presentations G Rodrigo Restrepo.
are many actions that develop the institutions of government, institutions, NGOs, international cooperation agencies, among others, by virtue of its powers and mandates, which are achieved the proposed objectives in the light of operational plans, investment or involvement. And a good percentage are achieved impacts on communities.
This process goes through many obstacles, some of which are corrected in the best way, but in other cases the decisions are not the most accurate. However, despite this, the objectives are achieved in a high number and decisions which were wrong, they are in lessons learned that contribute to improving the processes for replication in other settings with similar needs.
One of those obstacles in our Colombia is represented by the lack of security for the integrity of human resources and good stock performance. The illegal armed groups, criminal gangs, drug traffickers, corrupt, among others, have the power to deter the best intentions for the welfare and community development, but conventional wisdom has going for resources participation, law and authority, so tested and supported, successfully counter these dangerous obstacles, although in some cases have paid a high price.
Notwithstanding the foregoing and defeated the myth, hovering over the program or design a key variable taken into account but poorly controlled: sustainability. Although we think of sustainability and consider the various scenarios, it is difficult for these variables are controlled, especially in rural areas in middle and most remote populations.
often not enough to get the political will of the authorities, it does not always translate into actions aimed at sustainability and technical and professional qualifications required for the proper performance of the projects.
is necessary that, for sustainability of the processes are on track or have reached a good level of maturity and result in positive impacts on the health of the communities, think of strategies to reduce the risk of derail in short time with achievements.
The first of these strategies is the standardization of those processes by well-designed administrative acts, establishing public policies for community health efforts involving technical, operational and government resources to present and future.
Another proposed strategy is the creation of teams for quality, committed to the processes and the communities for which they perform their actions. Local teams, who know the region and customs but respect the culture and know how to make these cultural strengths to best operate the equipment.
Undoubtedly the participation of the communities covered by these measures will guarantee sustainability pledge to the extent that they provide information, training in their rights and duties and are given the opportunity to contribute from their knowledge in find the solutions required for the welfare of community and everyone involved in the process.
to cooperating organizations, where one of their mandates must be the strengthening of institutions and communities can not be outside in this task. If their actions are purely welfare, must think that when he retired, all the achievements would go to ruin. In all this must be the participation of institutions and processes should be left, elements and strategies that contribute to the sustainability and institutional strengthening.
But definitely, the mandate of these organizations has to move to other locations in need, should think hard about the appropriate setting for withdrawal and leave the regular monitoring objectives to achievements in the areas where provided for so long, in order to maintain communication links and the capacity to influence the decisions of the authorities and organized communities, who thus remain grateful and initiatives to maintain these achievements.
Many of these institutions working with resources from donor countries or institutions altruistic. Well, it must develop conservation projects achievements, which provide resources for monitoring of successful projects that have closed and are in the hands of law enforcement or organized communities, tracking indicators of results and suggestions for improvement or introduction of new strategies and tools.
For donors, should appreciate the importance of these processes for the protection of achievements, which have allowed, for instance, the elimination of some vaccine-preventable diseases and the consequent global eradication of them. This is how it aims to eradicate polio, measles, rubella among others, but also seeks to impact on common diseases such as diarrhea or respiratory illnesses, social ills like drug addiction, alcoholism, domestic abuse, among others, which require inter-agency commitments and cross, but also strategies for the protection of achievement, exceeding the government changes and rotation of public officials.
In the latter, the National Authority plays an important role, because although there is some degree of administrative decentralization, maintain and ensure the technical quality and professional public health programs is the highest possible ( The Right to Health ), emphasizing the performance of the eleven Essential Public Health the highest level possible from the local and departmental levels.
development projects to protect achievement will halt the decline in indicators of importance to public health and ensure the achievement of the goals of medium and long term proposals in the various regional development plans and global international institutions.
reading:
- Investing in health to protect the gains: Blog of Dr. Mirta Roses, Director of the Pan American Health Organization, March 2009, available at http : / / 66.101.212.220/mirtaroses/index.php? id = 79 , accessed 10/29/1910
- Other writings and resources on the Millennium Development Goals, available at Giramundo in http://bit.ly/GIR-ODM
- Other writings and resources on the Millennium Development Goals, available at Giramundo in http://bit.ly/GIR-ODM
Other trials, reviews and discussions Giramundo: http://giramvndo.blogspot.com/ 
