Evaluation of the Factors of Sustainability in the Gambia Mass Media and Health Practices Project

摘要

The experimental Gambia Mass Media and Health Practices project was extremely successful in using mass communications techniques to promote the use of oral rehydration therapy for treatment of acute childhood diarrhea, but it failed to ensure that the methodology it developed would continue to be used once A.I.D. support was withdrawn. Although some elements of the project methodology are still in use, the Gambian government has been unable to continue project activities at a satisfactory level. The Gambia experience raises important questions about A.I.D.'s responsibility in a pilot research and development effort. Clearly, A.I.D. should have explored ways in which the Gambian government could have assumed financial responsibility for the project and - given the high cost of developing new approaches to health education - project designers should make specific plans for sustainability if the pilot approach proves successful. A plan for phased withdrawal of donor assistance is essential.