
The case study focuses on a maternal and child health programme which relies on no external resource inputs and where sustainability of benefits is built in from the start. As a result, the case study offers an opportunity to analyse some of the issues involved and lessons learned in developing a programme of this kind. These issues include how to develop mutual trust with the local authorities, the difficulty in dealing with partners whose nature is political in essence, the importance of participatory research methods to involve the communities in the design of a programme, and how to ensure the sustainability of such a programme.
The case study shows how real and sustainable impact in the areas of maternal and child health can be achieved by supporting local health departments using strategic approaches such as capacity building and partnership and using minimal external resource inputs. As of mid-2004, the CSP is continuing with valuable support from USAID.
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