"they identified 10 key challenges to improvement that consistently emerged in the programmes evaluated:
- convincing people that there is a problem
- convincing people that the solution chosen is the right one
- getting data collection and monitoring systems right
- excess ambitions and ‘projectness’
- the organisational context, culture and capacities
- tribalism and lack of staff engagement
- leadership
- balancing carrots and sticks – harnessing commitment through incentives and potential sanctions
- securing sustainability
- considering the side effects of change.
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