An Assessment of the Sustainability and Impact of Community Coalitions once Federal Funding has Expired. 8. Contextual Factors


Contextual factors are the external factors or conditions that exist within the environment that can enhance or inhibit sustainability. These factors permeate the conceptual framework at all levels. They can impact the coalition’s enabling characteristics, activities, sustainability actions, sustainability, expansion, and outcomes. Examples of contextual factors include: a seminal or precipitating event impacts the responsiveness of the community to the coalition’s activities (e.g., community rallies around the coalition’s goal to improve access to dental services because a local child died from complications associated with a tooth abscess); policies, laws, and regulations (e.g., reduced Medicaid reimbursement rates affect a provider’s ability to provide free services to the uninsured); the implementation of a new organization in the community (e.g., a sustained coalition expands its goals because it included a new community partner that brings a new perspective); and/or the priorities of a funder (e.g., a new funder indicates that resources can only be used for delivering services rather than for core coalition operations).

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