This study assesses the sustainability of initiatives to improve maternal and child health survival by preventing and treating illness from malaria, and documents best practices for promoting sustainability and lessons for replication in countries where malaria is endemic. The study applied the Child Survival Sustainability Assessment framework to initiatives in Kenya and Malawi to analyze progress toward sustainability, including not only a biomedical perspective but also the human, social, and organizational processes that influence sustainability of health projects. The report concludes that Malaria in Pregnancy (MIP) interventions were sustained within and beyond the project districts in both countries. Furthermore, both contributed to change in national policies. The report recommends that USAID/EA should promote MIP interventions and projects that draw on these experiences, and lists key processes critical to the development of sustainable MIP interventions.
Onyango-Ouma, Washington, Sam Agatre Okuonzi, Doreen Ali, Harriet Birungi, and Annie Mwangi. 2008. "The potential for sustainability of malaria in pregnancy initiatives in East and Southern Africa: Kenya and Malawi," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health