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Framework for
Sustainability
Submitted by
Vishakh Gopalakrishna Nayaka
What is this?
The Sustainability Framework
Organized thinking about sustainability as well as informed Planning
Management and Evaluation of activities in order to improve and maintain health
outcomes at a population level.
Okay! How do we do it?
• Central focus on Health Outcomes of the
community, i.e, Health issues faced by the
community.
• Health Service Provisions such as
availability of medicines, hospital facilities
and so on.
• Organization and Community capacity to
serve the problems faced by the
community are correlated.
Organization
Capacity and
Viability
Community
Capacity
Health
Outcomes
Health
Service
Provisions
Wait what?
Let me put it this way..
Component 1: Health Outcomes
Being the outcome
1. Ideally it would measure the population health status.
2. The usual data used for Component 1 are a summary of the
population health outcomes (i.e., indicators of key household
behaviors and service coverage) that are known to be associated
with a high impact on health.
3. These are the very measures that many projects use to track their
progress.
Component 2: Health Service Provisions
• This component addresses how well the local health providers—both
facility and community based—deliver services and products to the
beneficiary population
• This service delivery contributes directly or indirectly to the health
outcomes measured in Component 1.
• The quality of the services delivered includes subcomponents like the
following:
1. Availability of key inputs, like infrastructure, supplies, and
medications.
2. Competence of health service providers both technically and in their
relations with clients
Component 3 & 4: District and Community Capacity and Viability
• The subject of the measurement for Components 3 and 4, you should
think about who will supply the institutional support for health
service delivery.
• This is the Institutional and the capacity and viability will be measured
in Component 3.
• Then we should think about who will supply the institutional support
for the activities in the community necessary to demand services and
for household behaviours related to relevant health outcomes.
• The organization supplying this support is the one whose capacity and
viability should be measured in Component 4.
THANK YOU

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Framework for sustainability

  • 2. What is this? The Sustainability Framework Organized thinking about sustainability as well as informed Planning Management and Evaluation of activities in order to improve and maintain health outcomes at a population level.
  • 3. Okay! How do we do it? • Central focus on Health Outcomes of the community, i.e, Health issues faced by the community. • Health Service Provisions such as availability of medicines, hospital facilities and so on. • Organization and Community capacity to serve the problems faced by the community are correlated. Organization Capacity and Viability Community Capacity Health Outcomes Health Service Provisions
  • 4. Wait what? Let me put it this way.. Component 1: Health Outcomes Being the outcome 1. Ideally it would measure the population health status. 2. The usual data used for Component 1 are a summary of the population health outcomes (i.e., indicators of key household behaviors and service coverage) that are known to be associated with a high impact on health. 3. These are the very measures that many projects use to track their progress.
  • 5. Component 2: Health Service Provisions • This component addresses how well the local health providers—both facility and community based—deliver services and products to the beneficiary population • This service delivery contributes directly or indirectly to the health outcomes measured in Component 1. • The quality of the services delivered includes subcomponents like the following: 1. Availability of key inputs, like infrastructure, supplies, and medications. 2. Competence of health service providers both technically and in their relations with clients
  • 6. Component 3 & 4: District and Community Capacity and Viability • The subject of the measurement for Components 3 and 4, you should think about who will supply the institutional support for health service delivery. • This is the Institutional and the capacity and viability will be measured in Component 3. • Then we should think about who will supply the institutional support for the activities in the community necessary to demand services and for household behaviours related to relevant health outcomes. • The organization supplying this support is the one whose capacity and viability should be measured in Component 4.