Figure 4. Capacity building system to sustain health interventions.

A) Based on the work of Downs [65, 66, 67], the health solution is sustained using a system of six different categories of capacities, shown here as a hexagon with the intervention/solution at the center. The intervention plan from the strategic planning stage (stage 2 of Figure 1) - answering what to do, how, where, when, why, with whom, at what cost – includes this hexagonal support system.