Table 1 Sustainability framework: determinants of sustainability
From: Sustainability of health information systems: a three-country qualitative study in southern Africa
Factor | Conditions hypothesized to result in greater sustainability |
|---|---|
Program/project-specific factors | |
 Type/goal(s) | Programs/projects that are better able to demonstrate results, often by being more narrowly focused |
 Perceived effectiveness | Higher degree |
 Financing | Ability to secure multiple sources of non-donor financing, particularly from national sources (during or by end of program/project) |
 Training | Greater emphasis |
Organizational factors | |
 Local-level modifiability | Greater local-level ability to modify implementation to local needs and conditions |
 Donor-client interactions | Characterized by joint participation/consensus-building |
 Donor-community interactions | Characterized by joint participation/consensus-building |
 Project champion | Existing and effective |
 Integration | Higher degree of integration within host institution, national health authority institution or activities, and/or recipient community needs/priorities |
 Institutional strength/capacities | Stronger |
Contextual factors | |
 Concurrent projects/donor-supported activities | Fewer similar other programs/projects and/or minimization of competing health problems |
 Community characteristics | Higher receptivity to participation |
 Political, economic and cultural characteristics | Socio-political stability, economic stability/growth, higher governmental institutional capacity |