Sustainability science: an integrated approach for health-programme planning : The Lancet

Sustainability science: an integrated approach for health-programme planning : The Lancet

The Lancet, Volume 372, Issue 9649, Pages 1579 – 1589, 1 November 2008

doi:10.1016/S0140-6736(08)61659-1Cite or Link Using DOI
This article can be found in the following collection: Public Health

Sustainability science: an integrated approach for health-programme planning

Dr Russell L Gruen PhD a Corresponding AuthorEmail AddressJulian H Elliott MBBS bMonica L Nolan MBBS cPaul D Lawton MBBS dAnne Parkhill MBIT e,Cameron J McLaren BSc fJohn N Lavis MD g


Planning for programme sustainability is a key contributor to health and development, especially in low-income and middle-income countries. A consensus evidence-based operational framework would facilitate policy and research advances in understanding, measuring, and improving programme sustainability. We did a systematic review of both conceptual frameworks and empirical studies about health-programme sustainability. On the basis of the review, we propose that sustainable health programmes are regarded as complex systems that encompass programmes, health problems targeted by programmes, and programmes’ drivers or key stakeholders, all of which interact dynamically within any given context. We show the usefulness of this approach with case studies drawn from the authors’ experience.
a Department of Surgery, the Royal Melbourne Hospital and University of Melbourne, Melbourne, VIC, Australia
b Infectious Diseases Unit, Alfred Hospital, and Macfarlane Burnet Institute for Medical Research and Public Health, Melbourne, VIC, Australia
c Mothers2mothers, Cape Town, South Africa
d Northern Territory Renal Services, Royal Darwin Hospital, Darwin, NT, Australia
e Aptly Information Design, Melbourne, VIC, Australia
f Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
g Department of Clinical Epidemiology and Biostatistics, Department of Political Science, and Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada
Corresponding Author Information Correspondence to: Dr Russell Gruen, Department of Surgery, University of Melbourne, Centre for Medical Research Building, Royal Melbourne Hospital, Parkville, VIC 3050, Australia

About Dr. Bukar USMAN, mni

I started as a field Veterinary officer with Borno State Ministry of Agriculture and later joined College of Agric, Maiduguri as a lecture & a Researcher in the Department of Animal Health & Production. I was appointed the Provost of the College In 2003. In 2007 I was appointed Hon. Commissioner & Member Borno State Executive Council and later appointed Permanent Secretary with the Borno State Civil Service in 2009. I was the National Facilitator Animal Health, National Programme For Food Security of the Federal Ministry of Agric & Rural Development, Abuja. I was Director, Veterinary Medicine & Allied Products (VMAP) and now Director North East Zone NAFDAC. I’m a member of the National Institute’ (mni), Kuru SEC 40, 2018. I engaged myself in various aspects of the veterinary profession. I founded Sril Group Ltd, Nigeria.
This entry was posted in Africa, Agriciltural Policy, Farmer, Food safety & supply, Food Security, Hunger & Malnutrition, Malnutrition, Nutritional Security, Poverty, Sustainable Development. Bookmark the permalink.

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