me session 3 context of decision making 1-31-11!4!14 11[1]
TRANSCRIPT
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CONTEXT OF DECISIONMAKING
S es s i o n 3
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Session Objectives
Explain the context of decision making
Define the concept of stakeholders
Explain the importance of involvingstakeholders throughout the data use indecision-making cycle
Introduce the Stakeholder Analysis andEngagement tools
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Session Overview
Context of decision makingStakeholders
Decisions
Data
Small Group Activity 3: Stakeholder Analysisand Engagement
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Group Participation
How can we ensure that informationis being used to make diagnoses
and inform decisions?
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Stake-
holdersDecisions
Context of Decision Making
Data
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Stake-
holdersDecisions
Context of Decision Making
Data
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What Is a Stakeholder? Any person, group, or organization with aparticular interest in a policy or program
Government agenciesBeneficiariesPolicymakersFunding agenciesProviders / implementersCivil societyResearchersM&E specialists
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Stakeholders
Nongovernmental organizationsProfessional associations
Religious leaders
Journalists/media
Private sector/business
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Data Producers vs. Data UsersData producers think that decision makers: Value political considerations over evidence Are unprepared to measure or evaluate the
consequences of their decisions
Decision makers or data users think that healthresearchers and M&E specialists:Lack responsiveness to prioritiesFavor numbers / jargon over transparentcommunicationPrefer written reports to face-to-face conversation
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Importance of Knowing Your Stakeholders
View activities from different perspectives
Have different degrees of understanding
Need / want different information
Need information at different levels of complexity
Have different intensities of interest
Have different roles in the decision-making process
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Results of Involving Stakeholders inData Use Process
Relevance of data
Ownership of data
Appropriate dissemination of data
Use of data
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Stakeholder Analysis Matrix& Engagement Plan
Clarify who has interest in a program andwhat that interest is
Identify who can help a program andhow, and who can hurt it
Help you use this information for thesuccess of the planning effort
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Stakeholder Analysis Matrix
The Stakeholder Analysis Matrix is a frameworkand process for:
Identifying stakeholders
Defining their roles and resources
Identifying dynamics among stakeholders
Setting the optimum stakeholder group
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Stakeholder Analysis Matrix
Name of Stakeholder organization,group or individual
Stakeholder description Primary purpose,affiliation, funding
Potential role inthe issue or activity
Level of knowledge of the issue
Level of commitment Support or oppose theactivity, to whatextent, and why?
Availableresources Staff, money,technology,information,influence
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Name of stakeholder organization,group, or individual
Stakeholder description Primary purpose,affiliation, funding
Potential role inthe issue or activity
Level of knowledge of the issue
Level of commitment Support or opposethe activity, to whatextent, and why?
Availableresources Staff, money,technology,information,influence
National AIDSControlCommittee(NACC)
Involved inplanning,implementation,M&E of allHIV/AIDSprograms in thecountry;
approves donor and NGO-fundedHIV/AIDSprograms
Facilitates thestakeholder meeting,prepares for meeting byidentifyingdata sources
and preparingan agenda
High receivesreports onPMTCTactivitiesfrom MCHdivision at
MOH;Mediumlevel of knowledgeof intlguidelinesand studies
Stronglysupports activitybut hesitant touse internationaldata sources.NACC opposesuse of the DHS
and most recentinternationalestimates, as itconsiders thesesources tooverestimate HIVprevalence
Staff availableto facilitate;room andcomputersavailable for meetings atNACC
headquarters
Stakeholder Analysis MatrixProgram issue Develop plan (inc. M&E plan) to scale up PMTCT programs throughout system. Proposed activity Convene stakeholders to identify priorities based on available data and develop action plan.
Date November 2006
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How to Involve Stakeholders
Quarterly program management meetingsQuarterly meetings to interpret RHIS data
Involvement of facility staff to interpret program
dataM&E system improvement
Indicator planning and/or harmonization
Data quality review meetings
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Stakeholder Engagement Plan
Stakeholder organization, group,
or individual
Potential rolein the activity
Engagementstrategy
How will you engagethis stakeholder in the activity?
Follow-up strategyPlans for feedback
or continuedinvolvement
Program issue Proposed activity Date
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Stakeholder Engagement Plan
Stakeholder organization,group, or individual
Potential rolein the activity
Engagement strategy How will you engage this
stakeholder in theactivity?
Follow-up strategy Plans for feedback or
continuedinvolvement
National AIDSControl
Committee(NACC)
Facilitates thestakeholder meeting,
prepares for meetingby identifying datasources andpreparing an agendathat allows for thesources to bediscussed
The NACC is the leadin this activity. It will
be important for theNACC to involvemore specifically thePMTCT coordinator,clinical carecoordinator, andNational AIDSProgram Coordinator
The NACC isresponsible for
following up with theprioritizedstakeholders
Program issue Develop plan (inc. M&E plan) to scale up PMTCT programs throughout system. Proposed activity Convene stakeholders to identify priorities based on available data and develop action plan. Date November 2006
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Stake-
holdersDecisions
Context of Decision Making
Data
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Decision Areas
Program design and evaluation
Program management and improvement
Strategic planning Advocacy and policy development
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Program Design and Evaluation
Design
Select messages for prevention campaigns
EvaluationDetermine if new program approaches areneeded to ensure that health impact
objectives are met
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Program Management andImprovement
Management
Determine if the program is meeting itsprocess objectives
Improvement
Develop new strategies to increasecoverage
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Strategic Planning
Identify geographic areas of highestneed
Determine human resource allocationDetermine which of offered services ismaking the greatest impact
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Advocacy and Policy Development
Identifying and quantifying underservedpopulations
Identifying focus areas for new policies
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Stake-
holdersDecisions
Context of Decision Making
Data
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Data and Information
CensusVital events dataSurveillance data
Household surveysFacilities-level service statisticsFinancial and management informationModeling, estimates, and projectionsHealth research
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Stake-
holdersDecisions
Factors Other than Data thatInfluence Decisions
Data
Political Ideology
Competing
Priorities
Power Relationships
Public Opinion
Arbitrariness
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Stakeholders Involve new counterparts
Strengthening the Decision-making Process
Decisions Understand service delivery realities
Data May require additional data
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Key Messages
Every decision is made in the context of available data and stakeholders
Critically assessing and involving stakeholders
will facilitate data-informed decision making
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Small Group Activity 3: InstructionsBreak into small groups.
Each group should select a decision that they make intheir work settings and complete the Stakeholder
Analysis Matrix around that decision.
A minimum of 7 stakeholders should be identified.Complete the Matrix across the columns for 1 2stakeholders.
Select 1 stakeholder and complete the Stakeholder Engagement Plan for that stakeholder.Time for activity : 45 minutes
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Group Work Report Back
Have note taker transfer your final Stakeholder Analysis Matrix onto flip chart paper
Share the decision your group chose
Share the priority stakeholders selected
Choose 1 stakeholder and share the entire rowfrom the Matrix for that stakeholder
Share the Engagement Plan for the samestakeholder Time for report back: 10 15 min per group
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THANK YOU!
MEASURE Evaluation is a MEASURE project funded by the U.S.Agency for International Development and implemented by the
Carolina Population Center at the University of North Carolina atChapel Hill in partnership with Futures Group International, ICFMacro, John Snow, Inc., Management Sciences for Health, andTulane University. Views expressed in this presentation do notnecessarily reflect the views of USAID or the U.S. Government.
MEASURE Evaluation is the USAID Global Health Bureau's primaryvehicle for supporting improvements in monitoring and evaluation in
population, health and nutrition worldwide.
Visit us online at http://www.cpc.unc.edu/measure