Healthy Families America® State Systems Development

Abstract

In an era of fiscal constraints and increased accountability for social service programs, having a centralized and efficient infrastructure is critical. A well-functioning infrastructure helps a state reduce duplication of services, creates economies of scale, coordinates resources, supports high-quality site development and promotes the self-sufficiency and growth of community-based programs. Throughout the Healthy Families America home visitation network, both program growth and contraction have been managed by in-state collaborations, referred to as "state systems." This article explores the research base that supports the rationale for implementing state systems, describes the evolution of state systems for Healthy Families America, and discusses the benefits, challenges and lessons learned of utilizing a systems approach.

A conceptual model for building program sustainability in public health settings: Learning from the implementation of the program sustainability action planning model and training curricula

“…Systems include the program, the auspice organization, the community, and the funder. Second, programs rely on structures and processes that contribute toward adequate system capacity as a necessary condition for program sustainability ( 8 ). A sustainable program must be integrated into normal organizational operations ( 9 ).…”