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Institutionalizing and sustaining social change in health systems: the case of Uganda.


ABSTRACT: The key to high impact health services is institutionalizing and sustaining programme evaluation. Uganda represents a success story in the use of a specific programme evaluation method: Lot Quality Assurance Sampling (LQAS). Institutionalization is defined by two C's: competent programme evaluators and control mechanisms that effectively use evaluation data to improve health services. Sustainability means continued training and funding for the evaluation approach. Social science literature that researches institutionalization has emphasized 'stability', whereas in global health, the issue is determining how to improve the impact of services by 'changing' programmes. In Uganda, we measured the extent of the institutionalization and sustainability of evaluating programmes that produce change

SUBMITTER: Hage J 

PROVIDER: S-EPMC5886222 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature