Abstract
The purpose of the study was to establish the extent to which community capacity building influenced sustainability of palliative care projects in Mayuge district. Specifically, the study strived to establish the extent to which top down, bottom up and community organizational approaches of capacity building could influence the sustainability of palliative care projects. We used a cross-sectional survey design to cover a population of 150 respondents comprising of NGO officials, Health centre IV and Health centre III palliative care personnel, district health team officials and patients on palliative care. Using a self administered questionnaire and in-depth interviews emerging data was analyzed using simple descriptive statistics like mean and standard deviations, Pearson’s correlation and regression analyses. We report that top down organizational capacity building approach had a high positive significant relationship with project sustainability and it predicted 23.4% of the variance in project sustainability. Bottom up organisational capacity building approach had a high positive significant relationship and it predicted 25.7% of the variance in project sustainability. Finally, community organizing approaches had a very high positive significant relationship with project sustainability and it predicted 57.2% of the variance. We conclude that the financial, technical and managerial self reliance aspects of project sustainability are significantly dependant on the kind of efforts by the management teams of the NGO. By building capacity through top down, bottom up and community organizing approaches, there is a high possibility of ensuring sustainability. We therefore draw a number of managerial and theoretical implications whose scope appeals to a wide range of audiences. Key words: Capacity building approaches, project, sustainability, palliative care.
Highlights
It has been widely acknowledged that insufficient capacity of development organizations hinders development project sustainability
We infer that any efforts to enhance the sustainability of the palliative care projects in Mayuge district should consider the use of women as an entry point the target should cover men
The study concluded that the financial, technical and managerial self-reliance aspects of project sustainability significantly depends on the efforts by the management of the Non-Governmental Organizations (NGOs) to build capacity through developing selfsustainability policies, adequate mobilization of local human and non-human resources, and putting in place an appropriate matrix organisational structures
Summary
It has been widely acknowledged that insufficient capacity of development organizations hinders development project sustainability. Bottom-up organizational approach is related to the development of technical expertise which is often considered to be essential for organizations (Chalmers, 1997; Crisp et al, 2000; Hawe et al, 2009), broadening the skills of generalist workers can have strategic benefits. This approach according to Crisp et al (2000) focuses on training members of the organization and providing them with skills and knowledge which is beneficial to the individuals concerned but more importantly to the organization and the wider community
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