Innovation, Sustainability and Aid Effectiveness

My presentation will address aid effectivenss within the context of change as a long-term process. The factors that are most associated with sustainable public health programs, including social, cultural and technical and that tend to result in a lack of long-term sustainability will be listed. I will also present relationships between local economic development and sustainable public health changes and how to build innovation into projects when cultural traditions offer safety by honoring past practices. Finally, this presentation will address aid effectivess in terms of implemention and answer the following questions a. Can one apply the precautionary principle to projects to avoid social or environmental harm? b. How can outside change agents respond to what may be seen as corruption or improper uses of resources or power? c. How much validity is there to claims that official and non-governmental international agencies often "pillage" developing governments through their funding practices? d. What can be the consequences of health projects which are not an integral part of broader development, including agriculture, employment, distribution of power, education, etc. etc.