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Flexible grant schemes: a systematic scoping review.
Bojana Klepac1, Amy Mowle2, Erin Fitzpatrick2
1Mitchel Institute, Victoria University, 70/104 Ballarat Road, 3011, Footscray Park, Melbourne, VIC, Australia. bo.klepacpogrmilovic@vu.edu.au.
BMC Public Health
|February 10, 2025
Summary
Flexible grant schemes offer adaptability in public health funding but lack consistent definitions. Successful implementation requires clear guidelines, strong capacity, and robust evaluations to ensure effectiveness.
Area of Science:
- Public Health
- Health Services Research
- Grant Management
Background:
- Governments fund public health through grants, with growing interest in flexible grant schemes.
- Flexible grants offer adaptability in fund use, timelines, and objectives, unlike traditional models.
- This review addresses criticisms of traditional grants for complex public health challenges.
Purpose of the Study:
- To explore literature on flexible grant schemes.
- To analyze interpretations of flexibility in grant schemes.
- To assess the evaluation of grant schemes and identify success factors.
Main Methods:
- Systematic search of academic and grey literature across eight databases.
- Utilized a five-phase methodological framework for scoping reviews.
- Followed the PRISMA-ScR Checklist for methodological rigor.
Main Results:
- 38 publications met inclusion criteria; 14 focused on public health, with most published post-2010.
- Interpreting 'flexibility' lacked clarity, identified through adaptation, autonomy, and coordination themes.
- Seven success factors identified: collaboration, capacity, communication, alignment, uncertainty, accountability, and administrative burden.
Conclusions:
- Publications on flexible grants have increased, but 'flexibility' definitions remain inconsistent.
- Clearer grant guidelines and enhanced capacity for grantees and funders are crucial.
- Limited evaluations exist; robust studies are needed to determine effectiveness.
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