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Policy Brief: Sustaining System Change and the Shock of COVID-19


Banks, S and Krabbe, R and Vandenberg, M and Murray, T, Policy Brief: Sustaining System Change and the Shock of COVID-19, Anticipatory Care Project, Tasmanian Government Department of Health, Tasmania (2020) [Government or Industry Research]

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The prevention of chronic disease and community-based initiatives are often funded by agencies outside recipient communities and for a short time (6 months–3 years). As a result, funding agreements often list ‘achieving program sustainability’ as a key objective. The expectation is that the initiative will continue in one form or another after the funding has ceased. This might look like the continuation of activities or benefits to the community, or the capacity of people or organisations to continue to address issues at a local level.¹ The Anticipatory Care (AC) Action Learning Project took a systems approach to the design and implementation of the initiative with a focus on strengthening the local system via local innovation, new collaborative opportunities, information sharing, and so on. As a result, sustainability is less about the continuation of activities and more about building relationships and the ongoing capacity of a ‘strengthened’ anticipatory care system to respond to change, including external shocks like COVID–19.

This policy brief applies a series of systemsbased concepts(see 2, 6-8) to the AC Project to further explore these questions. Findings from the AC Project demonstrate that concepts such as adaptation and self-organisation may be important in uncovering a local system’s capacity to sustain change and absorb shocks like COVID–19.

Item Details

Item Type:Government or Industry Research
Keywords:sustainability of health initiatives, participatory action research, systems thinking, chronic illness prevention, chronic illness management, social determinants of health
Research Division:Health Sciences
Research Group:Public health
Research Field:Preventative health care
Objective Division:Health
Objective Group:Clinical health
Objective Field:Prevention of human diseases and conditions
UTAS Author:Banks, S (Dr Susan Banks)
UTAS Author:Krabbe, R (Mrs Robin Krabbe)
UTAS Author:Vandenberg, M (Ms Miriam Vandenberg)
UTAS Author:Murray, T (Ms Therese Murray)
ID Code:148864
Year Published:2020
Deposited By:Office of the School of Social Sciences
Deposited On:2022-02-16
Last Modified:2022-02-28
Downloads:4 View Download Statistics

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