From: Results-based aid with lasting effects: sustainability in the Salud Mesoamérica Initiative
DSF tenets | SMI results | Threats to sustainability |
---|---|---|
Not optimized before implementation (Tenet 1) | ✓ Evolving design | |
Continually improves and ongoing learning (Tenet 2) Ongoing feedback (Tenet 3) | ✓ Evidence-based practices ✓ Sector-wide approach (quality improvements, capacity building, health information systems, knowledge-sharing) | |
Voltage drop not inevitable (Tenet 4) | ✓ Culture of prioritizing healthcare ✓ Policy dialogue ✓ Scale-up of interventions | ✓ Possible transient culture of prioritizing healthcare |
Fit between program and setting (Tenet 5) | ✓ Aligns with national needs ✓ Health systems strengthening | |
Organizational learning (Tenet 6) | ✓ Problem-solving capacity | ✓ Personnel turnover |
Ongoing stakeholder involvement (Tenet 7) | ✓ Partnerships, including regional approach and RBA model | ✓ Dissipation of reputational risk and donor-government financial partnerships |