Institutionalization and Sustainability of Donor-Funded Quality Assurance Initiatives: The Case of Honduras

Institutionalization and sustainability are important issues for any donor funded program as the effectiveness of the initiatives are usually expected to persist after the donor funding period has ended. This report develops a framework for analysis integrating the two concepts and applies it to an important case of donor-funded quality improvement projects in Honduras whose funding terminated in 2012.

USAID-funded projects to support the application of improvement methods to strengthen health systems and outcomes, managed by University Research Co., LLC, have been implemented in Honduras since 1997.

This study was designed to ask how much of the projects’ results, funding, policies, and culture continued five years after the resources and technical assistance were withdrawn and at what level of fidelity, and what factors could explain the sustainability or lack of sustainability. It found that the USAID-funded technical support during these years set the basis to maintain a process of continuous improvement in Honduras.

Read the full report.

Learn how the USAID ASSIST Project is supporting current health systems strengthening efforts to address Zika in Honduras.

Report Author(s): 
Pablo Villalobos Dintrans and Thomas J. Bossert
USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project/URC and Harvard T.H. Chan School of Public Health
ASSIST publication: 
ASSIST publication
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