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.
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Global Health: Science and Practice
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"Treatment of Sick Children Seeking Care in the Private Health Sector in Uganda: A Cluster Randomized Trial"
Trends and determinants of adolescent childbirth in Uganda- analysis of rural and urban women using six demographic and health surveys, 1988–2016
Effectiveness and cost-effectiveness of group support psychotherapy delivered by trained lay health workers for depression treatment among people with HIV in Uganda: a cluster-randomised trial