Evaluation of the Factors of Sustainability in the Lesotho Rural Health Development Project

摘要

A.I.D.'s project to provide primary health care (PHC) in rural Lesotho by creating a cadre of paramedical physician-extenders (mainly, nurse midwives) and by strengthening the existing PHC management system to support this approach has proved sustainable, according to the evaluation. A dovetailing of host country capacity and donor design contributed to the outcome. The project's technical package was appropriate to Lesotho's conditions and capabilities, while training, supervision, management, and logistic requirements were successfully institutionalized within the Ministry of Health. The report discusses issues and problems of financial sustainability learned through the Lesotho project.