Toward the sustainability of health interventions implemented in sub-Saharan Africa: A systematic review and conceptual framework

Implementation Science

Volumn 11, Issue 1, 2016, Pages

  Iwelunmor, Juliet ^a   Blackstone, Sarah ^a   Veira, Dorice ^b   Nwaozuru, Ucheoma ^a   Airhihenbuwa, Collins ^c   Munodawafa, Davison ^d   Kalipeni, Ezekiel ^a   Jutal, Antar ^e   Shelley, Donna ^b   Ogedegbe, Gbenga ^b  

^a UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN   (United States)

^b NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c SAINT LOUIS UNIVERSITY   (United States)

^d WORLD HEALTH ORGANIZATION   (Switzerland)

^e WEST VIRGINIA UNIVERSITY   (United States)

Author keywords

Health interventions; Implementations; Sub Saharan Africa; Sustainability

Indexed keywords

AFRICA SOUTH OF THE SAHARA; CHRONIC DISEASE; COST OF ILLNESS; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HUMAN; ORGANIZATION AND MANAGEMENT; SUPPLY AND DISTRIBUTION;

AFRICA SOUTH OF THE SAHARA; CHRONIC DISEASE; COST OF ILLNESS; DELIVERY OF HEALTH CARE; HEALTH RESOURCES; HUMANS;

EID: 84963615012     PISSN: None     EISSN: 17485908     Source Type: Journal    
DOI: 10.1186/s13012-016-0392-8     Document Type: Review

References (77)

1. HIV/AIDS, J.U.N.P.O. Global report: UNAIDS report on the global AIDS epidemic 2013. Geneva, Switzerland: UNAIDS; 2013. p. 2014.
2. WHO. World malaria report 2013. Geneva: World Health Organization; 2014.
3. Organization, W.H., Global tuberculosis report 2013. 2013: World Health Organization.
4. BeLue R et al. An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective. Glob Health. 2009;5(1):10.
5. Young F et al. A review of co-morbidity between infectious and chronic disease in Sub Saharan Africa: TB and diabetes mellitus, HIV and metabolic syndrome, and the impact of globalization. Glob Health. 2009;5(1):9.
6. Dalal S et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40(4):885-901.
7. Miranda J et al. Non-communicable diseases in low-and middle-income countries: context, determinants and health policy. Tropical Med Int Health. 2008;13(10):1225-34.
8. Peck RN et al. Hypertension-related diseases as a common cause of hospital mortality in Tanzania: a 3-year prospective study. J Hypertens. 2013;31(9):1806.
9. Kengne AP, Mayosi BM. Readiness of the primary care system for non-communicable diseases in sub-Saharan Africa. The lancet global health. 2014;2(5):e247-8.
10. Murray CJ et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013;380(9859):2197-223.
11. Mayosi BM. The 10 'Best Buys' to combat heart disease, diabetes and stroke in Africa. Heart. 2013;99(14):973-4.
12. Ziraba AK, Fotso JC, Ochako R. Overweight and obesity in urban Africa: a problem of the rich or the poor? BMC Public Health. 2009;9(1):465.
13. Shigayeva A, Coker RJ. Communicable disease control programmes and health systems: an analytical approach to sustainability. Health Policy Plan. 2015;30(3):368-85.
14. Scheirer MA, Dearing JW. An agenda for research on the sustainability of public health programs. Am J Public Health. 2011;101(11):2059.
15. Bossert TJ. Can they get along without us? Sustainability of donor-supported health projects in Central America and Africa. Soc Sci Med. 1990;30(9):1015-23.
16. Chambers DA, Glasgow RE, Stange KC. The Dynamic Sustainability Framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013;8(1):117.
17. Katz I et al. Lessons learned from stakeholder-driven sustainability analysis of six national HIV programmes. Health Policy Plan. 2014;29(3):379-87.
18. Jha A et al. Accelerating achievement of the sustainable development goals. BMJ. 2016;352:i409.
19. Proctor E et al. Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support. Implement Sci. 2015;10(1):88.
20. Scheirer MA. Is sustainability possible? A review and commentary on empirical studies of program sustainability. Am J Eval. 2005;26(3):320-47.
21. Shediac-Rizkallah MC, Bone LR. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res. 1998;13(1):87-108.
22. Stirman SW et al. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012;7(17):1-19.
23. Bhardwaj S et al. Implementation research for the prevention of mother-to-child HIV transmission in sub-Saharan Africa: existing evidence, current gaps, and new opportunities. Curr HIV/AIDS Rep. 2015;12(2):246-55.
24. Kiwanuka SN et al. What lessons for sustainability of maternal health interventions can be drawn from rural water and sanitation projects? Perspectives from Eastern Uganda. J Manage Sustain. 2015;5(2):p97.
25. Kalipeni E, Semu LL, Mbilizi MA. The brain drain of health care professionals from sub-Saharan Africa: a geographic perspective. Prog Dev Stud. 2012;12(2-3):153-71.
26. Gilson L. The lessons of user fee experience in Africa. Health Policy Plan. 1997;12(3):273-85.
27. Heller RF et al. Critical appraisal for public health: a new checklist. Public Health. 2008;122(1):92-8.
28. Iwelunmor J, Newsome V, Airhihenbuwa CO. Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions. Ethnicity Health. 2014;19(1):20-46.
29. Sarriot EG et al. Qualitative research to make practical sense of sustainability in primary health care projects implemented by non-governmental organizations. Int J Health Plann Manag. 2004;19(1):3-22.
30. Johnson K et al. Building capacity and sustainable prevention innovations: a sustainability planning model. Eval Program Plann. 2004;27(2):135-49.
31. Mutale W et al., Application of systems thinking: 12-month postintervention evaluation of a complex health system intervention in Zambia: the case of the BHOMA. J Eval Clin Pract, 2015.
32. Wilson PT et al. Aftermath of a clinical trial: evaluating the sustainability of a medical device intervention in Ghana. J Trop Pediatr. 2014;60(1):33-9.
33. Amazigo U et al. Performance of predictors: evaluating sustainability in community-directed treatment projects of the African programme for onchocerciasis control. Soc Sci Med. 2007;64(10):2070-82. http://linkinghub.elsevier.com/retrieve/pii/S027795360700010X.
34. Blanchet K et al. Advancing the application of systems thinking in health: analysing the contextual and social network factors influencing the use of sustainability indicators in a health system-a comparative study in Nepal and Somaliland. Health Res Policy Syst. 2014;12(1):46. http://www.health-policy-systems.com/content/12/1/46.
35. Rashed S et al. Sustaining malaria prevention in Benin: local production of bednets. Health Policy Plan. 1997;12(1):67-76.
36. Mbanefo EC et al. Onchocerciasis in Anambra State, Southeast Nigeria: clinical and psychological aspects and sustainability of community directed treatment with ivermectin (CDTI). Postgrad Med J. 2010;86(1020):573-7.
37. Osawa E, Kodama T, Kundishora E. Motivation and sustainability of care facilitators engaged in a community home-based HIV/AIDS program in Masvingo Province, Zimbabwe. AIDS Care. 2010;22(7):895-902.
38. Roura M et al. Barriers to sustaining antiretroviral treatment in Kisesa, Tanzania: a follow-up study to understand attrition from the antiretroviral program. AIDS Patient Care STDS. 2009;23(3):203-10.
39. Aubel J, Samba-Ndure K. Lessons on sustainability for community health projects. World Health Forum. 1996;17(1):52-7.
40. Eliason R. Towards sustainability in village health care in rural Cameroon. Health Promot Int. 1999;14(4):301-6.
41. Ghiron L et al. Beginning with sustainable scale up in mind: initial results from a population, health and environment project in East Africa. Reprod Health Matters. 2014;22(43):84-92.
42. Somassé YE et al. Sustainability and scaling-up analysis of community-based management of acute malnutrition: lessons learned from Burkina Faso. Food Nutr Bull. 2013;34(3):338-48.
43. Rasschaert F et al. Sustainability of a community-based anti-retroviral care delivery model-a qualitative research study in Tete, Mozambique. Journal of the International AIDS Society. 2014:17.( http://www.jiasociety.org/index.php/jias/article/view/18910 ).
44. Harpham T, Few R. The Dar Es Salaam Urban Health Project, Tanzania: a multi-dimensional evaluation. J Public Health. 2002;24(2):112-9. http://jpubhealth.oxfordjournals.org/cgi/doi/10.1093/pubmed/24.2.112.
45. Humphries D, Gomez L, Hartwig K. Sustainability of NGO capacity building in southern Africa: successes and opportunities. Int J Health Plann Manag. 2011;26(2):e85-101. http://doi.wiley.com/10.1002/hpm.1029.
46. Le Gargasson J-B et al. Sustainability of National Immunization Programme (NIP) performance and financing following Global Alliance for Vaccines and Immunization (GAVI) support to the Democratic Republic of the Congo (DRC). Vaccine. 2013;31(15):1886-91. http://linkinghub.elsevier.com/retrieve/pii/S0264410X13001874.
47. Sebotsa MLD et al. Assessment of the sustainability of the iodine-deficiency disorders control program in Lesotho. Food Nutr Bull. 2007;28(3):337-47.
48. Swain JD et al. Partnership for sustainability in cardiac surgery to address critical rheumatic heart disease in sub-Saharan Africa: the experience from Rwanda. World J Surg. 2014;38(9):2205-11.
49. Torpey K et al. From project aid to sustainable HIV services: a case study from Zambia. J Int AIDS Soc. 2010;13(1):19. http://archive.biomedcentral.com/1758-2652/13/19.
50. Sharma A., et al. Building sustainable organizational capacity to deliver HIV programs in resource-constrained settings: stakeholder perspectives. Global Health Action, 2013. 6(0 % U http://www.globalhealthaction.net/index.php/gha/article/view/22571 ).
51. Vamos S et al. Translation and sustainability of an HIV prevention intervention in Lusaka, Zambia. Translat Behav Med. 2014;4(2):141-8. http://link.springer.com/10.1007/s13142-013-0237-9.
52. Wandeler G et al. Outcomes of antiretroviral treatment programs in rural Southern Africa. JAIDS J Acquir Immune Defic Syndr. 2012;59(2):e9-16. http://journals.lww.com/jaids/Abstract/2012/02010/Outcomes_of_Antiretroviral_Treatment_Programs_in.19.aspx.
53. Okeibunor J, Bump J, Zouré HG, Sékétéli A, Godin C, Amazigo UV. A model for evaluating the sustainability of community-directed treatment with ivermectin in the African Program for Onchocerciasis Control. Int J Health Plann Manag. 2012;27:257-71.
54. Zullig LL et al. Sustainability of cancer registration in the Kilimanjaro Region of Tanzania-a qualitative assessment. World Health Population. 2014;15(1):21-30.
55. Teguete I et al. Can visual cervical screening be sustained in routine health services? Experience from Mali, Africa: sustained cervical cancer prevention effort in Mali. BJOG: An International Journal of Obstetrics & Gynaecology. 2012;119(2):220-6. http://doi.wiley.com/10.1111/j.1471-0528.2011.03122.x.
56. Walsh A et al. "The problem is ours, it is not CRAIDS'". Evaluating sustainability of Community Based Organisations for HIV/AIDS in a rural district in Zambia. Glob Health. 2012;8(1):40. http://www.globalizationandhealth.com/content/8/1/40.
57. Fonck K et al. Syphilis control during pregnancy: effectiveness and sustainability of a decentralized program. Am J Public Health. 2001;91(5):705-7.
58. Maticka-Tyndale E, Wildish J, Gichuru M. Thirty-month quasi-experimental evaluation follow-up of a national primary school HIV intervention in Kenya. Sex Education. 2010;10(2):113-30. http://www.tandfonline.com/doi/abs/10.1080/14681811003666481.
59. Maticka-Tyndale E. Sustainability of gains made in a primary school HIV prevention programme in Kenya into the secondary school years. J Adolesc. 2010;33(4):563-73.
60. Shiell A, Hawe P, Gold L. Complex interventions or complex systems? Implications for health economic evaluation. BMJ. 2008;336(7656):1281-1283.
61. Sarriot E et al. A causal loop analysis of the sustainability of integrated community case management in Rwanda. Soc Sci Med. 2015;131:147-55.
62. Airhihenbuwa CO. Health and culture: beyond the Western paradigm. Thousand Oaks, Calif: Sage; 1995. p. 152. xvi.
63. Airhihenbuwa C. Healing our differences-the crisis of global health and the-politics of identity. Lanham, Maryland: Rowman & Littlefield Publishers; 2007.
64. Airhihenbuwa C et al. Stigma, culture, and HIV and AIDS in the Western Cape, South Africa: an application of the PEN-3 cultural model for community-based research. J Black Psychol. 2009;35(4):407-32.
65. Dutta MJ, Basu A. Health among men in rural Bengal: Exploring meanings through a culture-centered approach. Qual Health Res. 2007;17(1):38-48.
66. Ahluwalia IB et al. Sustainability of community-capacity to promote safer motherhood in northwestern Tanzania: what remains? Glob Health Promot. 2010;17(1):39-49.
67. Akogun O. Sustainable development and malaria illness experience among Nigerian nomads. In: Amoeda R, Lira S, Pinheiro C, editors. Heritage 2010: Heritage and Sustainable Development, Vols 1 and 2. 2001. p. 1257-61.
68. Ajayi IO, Jegede SA, Falade CO. Sustainability of intervention for home management of malaria: the Nigerian experience. Am J Trop Med Hyg. 2014;83(5):369-70.
69. Blanchet K, James P. Can international health programmes be sustained after the end of international funding: the case of eye care interventions in Ghana. BMC Health Serv Res. 2014;14:77.
70. Abbey M et al. Factors related to retention of community health workers in a trial on community-based management of fever in children under 5 years in the Dangme West District of Ghana. Int Health. 2014;6(2):99-105.
71. Amo-Adjei J. Perspectives of stakeholders on the sustainability of tuberculosis control programme in Ghana. Tuberc Res Treat. 2013;2013:419385.
72. Torpey K et al. Increasing the uptake of prevention of mother-to-child transmission of HIV services in a resource-limited setting. BMC Health Serv Res. 2010;10:29.
73. Kachur SP et al. Maintenance and sustained use of insecticide-treated bednets and curtains three years after a controlled trial in western Kenya. Trop Med Int Health. 1999;4(11):728-35.
74. Kuyini A, Alhassan A, Mahama F. The Ghana community-based rehabilitation program for people with disabilities: what happened at the end of donor support? J Soc Work Disabil Rehabil. 2011;10(4):247-67.
75. Lindblade KA et al. Sustainability of reductions in malaria transmission and infant mortality in western Kenya with use of insecticide-treated bednets: 4 to 6 years of follow-up. JAMA. 2004;291(21):2571-80.
76. Hutchinson C et al. Exploring the sustainability of obstetric near-miss case reviews: a qualitative study in the South of Benin. Midwifery. 2010;26(5):537-43.
77. Rosenberg A, Hartwig K, Merson M. Government-NGO collaboration and sustainability of orphans and vulnerable children projects in southern Africa. Eval Program Plann. 2008;31(1):51-60.