Fostering innovation sustainability

In the Sustainable Development Goals era there is considerable interest in promoting the long-term sustainability of health programmes introduced by donors in order to achieve universal health coverage. Effective interventions commonly end when donor funding ends or only fragile, short term funding can be secured to sustain them at scale. This lack of sustainability undermines the value of externally-funded health programmes.

IDEAS believes it is important to develop a better understanding of the conditions and approaches that enable the sustainable scale-up of maternal and newborn health innovations.

In Nigeria, India and Ethiopia we have followed over 57 innovations funded by the Bill & Melinda Gates Foundation and are studying those taken to scale to assess their sustainability. This includes a Village Health Worker scheme and an Emergency Transport Scheme in Nigeria, a smart phone app for community health workers in India and an innovation to enable community health workers to administer antibiotics to sick newborns in Ethiopia. We are exploring the transition from donor-funded innovations to government or community led health programmes.

 

Published content

Journal article
‘The stars seem aligned’

A qualitative study of context on scale-up of maternal and newborn health innovations in #Ethiopia #India & #Nigeria https://t.co/OEy3JIZYXL —...

Blog Post
Scaling Up Innovations in Maternal and Newborn Health: 5 Lessons Learned

Launched in 2008, the Saving Newborn Lives project—led by the Ethiopian Ministry of Health’s Health Extension Programme, implemented by Save...

Research brief
Catalysing scale-up of maternal and newborn health innovations in Ethiopia

Scaling-up community-based neonatal sepsis management across a large geographical area produced challenges, yet there have also been positive and enabling factors in Ethiopia

Blog Post
How can data improve implementation?

Learning from routine data Using routine monitoring and evaluation data to understand why innovations are not being used can help local maternal...

Blog Post
From clean birth kits to call centres: making sense of diverse efforts for a common purpose

Bill & Melinda Gates Foundation funded implementation project staff with IDEAS team The first step in our evaluation is to make sense of the...