Training Outreach Workers for AIDS Prevention in Rural India: Is It Sustainable?
Sivarma, S. & Celetano D.D., Health Policy and Planning (2003), 18(4), pp. 411–420.
The authors review a POE program in the rural state of Karnataka in India, two years after external funding was withdrawn to determine factors associated with program sustainability. The program initially trained 5,000 community-based outreach workers (CBOWs). However, only 39 of the 5,000 appeared to sustain POE activities. The authors interviewed program staff and both sustaining- and non-sustaining CBOWs. Several factors were found to be related to sustained engagement: volunteers who were already leaders in community organizations were most likely to become sustainers; focusing on community organizations (which can aid in ongoing support for volunteers) over individual volunteers may improve sustainability; and the withdrawal of stipends to volunteers when external funding ends leads to significant attrition among impoverished volunteers.