@article{fdi:010084677, title = {{L}a p{\'e}rennit{\'e} d'un projet de pr{\'e}vention et de prise en charge de la malnutrition au {N}iger}, author = {{N}iang, {M}. and {M}oha, {M}. and {R}idde, {V}al{\'e}ry and {G}autier, {L}.}, editor = {}, language = {{ENG}}, abstract = {{O}bjective {T}his article is a case study of a capacity-building project to reduce malnutrition, implemented by a non-governmental organization ({NGO}) in {N}iger. {I}t aims to generate a set of lessons learned on the processes of sustaining health interventions in vulnerable contexts. {M}ethods {U}sing a theoretical framework on sustainability, we carried out a thematic analysis on semi-structured individual interviews (n = 124) collected, between 2016 and 2017, during the evaluative research of the {NGO} project. {R}esults {T}he data analysis revealed several risks and opportunities to sustain the project activities, classified according to the characteristics of a routine identified in the theoretical framework: memory, routines, values, and rules. {O}ur findings show a low level of sustainability of the project. {S}everal activities were stopped at the end of the project and others may not continue in the long term. {I}ndeed, local realities-poverty and political fragility-combined with the 'short-term' and vertical logics of the project's implementation have hindered the project activities' sustainability. {C}onclusion {I}n vulnerable environments, sustainability should not simply be seen as an outcome to be achieved at the end of the project. {T}he sustainability process must be activated by key stakeholders, focusing not only on the resources stabilizing but also on the resilience of the structures and systems in which interventions are embedded.}, keywords = {{M}alnutrition ; {S}ustainability ; {P}ublic health ; {N}iger ; {NIGER}}, booktitle = {}, journal = {{C}anadian {J}ournal of {P}ublic {H}ealth = {R}evue {C}anadienne de {S}ant{\'e} {P}ublique}, volume = {113}, numero = {4}, pages = {636--646}, ISSN = {0008-4263}, year = {2022}, DOI = {10.17269/s41997-022-00631-x}, URL = {https://www.documentation.ird.fr/hor/fdi:010084677}, }