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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.

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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.

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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.