Recently, world leaders adopted the 2030 Agenda for Sustainable Development to guide member countries and development agencies in tackling poverty, inequality and injustice making the sustainability of Projects and Programs a critical point of discussion within the development community. With declining levels of global aid, donors of programs in public health and community development are increasingly concerned about the sustainability of changes they initiate. Zambia like many other African countries has received a substantial amount of aid. However, one of the most critical obstacles is the extent to which aid-supported projects continue after donor exit.This was an explorative research study into sustainability determinants of fully furnished community run Mothers’ Shelters in Siachitema, Kanchele, Simakutu and Masuku rural health facilities in Choma and Kalomo Districts of Zambia. It sought to establish the role of governance committees in the sustainability of the Mothers’ shelters and their perception of sustainability compared to project plans. Secondary data collected through In-depth Interviews (IDI) using a semi structured interview guide was analysed using NVIVO 12 to cluster emerging themes and sub-themes from the data. A total of 14 in-depth interviews (IDI) were analysed. The study adopted a subjectivist ontological viewpoint and an interpretivist epistemological outlook. It was predicated on the theories of participation and empowerment. The research established five (5) major sustainability determinants of fully-furnished community run Mothers’ shelters as: financial resources, community support and participation, community empowerment, leadership and good governance and mainstreaming of Mothers’ shelter activities into Ministry of Health strategy, policy and systems. The study also established that sustainability of Mothers’ shelters was at three levels namely financial sustainability; institutional/organizational sustainability; and programmatic sustainability.The study concluded that appropriate policy or legislation, sufficient institutional support, sustainable financing mechanisms, effective management systems and technical backstopping will led to sustainability of fully furnished Mother’s Shelters.
Inhaltsverzeichnis (Table of Contents)
- CHAPTER ONE: INTRODUCTION TO THE STUDY
- 1.1 INTRODUCTION
- 1.2 SUSTAINABILITY PERSPECTIVES
- 1.3 Defining sustainability
- 1.4 A HISTORICAL PERSPECTIVE OF MATERNITY WAITING HOMES
- 1.5 Maternity waiting Homes in Zambia
- 1.6 Ministry of Health policy on Mother's Shelters
- 1.7 The Mothers' shelter project and sustainability design
- 1.7.1 Mothers' Shelter components and design
- 1.8 STATEMENT OF THE PROBLEM
- 1.9 RESEARCH OBJECTIVES
- 1.9.1 PURPOSE OF THE STUDY
- 1.9.2 SPECIFIC OBJECTIVES
- 1.10 RESEARCH QUESTIONS
- 1.11 SCOPE OF THE STUDY
- 1.12 SIGNIFICANCE OF THE STUDY
- 1.13 ORGANIZATION OF THE THESIS
- CHAPTER TWO: LITERATURE REVIEW
- 2.1 INTRODUCTION
- 2.2 Project sustainability at a global glance
- 2.3 FACTORS AFFECTING PROJECT SUSTAINABILITY
- 2.4 Literature analysis
- 2.5 Conclusion
- CHAPTER 3: THEORETICAL AND CONCEPTUAL FRAMEWORK
- 3.0 INTRODUCTION
- 3.1 THEORETICAL PERSPECTIVES ON SUSTAINABILITY
- 3.1.1 Participatory theory
- 3.1.2 Empowerment theory
- 3.2 CONCEPTUAL FRAMEWORK OF SUSTAINABILITY
- 3.2.1 Conceptual framework of sustainability of public health programs
- 3.2.2 Whether benefits or outcomes for consumers, clients, or patients are continued (when the intervention provides services to individuals)
- 3.2.3 Continuing the program activities or components of the original intervention
- 3.2.4 Maintaining community-level partnerships or coalitions developed during the funded program
- 3.2.5 Maintaining new organizational practices, procedures, and policies that were started during program implementation
- 3.2.6 Sustaining attention to the issue or problem
- 3.2.7 Program diffusion and replication in other sites
- 3.3 Conceptual Framework for the Sustainability of fully furnished Mother's Shelters
- 3.3.1 The social environment
- 3.3.2 The economic and political environment
- 3.3.3 Factors of the intervention
- 3.4 Conclusion
- CHAPTER 4: RESEARCH METHODOLOGY
- 4.1 INTRODUCTION
- 4.2 STUDY DESIGN
- 4.2.1 RESEARCH TYPE
- 4.2.2 RESEARCH PHILOSOPHY
- 4.2.3 Research design
- 4.2.4 Study context
- 4.2.5 Research Population
- 4.2.6 Sampling design
- 4.2.7 Sample size
- 4.2.8 Data Collection
- 4.2.9 Data Analysis
- 4.3 ETHICAL CONSIDERATIONS
- 4.4 QUALITY CRITERIA
- 4.5 CONCLUSION
- CHAPTER 5: PRESENTATION OF FINDINGS AND EMPIRICAL ANALYSIS
- 5.1 INTRODUCTION
- 5.2 PURPOSE OF THE STUDY
- 5.3 STUDY GOVERNANCE COMMITTEES
- 5.4 DEMOGRAPHIC CHARACTERISTICS OF STUDY SUBJECTS
- 5.4.1 PROPORTION OF RESPONDENTS BY GENDER
- 5.4.2 RESPONDENTS BY POSITION IN THE GOVERNANCE COMMITTEES
- 5.4.3 RESPONDENTS LEVEL OF EDUCATION
- 5.4.4 NO. OF IDIS PER SITE
- 5.5 EMERGING THEMES
- 5.5.1 THEME ONE: ROLES OF GOVERNANCE COMMITTEE MEMBERS
- 5.5.2 THEME TWO: MOTHERS' SHELTER SUCESSES
- 5.5.3 THEME THREE: CHALLENGES OF MOTHER' SHELTERS
- 5.4 THEME FOUR: SUSTAINABILITY OF MOTHERS' SHELTER THROUGH THE LENS OF GOVERNANCE COMMITTEE MEMBERS
- 5.5 Summary of findings
- 5.5.1 Roles of governance committee members
- 5.5.2 Mothers' successes
- 5.5.3 Mothers' challenges
- 5.5.4 Sustainability of MS through the lens of governance committee members
- 6.1 INTRODUCTION
- 6.2 PURPOSE OF THE STUDY
- 6.3 SECTION 1a: RESEARCH QUESTION ONE A
- 6.3.1 Resource mobilization
- 6.3.2 Policy and Strategy Development
- 6.3.3 Oversight and Supervisory Function
- 6.3.4 Coordination
- 6.4 SECTION 1B: RESEARCH QUESTION ONE B
- 6.5 SECTION TWO: RESEARCH QUESTION 2
- 6.5.1 Linkages, integration and institutionalization of MS services
- 6.5.2 Maintenance and repair of MS structure and assets
- 6.5.3 Continuous utilization of the shelter
- 6.5.4 Leadership and systems
- 6.5.5 Income Generating Activities (IGA)
- 6.5.6 Community support and participation
- 6.6 SECTION 3: RESEARCH QUESTION 3
- 6.7 SUMMARY DISCUSION OF RESEARCH FINDINGS
- 7.1 INTRODUCTION
- 7.2 PURPOSE OF THE STUDY
- 7.3 SUMMARY OF STUDY
- 7.4 RECOMMENDATIONS FOR FUTURE RESEARCH
- 7.5 RECOMMENDATIONS FOR FUTURE PRACTICE
- 7.6 STUDY LIMITATIONS
- 7.7 Conclusion
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
This study aims to investigate the sustainability of mothers' shelters in Zambia, focusing on the role of governance committees in achieving long-term success beyond donor funding. The research explores factors contributing to the success and challenges of these shelters, and analyzes the perspectives of governance committee members on their sustainability.
- The impact of governance committees on the sustainability of mothers' shelters in Zambia
- The role of resource mobilization, policy development, and community engagement in achieving long-term sustainability.
- The challenges faced by mothers' shelters and the strategies employed to overcome them.
- The perspectives of governance committee members on the sustainability of mothers' shelters.
Zusammenfassung der Kapitel (Chapter Summaries)
The first chapter introduces the study and establishes a framework for understanding project sustainability within the context of development initiatives. It delves into the concept of sustainability and its diverse interpretations, highlighting the significance of achieving long-term impact beyond donor involvement. The chapter further explores the historical context of maternity waiting homes in Zambia and the development of a mothers' shelter project with a focus on sustainability design.
Chapter two presents a comprehensive literature review examining the global perspective on project sustainability. It explores the factors that influence project sustainability, including resource mobilization, community engagement, and policy frameworks. The chapter analyzes existing research and identifies key themes and challenges related to achieving long-term impact.
Chapter three outlines the theoretical and conceptual framework underpinning the research. It explores participatory theory and empowerment theory as lenses for understanding the role of stakeholders in achieving sustainability. The chapter presents a conceptual framework for understanding the sustainability of public health programs and develops a framework specifically tailored to the sustainability of mothers' shelters.
Chapter four outlines the research methodology employed in the study, including the research design, data collection methods, and ethical considerations. This chapter provides a detailed explanation of the methods used to gather and analyze data, ensuring the rigor and validity of the research findings.
Chapter five presents the findings of the study based on empirical analysis of data collected from governance committee members. The chapter explores emerging themes, including the roles of governance committees, the successes and challenges of mothers' shelters, and the perspectives of governance committee members on sustainability. It provides a detailed summary of the key findings and insights.
Chapter six discusses the interpretation of the research results, exploring the relationship between the governance committees and the sustainability of mothers' shelters in Zambia. It examines the findings in relation to the research questions and analyzes the factors that contribute to or hinder the long-term success of these shelters. The chapter delves into the implications of the findings for policy and practice.
Schlüsselwörter (Keywords)
The primary keywords of this study include: mothers' shelters, sustainability, governance committees, project sustainability, community engagement, resource mobilization, policy development, Zambia, development interventions, participatory theory, empowerment theory.
- Arbeit zitieren
- Misheck Bwalya (Autor:in), 2018, Perceptions from governance committees on how fully-furnished community run mother’s shelters in rural Zambia could be sustained, München, GRIN Verlag, https://www.grin.com/document/515010
