Table 7 Summary of data reported for facilitating sustainability (proposition nine)

Proposition nine: Sustainability

Discussion regarding the continuation or extension of the issue, program, partnerships, benefits, etc. Includes planning at the outset

Reporting on the notion of sustainability at the outset of the project

'In principle, a community-based project can vary from a relatively restricted academic study, or local effort, to a major programme with strong nationwide involvement. The North Karelia Project definitely falls into the latter category. At the very onset the national health authorities decided that the North Karelia Project would be a pilot for all Finland.' [30: p.51]

Description of conditions and supports in place that would facilitate sustainability such as finances, partnerships, and previous experience

'The fact that the project director represented North Karelia in the National Parliament from 1987–1991 was important in this respect. The cooperation of the local health services and health personnel has guaranteed a firm foundation for the project activities. Numerous community organizations have also contributed greatly over the years. Because project activities have been integrated into the existing health services and broad community participation has been a key feature, the overall costs of the programme have been kept modest.' [30: pp.71–72]

'The project has arranged numerous competitions in collaboration with the food-industry, the media, schools, sports clubs, voluntary organizations etc. over the past twenty years' [30: p.287]

'During the project several of its leading members have been active in various health and health research policy functions' [30: p.287]

Descriptions of sustainability evidenced in outcomes of the program such as policy change and extension of the issue illustrated by the role of projects as a catalyst for other jurisdictions

'The creation by Secretary of State for Wales of The Welch Health Promotion Authority with clear brief to sustain and support the program provide longer possibilities for Heartbeat Wales' [38: p.17]

This 'new administrative arrangements...ensure the future and.. support the complementary initiatives on health promotion for young people and sensible drinking' [40: p.346]

'The project became associated with healthy public policy in may ways, by contributing to anti-smoking legislation, for instance.' [30: p.43]

'The project has been a major and diverse contributor to many policy decisions on the national and local levels' [39: pp.71–72] 'The North Karelia Project has itself been a model for imitation and acceleration of similar activities around the world [30: p.322]

'It was considered worthwhile for the project to continue operating beyond the initial five-year period, but at the same time to expand activities to contribute to national developments. So while North Karelia continued to be an active demonstration area the project evolved a national dimension to its activities' [30: p.360]