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School of Public Health
College of Health Sciences, Makerere University

Institutionalization of Projects Into Districts in Low- and Middle-Income Countries Needs Stewardship, Autonomy, and Resources

Abstract
Key Messages
There are too many projects in developing countries; ill health continues because most projects fail to be institutionalized.

Although a district-led integrated community case management project in Uganda had donor support, sufficient implementation led by a nongovernmental organization, and adequate human resources, it had no national or district budget for commodities and lacked supervision and monitoring. All these are characteristics of a failed design for institutionalization.

Institutionalization requires optimal design with stewardship, autonomy, capacity, affordability, minimal complexity, and a system for accountability.
Year of Publication
2020
Journal
Global Health: Science and Practice
Volume
8
Issue
2
Number
Number of Pages
144-146
Date Published
Jun 2020
Publisher
URL
https://www.ghspjournal.org/content/8/2/144
DOI
10.9745/GHSP-D-20-00170