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

Blog Post
ICTs in maternal and child health poised for scale up in Uttar Pradesh, India

On 20 February, I attended a workshop on ICTs to improve maternal and child health services, organised by Intrahealth’s Manthan project (also...

Blog Post
Lessons from large-scale programmes: the Sure Start experience in Uttar Pradesh

  There was rich discussion on this important topic in 3ie’s Delhi Seminar on 8 Feb 2013, where Dr. Arnab Acharya, Professor and Vice-Dean,...

Past event
IDEAS to present at Beijing Health Systems Symposium

The abstract, entitled ‘Barriers to scale-up and diffusion: findings from a multi-country qualitative study’ will be presented as a poster by...

Blog Post
Sun, sea and scale-up in San Diego

I study the scale-up of innovations. My work is about understanding the best ways to ensure health innovations reach more people, including how to...