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Table 1 Summary of key barriers and corresponding enablers for sustaining population prevention programmes

From: Understanding the sustainment of population health programmes from a whole-of-system approach

Barrier Enabler Summary description
Short-term political and funding cycles Long-range planning, evidence-building and partnering Long-term planning in terms of strategic resourcing and internal funding reduces staff turnover and knowledge loss. Partnering with other organizations to help alleviate reduced resourcing burdens. Evidence of PPP impacts can help to support ongoing programme investment
Competing interests Organizational/political leadership, public support, collaboration and strategic implementation Communication channels with senior management and public to promote health promotion and PPP benefits. Working with other sectors at the policy level and partnering with end-user organizations to deliver programmes as routine
Silo thinking System structure and supports Using a systems approach to harness the support of the whole health system through support structures such as policies, strategy planning documents, service agreements, funding, infrastructure, communication channels and relationships
Programme fit in the population Flexible programme delivery, broad focus, local adaptability and agility Broad multicomponent PPPs at scale to withstand change and flexible to the changing contextual and local needs
  1. Note: Table is presented as a summary but is not intended to show a linear relationship