Table 1 Framework for assessment of sustainability of Community Based Organisations (adapted from Sarriot et al., 2004[27]
Dimension | Component | Explanatory notes | |
|---|---|---|---|
1 | Funding | D1. Concerned with having sufficient funding to continue programme objectives. It follows the trajectory of funding pre-programme to programme funding to post programme funding outcomes | Sarriot et al’s framework[27] incorporated funding into the organisational dimension, specifically organisational viability. However we consider that it warrants separate consideration, considering the centrality of financing to programme sustainability |
2 | Health and social services | D2.1 Health and social services approach: availability, cost, accessibility and appropriateness of services. | Health services are defined in this study in the broadest terms, as CBOs for HIV and AIDS provide social services in addition to health services, such as nutrition and education support. Sarriot et al’s framework also includes quality and coverage. Within this study it was not possible to report on coverage as this is not incorporated into planning and M&E for care and support services in Zambia. This is discussed in the paper. Assessment of service quality was deemed beyond the scope of the study |
D2.2 Health outcomes: represents the improvement of the health of the population | |||
3 | Organisational | D3.1 Organisational capacity: the capacity that is needed to exist within local organisations to maintain local services and activities. | |
D3.2 Organisational viability: the capacity of an organisation for continuing effectiveness, in particular organisational dependency/interdependency and interconnectedness. | |||
4 | Community and social ecological conditions | D4.1 Community competence/capacity: overlapping elements that affect the community such as social cohesion and collective efficacy – ‘community competence’ | ‘Community competence’ is defined as ‘a range of functions of community life (leadership, communication skills, conflict management, sense of community, internal participation) which contribute to the competence of the community.’[41] |
D4.2 Ecological, human, economic, political and policy environment: national and regional economic and political policies, and ecological conditions | The authors consider that this is most appropriately dealt with in introduction and discussion |