IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v38y2013icp28-32.html
   My bibliography  Save this article

Selection of sustainability indicators for health services in challenging environments: Balancing scientific approach with political engagement

Author

Listed:
  • Blanchet, Karl
  • Girois, Susan

Abstract

Sustainability evaluation has become a key component of international health. However, evaluators have faced a number of challenges linked to the lack of consensus on the meaning of the concept of “sustainability”. This paper aims to describe a methodology, the Sustainability Analysis Process, based on several conceptual frameworks and tested in five different countries in the physical rehabilitation sector. The methodology consists of five successive steps: (i) overview of the context; (ii) system boundary; (iii) consensus vision of sustainability, and derivation of stakeholder perspectives; (iv) selection of sustainability indicators and characterization and analysis of local system sustainability; and (v) verification and modification. The paper also discusses the place of the evaluator and researcher in the process: the methodology aims to help evaluators objectively measure the level of sustainability of a health system with the challenge of dealing with a subjective notion, the concept of sustainability, and a diversity of actors. The Sustainability Analysis Process also aims to capture the dynamics of systems by repeating the process on a regular basis. The methodology highlights the need for evaluators build consensus amongst stakeholders on a common vision of the future of a health system.

Suggested Citation

  • Blanchet, Karl & Girois, Susan, 2013. "Selection of sustainability indicators for health services in challenging environments: Balancing scientific approach with political engagement," Evaluation and Program Planning, Elsevier, vol. 38(C), pages 28-32.
    • Handle: RePEc:eee:epplan:v:38:y:2013:i:c:p:28-32
    DOI: 10.1016/j.evalprogplan.2012.11.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718912000869
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2012.11.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Chambers, Robert, 1994. "Participatory rural appraisal (PRA): Analysis of experience," World Development, Elsevier, vol. 22(9), pages 1253-1268, September.
    2. Deryck R. Brown, 1998. "Evaluating institutional sustainability in development programmes: beyond dollars and cents," Journal of International Development, John Wiley & Sons, Ltd., vol. 10(1), pages 55-69.
    3. Izac, A-M. N. & Swift, M. J., 1994. "On agricultural sustainability and its measurement in small-scale farming in sub-Saharan Africa," Ecological Economics, Elsevier, vol. 11(2), pages 105-125, November.
    4. Chambers, Robert, 1994. "The origins and practice of participatory rural appraisal," World Development, Elsevier, vol. 22(7), pages 953-969, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chye Ing Lim & Wahidul Biswas, 2015. "An Evaluation of Holistic Sustainability Assessment Framework for Palm Oil Production in Malaysia," Sustainability, MDPI, vol. 7(12), pages 1-27, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ross, Heather M. & Pine, Kathleen H. & Curran, Sarah & Augusta, Dawn, 2022. "Pathway mapping as a tool to address police use of force in behavioral health crisis," Social Science & Medicine, Elsevier, vol. 306(C).
    2. Chilombo, Andrew & Van Der Horst, Dan, 2021. "Livelihoods and coping strategies of local communities on previous customary land in limbo of commercial agricultural development: Lessons from the farm block program in Zambia," Land Use Policy, Elsevier, vol. 104(C).
    3. Thompson, John, 1995. "Participatory approaches in government bureaucracies: Facilitating the process of institutional change," World Development, Elsevier, vol. 23(9), pages 1521-1554, September.
    4. Mushtaq Memon & Shunji Matsuoka, 2002. "Validity of contingent valuation estimates from developing countries: scope sensitivity analysis," Environmental Economics and Policy Studies, Springer;Society for Environmental Economics and Policy Studies - SEEPS, vol. 5(1), pages 39-61, March.
    5. Shane Cronin & Mike Petterson & Paul Taylor & Randall Biliki, 2004. "Maximising Multi-Stakeholder Participation in Government and Community Volcanic Hazard Management Programs; A Case Study from Savo, Solomon Islands," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 33(1), pages 105-136, September.
    6. Glyn Williams & Manoj Srivastava & Stuart Corbridge & René Véron, 2003. "Enhancing pro-poor governance in Eastern India: participation, politics and action research," Progress in Development Studies, , vol. 3(2), pages 159-178, April.
    7. Schleicher, Michael & Souares, Aurélia & Pacere, Athanase Narangoro & Sauerborn, Rainer & Klonner, Stefan, 2016. "Decentralized versus Statistical Targeting of Anti-Poverty Programs: Evidence from Burkina Faso," Working Papers 0623, University of Heidelberg, Department of Economics.
    8. Astleithner, Franz & Binder, David & Bingemer, Josefine & Bojanovsky, Isabel & Czingon, Claudia & Enz, Iris & Feiner, Georg & Gneist, Cornelius & Haindorfer, Raimund & Kogler, Raphaela & Kroneder, And, 2009. "Indikatoren zur sozialen Nachhaltigkeit im Tourismus: Explorative Erkundungen in zwei Regionen in Peru," ÖFSE-Forum, Austrian Foundation for Development Research (ÖFSE), volume 42, number 42.
    9. Palash Kamruzzaman, 2020. "Exploring the Nexus Between Participation and Empowerment," Journal of Development Policy and Practice, , vol. 5(1), pages 32-53, January.
    10. Michael J.G. Parnwell, 2003. "Consulting the poor in Thailand: enlightenment or delusion?," Progress in Development Studies, , vol. 3(2), pages 99-112, April.
    11. Jinnat Ara & Dipanwita Sarkar & Jayanta Sarkar, 2021. "Like mother like daughter? Occupational mobility among children under asset transfer program in Bangladesh," QuBE Working Papers 061, QUT Business School.
    12. Namatama, Nathan, 2020. "An assessment of stakeholders’ participation in land use planning process of Luapula Province Planning Authority," Land Use Policy, Elsevier, vol. 97(C).
    13. Narayan Das & Rabeya Yasmin, 2014. "How Do Intrahousehold Dynamics Change When Assets are Transferred to Women? Evidence from BRAC’s Challenging the Frontiers of Poverty Reduction—Targeting the Ultra Poor Program in Bangladesh," Working Papers id:5698, eSocialSciences.
    14. Thomas, David H. L. & Adams, William M., 1999. "Adapting to Dams: Agrarian Change Downstream of the Tiga Dam, Northern Nigeria," World Development, Elsevier, vol. 27(6), pages 919-935, June.
    15. Bond, Richard & Hulme, David, 1999. "Process Approaches to Development: Theory and Sri Lankan Practice," World Development, Elsevier, vol. 27(8), pages 1339-1358, August.
    16. Wilson, Erica & Hollinshead, Keith, 2015. "Qualitative tourism research: Opportunities in the emergent soft sciences," Annals of Tourism Research, Elsevier, vol. 54(C), pages 30-47.
    17. Jayachandran, Seema & Biradavolu, Monica & Cooper, Jan, 2023. "Using machine learning and qualitative interviews to design a five-question survey module for women’s agency," World Development, Elsevier, vol. 161(C).
    18. Jennifer Sowerwine & Megan Mucioki & Daniel Sarna-Wojcicki & Lisa Hillman, 2019. "Reframing food security by and for Native American communities: a case study among tribes in the Klamath River basin of Oregon and California," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(3), pages 579-607, June.
    19. Takasaki, Yoshito & Barham, Bradford L. & Coomes, Oliver T., 2000. "Rapid Rural Appraisal in Humid Tropical Forests: An Asset Possession-Based Approach and Validation Methods for Wealth Assessment Among Forest Peasant Households," World Development, Elsevier, vol. 28(11), pages 1961-1977, November.
    20. Reddy, G.P. & Reddy, M.N. & Sontakki, B.S. & Kumar, K.V., 2011. "A Framework of Participatory Geo-Spatial Information System for Micro Level Planning – A Case Study in Aquaculture," Indian Journal of Agricultural Economics, Indian Society of Agricultural Economics, vol. 66(3), pages 1-9.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:38:y:2013:i:c:p:28-32. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.