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Table 6 Updated list of sustainability outcomes variables

From: Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Updated sustainability outcome variables
Sustainability outcome Variable Description Example
I. Benefits Benefits for patients, staff and stakeholders continue e.g. continued improvements in health outcomes for infants in protein intake and weight gain [79]
II. Activities Initiative activities or components of the original intervention continue e.g. continuation of the HIV testing service delivery [82]
III. Relationships, partnerships and networks Maintenance of relationships, partnerships or networks that were developed during the funded programme e.g. maintenance of relationships with champion groups to continuously advocate for and implement activities [60]
IV. Procedures and policies Maintenance of new organisational procedures, and policies that were started during program implementation e.g. workflow integration achieved through ongoing communication and documentation in electronic records [66]
V. Attention and awareness Attention and awareness of the problem or issue is continued or increased e.g. using educative messages through mass media and community meetings [102]
VI. Spread Replication, roll-out or scale up of the initiative e.g. programme is scaled-up locally/nationally and exist in similar forms elsewhere [60]
VII. Skills and capabilities Capacity built (skills and capabilities) within staff, stakeholders and communities developed throughout an initiative continue to be utilised e.g. intervention is incorporated into staff orientation [66]
VIII. Innovation and adaptation Adaptation in response to new or changing populations, evidence, policies, or other contextual influences e.g. replacing intervention posters in public places or changing intervention images [106]
IX. Garnering funding Gaining further funds to continue the initiative and maintain improvements e.g. funds for the intervention activities are included in the annual budget for illness prevention strategies [102]