Objectives Few studies have been undertaken to determine whether and how project results are sustained. University of Notre Dame (ND) and Project Concern International conducted a Post-Project Sustainability Study (PSS) of a USAID-funded program (CHOICE), implemented in Indonesia, Banten province, between 2003 and 2007, in order to determine lasting effects and improve PSS methodologies. Methods Sustainability was measured through a comparison of data collected on mother–infant pairs in 2014 with final evaluation data from 2007; and through a comparison of 2014 data collected from the CHOICE villages and comparison villages. Results The analysis showed positive differences in multiple indicators in CHOICE villages between 2007 and 2014, including births attended by skilled personnel (Mean Difference 48.56, 95% CI 38.68 to 58.43) and treatment of diarrhea (MD 16.42, 95% CI − 0.94 to 33.37). However, only one statistically significant difference between intervention and comparison groups in 2014 was observed, infants with diarrhea whose mothers sought advice or treatment (MD − 5.48, 95% CI − 9.55 to 1.39), showing more mothers in intervention group sought advice or treatment. Because contextual factors were not studied in detail and baseline data was not available for the comparison villages, it is difficult to determine the reasons for the results. Given that longitudinal data was not collected, it is also difficult to determine whether results fluctuated between 2007 and 2014. Conclusions for practice This PSS contributes to the limited body of knowledge in sustainability research. Lessons learned from this study will increase potential for sustainable impact of projects, as more rigorous measurement will lead to greater overall understanding of how sustainability actually “happens”.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Price includes VAT (USA)
Tax calculation will be finalised during checkout.
Asian Development Bank. (2010). Special evaluation study on post-completion sustainability of ADB projects. SES: OTH 2010-46. Manila: Independent Evaluation Department, ADB.
Bamberger, M., & Cheema, G. S. (1990). Case studies of project sustainability: Implications for policy and operations from Asian experience. Washington, DC: World Bank.
Mize, L. S., Raintung, A. E., Schooley, J., & Sunarto. (2007). Final evaluation: Child health opportunities integrated with community empowerment. Project Concern International.
Sarriot, E. G., Jahan, S., Kouletio, M., Sardar, M., Ali, K. L., Saha, S., & Rasul, I. (2008). The end of magical thinking: sustainability evaluation three years after the end of the Saidpur and Parbatipur Urban Health Project. https://www.measureevaluation.org/resources/networks/datausenet/dashboards-and-data-use-forum-may-2010/end-magical-thinking.pdf. Accessed 25 August 2017.
Sarriot, E. G., Ricca, J. G., Yourkavitch, J. M., & Ryan, L. J. (2008). Taking the long view: A practical guide to sustainability planning and measurement in community-oriented health programming. Calverton, MD: Macro International Inc.
Statistics Indonesia, (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes—MOH), & ICF International. (2013). Indonesia Demographic and Health Survey 2012. Jakarta: BPS, BKKBN, Kemenkes, and ICF International.
Statistics Indonesia. (2010). Statistics Indonesia web. Population census 2010. https://www.bps.go.id/index.php. Accessed 25 August 2017.
Talaris Institute. (N.D). Parenting Counts Timeline. Web update 2013. http://www.parentingcounts.org/information/timeline/.
Tang, A., Dong, K., Deitchler, M., et al. (2013). Use of cutoffs for mid-upper-arm circumference (MUAC) as an indicator or predictor of nutritional and health-related outcomes in adolescents and adults: A systematic review. Washington, DC: FHI 360/FANTA.
USAID. (2009). Tools: KPC modules for 2009 grantees. Maternal and Child Heath Integrated Program. http://www.mchipngo.net/controllers/link.cfc?method=tools_mande. Accessed 25 February 2015.
The Child Health Opportunities Integrated with Community Empowerment (CHOICE) program was made possible by the generous support of the American people through the United States Agency for International Development (USAID) Child Survival and Health Grants Program (CSHGP), Cooperative Agreement Number: CHS-A-00-03-00017-00, October 2003–September 2007. The CHOICE Post-Project Sustainability Study (PSS) was made possible by Project Concern International’s (PCI) commitment to sustainability and investment of private resources in developing standards, tools, guidelines, and PSS methodologies. This study is one example of PCI’s leadership and its pledge to expand the body of knowledge on sustainability in order to help implementing organizations, project teams, local partners, donors, and other stakeholders to better understand how project results are sustained and adapted and evolve after a project comes to an end.
Conflict of interest
The authors declare that they have no conflicts of interest.
About this article
Cite this article
Eder, C., Khatiwada, L.K. & Schooley, J. Sustainability of a Community-Based CHOICE Program to Improve the Health and Nutrition Status of Mothers and Infants in Indonesia. Matern Child Health J 22, 903–912 (2018). https://doi.org/10.1007/s10995-018-2465-6
- Maternal and child health
- Public health intervention