methods:

    • Qualitative study employing the multipolar performance framework (adapted from EGIPSS and Sicotte frameworks).
    • Data collection via Microsoft Excel spreadsheet analyzing four key functions: service delivery, goal achievement, environmental interaction, and organizational values/culture.

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    Main Results:

    • Poor performance was linked to the absence of initial capacity assessments and inadequate resource (financial, material, human) allocation.
    • Weak national actor involvement, the Ebola epidemic, and multiple stakeholder engagement significantly impacted project objective achievement.

    Conclusions:

    • Emphasizes the critical importance of considering the national context in social responsibility projects.
    • Highlights basic assessment as a fundamental step for ensuring project success and sustainability.