Journal
EVALUATION AND PROGRAM PLANNING
Volume 38, Issue -, Pages 28-32Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.evalprogplan.2012.11.003
Keywords
Sustainability; Rehabilitation; Public health; Developing country; Health system
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Sustainability evaluation has become a key component of international health. However, evaluators have faced a number of challenges linked to the lack of consensus on the meaning of the concept of sustainability. This paper aims to describe a methodology, the Sustainability Analysis Process, based on several conceptual frameworks and tested in five different countries in the physical rehabilitation sector. The methodology consists of five successive steps: (i) overview of the context; (ii) system boundary; (iii) consensus vision of sustainability, and derivation of stakeholder perspectives: (iv) selection of sustainability indicators and characterization and analysis of local system sustainability; and (v) verification and modification. The paper also discusses the place of the evaluator and researcher in the process: the methodology aims to help evaluators objectively measure the level of sustainability of a health system with the challenge of dealing with a subjective notion, the concept of sustainability, and a diversity of actors. The Sustainability Analysis Process also aims to capture the dynamics of systems by repeating the process on a regular basis. The methodology highlights the need for evaluators build consensus amongst stakeholders on a common vision of the future of a health system. (C) 2012 Elsevier Ltd. All rights reserved.
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