Measuring Sustainability as a Programming Tool for Health Sector Investments

Report from a Pilot Sustainability Assessment in Five Nepalese Health Districts

Categorized Under: Families + Communities, Health, International Development



In this report, ICF International experts discuss a unique pilot of the systematic use of the sustainability framework in five districts of Nepal supported by the U.S. Agency for International Development (USAID) through different project partners and how progress can be assessed at a district level and monitored at a program level. ICF concluded that systematic application of the sustainability framework can improve the international health sector investment decisions of development agencies. It also gives districts an information base on which to build autonomy and accountability. The ability to form and test hypotheses about the sustainability of outcomes under various funding strategies was made possible by this approach and will be a prerequisite for more efficiently meeting the international health agenda.

Authored By

  • Eric Sarriott

    Director of the CEDARS CenterICF International

    Eric Sarriot is Director of ICF International’s Center for Design and Research in Sustainable Health and Human Development (CEDARS). Dr. Sarriot leads a community of practice focusing on improving sustainability design, implementation, and evaluation in community health projects and programs; analysis and development of sustainable social responses to global challenges to sustainable health and human development; and evaluation and study designs on the functioning of complex adaptive systems (community and civil society, health systems, donor systems).

    His experience includes mixed method evaluation, evidence-based model development for planning and evaluation, participatory research and evaluation, qualitative and quantitative research, and program design and management primarily in health.

  • Leo Ryan

    Senior Vice PresidentICF International

    Leo Ryan heads health and development efforts in supporting nongovernmental organizations (NGO) to build sustainable local capacity in health systems worldwide. He has experience in leadership and organization development, strategic planning, conflict management, and public health.

    Mr. Ryan annually assists in the development and implementation of an internal climate survey that identifies drivers of organizational effectiveness and employee satisfaction. Survey results are used in maintaining a healthy working environment for all staff.

  • Sharon Arscott-Mills

    Programs SpecialistICF International

    Sharon Arscott-Mills is experienced in bedside nursing in an intensive care unit, computer software design, and participatory community development. She has worked as a clinical services team leader for IntraHealth International and in an injury surveillance program within the Ministry of Health in Jamaica, designing, monitoring, and ensuring the quality of maternal child health, nutrition, family planning, and HIV/AIDS programs within the U.S. Agency for International Development (USAID) in Washington and Nepal.

    Ms. Arscott-Mills served at USAID as a senior technical advisor for the Child Survival and Health Grants program, where she explored and furthered her interest in solutions that have lasting impact on health through supporting the development of the sustainability framework within the private voluntary organization (PVO) grants program. She has been a member of the Student Health OUTreach (SHOUT) program since its inception, and her interest in the Center for Design and Research in Sustainable Health and Human Development (CEDARS) stems from a desire to explore fundamental questions about how we "do" development with colleagues who are asking similar questions.

    Ms. Arscott-Mills is a graduate of Rutgers, The State University of New Jersey, College of Nursing and Emory University's Rollins School of Public Health.

Insight Details

Published: Apr 2, 2009
Authors: , , , Jim Ricca, Jagat Basnet
Source: ICF International

© Copyright 1992–2014 ICF International, Inc. All Rights Reserved.