Sustainability of public health interventions: where are the gaps?

Table 2 Consolidated framework for sustainability constructs in healthcare (adapted from Lennox et al. [9])

The initiative design	Negotiating initiative processes	The people involved	Resources	The organisational setting	The external environment
Demonstrating effectiveness	Belief in the initiative	Stakeholder participation	General resources	Integrating with existing programmes and policies	Socioeconomic and political considerations
Monitoring progress over time	Accountability of roles and responsibilities	Leadership and champions	Funding	Intervention adaptation and receptivity	Awareness and raising the profile
Training and capacity-building	Defining aims and shared vision	Relationships and collaboration and networks	Infrastructure	Organisational values and culture	Urgency
Evidence base for the initiative	Incentives	Community participation	Resources – staff	Organisational readiness and capacity	Spread to other organisations
Expertise	Workload	Staff involvement	Resources – time	Support available
The problem	Complexity	Ownership		Opposition
Project duration	Job requirements	Power
Improvement methods		Patient involvement
Project type		Satisfaction

ISSN: 1478-4505