asset-based approach to build and measure organizational capacity_alan talens_4.23.13
TRANSCRIPT
Asset-Based Approach to Build and Measure Organizational Capacity
Bangladesh Child Survival Program (2004-2010)
Netrokona, Panchagor and Dhaka DistrictsBangladesh
WORLD RENEW
Alan TalensKohima Daring
Nancy TenBroek
CORE Group Spring Meeting, Baltimore , MDApril 22,2013
“ If you don’t know where you’re going, you might end up someplace else.”
-Yogi Berra.
Child Survival Interventions
Simple affordable interventions to avert most under-5 deaths areavailable, yet millions (6.9M in 2010) of children are still dying yearly.
There are barriers for the effective interventions to reach mothers, newborns, children and families who need them most.
There is a need for effective delivery platforms to reach large and hard to reach populations ( Coverage and Equity).
Community –Based Health Care
The community -based approach can extend delivery of interventions to those areas where access to health services is difficult.
Child Survival Program CSP 2004-10
Mutual Partnership: Relational process in which each partners learns, grows and develops as a result of their interaction with each other.Capacity: Group/organizational skills to carry out an objective that stays in the group or organization even individual members leave .
DELIVERY PLATFORM of the CSP:Community Mobilization, Participation and Governance
PRIMARY GROUPS
The Primary Group is the entry point to CBO system (Peoples Institution). Men and Women in separate groups participate in community activities ( health promotion, IGA ,literacy, saving) through their primary group
Community Leadership Structure
Each primary group select a representative to higher tiers for GOVERNANCE and to link with the corresponding level of the government and health system.
Central to the delivery platform is the Peoples Institution, the governance body of the CBO system whose roles includes:1. Identifying opportunities and areas to develop in the community2 helping the poorest and most marginalized population in the community3. Advocating for policy changes 4 Linking their communities with the government and the health facilities.
PEOPLES’ INSTITUTION
Levels of Community Linkage with Government and Health Systems
CHV
TTBA
PI Health Technical Team
Health Facility Center
s
· Training · Follow-up· Establishing in the community· Coordination & networking
·Disseminate survey data ·Training·Building good network·MOU for referral service·Exchanging ideas
· Training & follow-up· Coordination & Network building· Raising health fund
· Leadership· Health Fund available for treatment· Initiate health programs· Ensure health services
·Awareness raising·Providing health service·Referring·Motivational support ·Organizing·Promoting treatment seeking behavior
· Community receives health services spontaneously.
Working together for improving health status
· Supervision· Recognition · Linking resources
Community People
CSP ProgramCommunity Health Management Structure
The People’s Institution is responsible for establishing the community -based health care (through selection and training of
CHVs and TBAs)
Capacity Building of the Community Based Organizations (PI)
Problem – Oriented Methods (Deficiency Model) vs. Asset – based (Strengths) Approach
Appreciative Inquiry
Asset-based approach as an alternative way to capacity Building
DISCOVERY
Collaborative inquiry seeing and affirming the best and highest qualities of the group and its members
“…of the best of what is””
Use of metaphors and stories
Dream
Collectively envisioning what their community might be knowing their strength.
…of what might be
Design…what should be the ideal
Collectively they create provocative propositions-the realistic dreams.
Destiny…how to innovate and act
Action planning and developing implementation strategy
MEASURE
The group members agree on the need to monitor their growth in capacityIn order to understand where they are and where they hope to be.
Sustainability Framework used for CSP
Sustainability Framework Components
OCI (OrganizationalCapacity Indicators)
Examples only
Scores Source of data
1. Health Outcomes % delivery by SBA KPC
2. Health and Social Services
One CHV visit 100 household per month
PI data
3. Organizational Capacity
PI hold regular monthly meetings
PI data
4. Organizational Viability
PI implementing Community based program
PI data
5. Community Capacity
All members are doing saving and self-managed
PI data
6. Ecological, human, Economic, political and policy environment
Community involved in the running of the community clinics
PI data
CSSA Progress in Panchagor, Netrokona and Dhaka (Composite Percentage for all Indicators in Each Component)
SATHI SUPOTH PARI
Baseline Final Baseline Final Baseline Final Health 41 92 49 96 42 87
Health Services
23 95 20 97 10 89
Comm. Capacity
56 96 64 84 25 79
Environment 41 94 61 96 46 85
Org. Capacity 36 90 66 99 0 78
Org. Viability 35 92 22 98 0 60
Lao Tzu (6th Century BC)
“Go to the peopleLive with themLearn from themLove themStart with what they knowBuild on what they have:But of the best leaders When their task is doneThe people will remark “We have done it ourselves.”
“ It’s not what you look at that matters, it’s what you see.”
-Henry David Thoreau (1817-1862)