Resilient Services and Sustainable Outcomes

Two women pass a note at a nurses' station at the Joint Clinical Research Centre in Uganda. (Photo: Julius Kasujja)

Over the last six years, the USAID-funded Leadership, Management, and Governance (LMG) Project partnered with organizations at the local, regional, and national levels of health systems to improve the sustainability of health organizations, helping them become more resilient and adaptable. With strong leadership, management, and governance skills, these organizations can continue to provide high-quality services, achieve their mission, and respond to their clients’ needs in the face of change.

Through these partnerships, we identified key factors that facilitate sustainability and have incorporated them into our capacity building approaches. With LMG Project consortium partner the International Planned Parenthood Federation Africa Region office, we helped several member associations institutionalize approaches to change behaviors and improve service delivery. In Vietnam, we worked with decision-makers in Hai Phong province to help them plan for the eventual transition of HIV and AIDS programs from international funding to increasingly more local funding. We engaged provincial leaders and used a simulation tool to inform decisions on how to sustain HIV and AIDS services with impending budget reductions. In Uganda, a follow-up assessment of the Joint Clinical Research Center showed improvements in programmatic, institutional, and financial sustainability and notable outcomes, such as reduced patient waiting time.

Featured Resources

Sustaining Leadership Development

A three-country comparison analyzing what leadership and management interventions worked over time and the factors that promoted their sustainability.

Leadership and Management Intervention Assessment Report

This assessment report details how two leadership and management development approaches enabled short and long-term improvements and continued sustainability of the programs.