Sustaining Programs: Lessons Learned from Former Federal Grantees

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Sustaining Programs: Lessons Learned from Former Federal Grantees Alexandra Warner1   · Nicole Bennett1 · Subuhi Asheer2 · Julia Alamillo2 · Betsy Keating2 · Jean Knab2

© The Author(s) 2020

Abstract Introduction  A common concern of federal funders and grant recipients is how to sustain program activities once their federal funding period ends. Federal funding can be intended to develop or seed a program but not necessarily to continue its activities indefinitely. Understanding the importance of programmatic sustainability, the Office of Population Affairs (OPA) conducted research in 2015 on the elements that contribute to sustainability. As part of the Sustainability Study, OPA collected information from former Pregnancy Assistance Fund (PAF) program grantees. Methods  Grantees that were awarded cohort 1 PAF program funding (2010–2014) but not awarded cohort 2 funding (2014– 2017) were eligible for study inclusion because their OPA funding ended more than 1 year prior to the Sustainability Study, allowing for an assessment of sustainability after federal funding. Seven former PAF grantees were identified as eligible. Interviews were conducted with six of these grantees; grant applications and interim final reports from all seven were reviewed. Results  Five lessons emerged from interviews and review of grant documentation. Programs successfully continuing beyond the federal grant period tended to (1) diversify funding sources, (2) communicate regularly with key stakeholders, (3) form partnerships with like-minded programs, (4) consider implementing evidence-based interventions, and (5) begin planning for sustainability early. Discussion  By considering these lessons learned from the research, grantees can be well positioned to continue beyond a federal grant period. The lessons garnered from the Sustainability Study have informed, expanded, and affirmed OPA’s sustainability toolkit, sustainability framework, and technical assistance. Keywords  Sustainability · Office of Adolescent Health · Office of Population Affairs · Pregnancy Assistance Fund · Expectant and parenting teens

Significance

Introduction

Existing research suggests that acknowledging the importance of supportive stakeholders, remaining flexible, and beginning sustainability planning early are key elements that contribute to program sustainability. This article supports this existing research and adds information specifically for programs that serve expectant and parenting youth, a population with unique needs.

Federal funders and recipients of federal grants are both concerned with the sustainability of programs beyond the federal funding period (Floersch 2016). To result in positive health benefits, interventions often require program activities be sustained over time, which is why it is crucial to understand the factors that contribute to long-term sustainability (Schell et al. 2013). To address this concern, the U.S. Department of Health and Human Services Office of Population Affairs (OPA), formerly the Office of Adolescent Health (OAH), in