Sustainable Development in Third World Countries: Applied and Theoretical Perspectives

By Valentine Udoh James | Go to book overview
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8
Sustainability of the Danfa Ghana Group of Health Projects: A 26-year Overview
Prince Julius S., Alfred K. Neumann, and William Haven NorthThis chapter takes a broad look at sustainability and the value of a flexible approach to program development by analyzing an interrelated group of five health sector projects. The Danfa Projects group revolved around the Danfa Comprehensive Rural Health and Family Planning Project that was carried out from 1968 to about 1984. (Danfa is a village-sized rural community located about 10 miles north of the Accra, Ghana, city limits. It was the location of the teaching health center that served as a principal field focus of the administration and organization of the project). All of the Danfa Projects group continues in varying degrees to the present in spite of a lengthy intervening period of project retardation and interruption concomitant with extreme political unrest and economic hardship. A three-tier model of sustainability, which presents sustainability as a long-term process of program management and evolution and which examines sustainability from several host country perspectives, is proposed by the authors.Keys to sustainability in these projects are:
building on Ghanaian ideas and on strengthening the existing institutional infrastructure;
collaborative planning and organization, minimization of project "compartmentalization," and maximizing intersectoral approaches, from the very beginning;
initiating early, and continuing throughout the collaboration, a process of free and open consultation and technical assistance on request;
project-linked manpower training and development;
development of managerial expertise;
significant resource contributions from both sides of the partnership;

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