The test of a capacity building engagement is not what functions while external support is present. It is what still functions two years after the support ends, under local ownership, on local resources. Designing for that outcome changes the engagement…
Most competency programs can prove that training occurred. Far fewer can tell you whether capability exists today, in the people currently doing the work. The difference between those two claims is where clinical risk accumulates.
Maternal and child health programs are usually designed with care and launched with commitment. The difficulty arrives later, when the launch team disperses and the program has to survive on ordinary staffing, ordinary weeks, and ordinary attention. Designing for that…