I am researching for effective models and approaches to deliver effective and sustainable improvements. Consulting by experts to identify and solve problems, projects to deliver services to the unserved, training of healthcare professionals, etc. are some of the donor-funded activities being implemented in developing countries. However, their effectiveness and sustainability are in often in question as well as the effective impact of international multilateral, bilateral, non-governmental and charitable organizations. What standards need to be met to demonstrate effectiveness, efficient use of all resources available and sustainability?
I would assume that WHO standards will be your first priority since every country has their own standards, making it difficult to assess them by any other means than "Universal Standards"
Additionally, it may also be beneficial to find out what standards have previously been used in similar settings and see if there are any reports on lessons learned, to consider adaptations.
http://www.unhcr.org/530f12d26.pdf
You raise important questions. Certainly, WHO has a major role to perform; however, it is often criticised for poor outcomes and/or for not employing suitable tools to assess the long-term impact of various interventions. The World Bank recognises this problem, and a few years back they modified their strategy accordingly. There is a whole body of literature on the topic; this one might be of interest: "Human Rights and Structural Adjustment" by Abouharb and Cingranelli (Cambridge, 2007).
Many well-meaning projects fail to deliver sustainable benefits, and the causes of failure are not always clear. Sometimes it is lack of follow-up; sometimes cultural insensitivity and trying to impose models that do not actually fit; sometimes it is lack of long-term education to ensure that people on the ground know what to do after a project officially ends (and have the financial and human resource means to keep things going).
There is certainly a moral dimension to this question, and ethics does not always feature very prominently in global health education. That said, they are some good examples. Peoples' uni offers an online course on Public Health, with a separate course on medical ethics, aimed specifically at developing countries. (I led the team that developed the latter and work closely with people behind the former.) http://ooc.peoples-uni.org/
This link is to the Global Health Exchange - a small programme run by the UK NHS, which does important work in this area.
http://www.globalhealthexchange.co.uk/about/ http://www.globalhealthexchange.co.uk/projects/ethics.html
Good luck with your research!
The WHO has a number of very effective and sustainable interventions for developing countries. WHO likewise has a long history for establishing global standards. Search their website for examples. Glad to see your interest.
One of the major problems underlying the effectiveness of global health interventions in developing countries is the question of poverty. Poverty affects the implementation of health programmes. I will cite the issues of malaria eradication and HIV/AIDS treatment eradication. The major challenges in both the scaling up of these programmes and implementation are poverty in the recipient countries. You have countries where health workers live below a living wage, instead of implementing the programme as honestly as their professional standing demand hey pilfer from the programme they are working for. See the following links: http://pr.aljazeera.com/post/103028409905/exposing-zimbabwes-illegal-trade-in-life-saving
http://www.nytimes.com/2015/01/25/world/africa/mosquito-nets-for-malaria-spawn-new-epidemic-overfishing.html?_r=0
Highly recommend you read and follow citations and leads in the 2013 Lancet Commission report, an update on the Commission on Macroeconomics and Health of aroudn 2004. Excellent summariex of cost and effectveness issues. Weaker on implementation issues (inclding the important issues around health work force raised above -- though there are continuuing innovatios in that subsector as well). Here is the linkhttp://www.thelancet.com/commissions/global-health-2035
http://www.thelancet.com/commissions/global-health-2035
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