2011 lemmen pq santa fe new

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2011 lemmen pq santa fe new

  1. 1. PQD/PQE Participatory Quality Development A new Approach to HIV-Prevention Karl Lemmen Prof. Dr. Michael WrightGerman AIDS-Hilfe e.V. Catholic University of Applied Sciences Berlin | Institute for Social Health Aidsimpact 2011 10th International Conference Santa Fe 12th - 15th September 2011
  2. 2. Welcome!1. HIV-Prevention in Germany2. PQD: a new Approach to HIV-Prevention3. Achieving Sustainability with PQD4. International Perspectives: IQ HIVKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  3. 3. BZgA – Federal Center for Health Education: Generally accepted Messages for Everybody Stay strong! Don’t’ giveAIDS a chance Join in! Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  4. 4. Deutsche AIDS-Hilfe e.V. - Focussing key groups: MSM, IVDU, Sexworkers, MigrantsKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  5. 5. Umbrella Organization: Leadership &Lobbying for Vulnerable Groups ■ 1 National Office ■ 122 Local & Regional ASOs ■ 9 Peer Networks of PWA/Target Groups Bottom up Organization with high Participatory TraditionKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  6. 6. AFrom achen to wickau: ZQuality Assurance = Work in ProgressKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  7. 7. A – Z: National Demonstration Project 12 local ASOsKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  8. 8. New Approach to QA: PQD is based on■ Practice based evidence ■ Complement to evidence based practice ■ Evidence is generated form the structures and the logic of the practical work (PDA-Cycle!) Participation Decision making power of target groups and frot line staff at all stages Not either/or: but a developmental process, dependant on local charactersisticsKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  9. 9. New Approach to QA: PQD is based on■ Central role of local experts ■ Structuring and testing local theories ■ Expanding local knowledge■ Tailored processes ■ Adapted to local conditions, values, capacity & structure of involved organization■ Feasible methods ■ Proportional to service provision practice ■ Limited time, integrated into daily working routineKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  10. 10. PQD Applications■ Project planning, stakeholder consultations and decision-making■ Long-term commitment to participatory quality improvement■ To increase stakeholder participationKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  11. 11. Tools to support implementation of PQD ■Homepage = Handbook ■Workshops ■Consulting: call an expertKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  12. 12. www.pq-hiv.de ■ Handbook ■ Theory & Concepts ■ Methods ■ Good practice examples ■ Links & Literature ■ English Translation in preparation !Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  13. 13. Handbook Theory: Stages of ParticipationStage 9 Self-Organization Goes beyond participationStage 8 Decision-making powerStage 7 Partial decision-making powerStage 6 Co-determination ParticipationStage 5 InclusionStage 4 Hearing Preliminary Stages of ParticipationStage 3 InformationStage 2 DirectiveStage 1 Instrumentalization Non-Participation Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  14. 14. Handbook: Methods More participatory Service User Advisory Committee Guided Working Group Open Space Focus Group Rapid Assessment Enquiries and Concerns Register Observation Less participatoryKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  15. 15. Methods: Pdf for easy download ■ Circles of Influence ■ Reflect on participatory decision making processKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  16. 16. Good Practice Examples ■ Evaluation of onsite MSM- prevention ■ Thank you for Safer Sex! ■ Sittenstrolche MunichKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  17. 17. Skill Building: 3 Workshops1. Epidemiology & Needs Assessment■ Who is most at risk at the local level?■ How do we know what our target groups need?2. Project Planning & Implementation■ What do we want to achieve at the local level?3. Evaluation How do we know what works?Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  18. 18. Evaluation Data: PQ-Training 2009 & 2010 Benefit for work Overallscore Organization Context Skills of Trainers1-2009 100 1.8 2.5 3.4 1.42-2009 92 1.1 1.3 2.2 1.13-2009 90 1.4 1.5 2.3 1.11-2010 100 1.3 1.8 1.6 1.02-2010 84 1.3 1.5 2.3 1.03-2010 100 1.4 1.9 2.0 1.2 Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  19. 19. Consulting: call an expert ■ External support to solve a local question/problem ■ e.g. Sittenstrolche Munic: Evaluation of onsite prevention ■ Stimulus for local organisational development ■ e.g. to enhance local collaborationKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  20. 20. Lessons Learnt 2006 - 2011■ There’s a need… ■ for useful tools and ongoing support ■ to connect skill building with organizational development■ You’ve got to understand the importance… ■ of a local focus & national collaboration ■ of creating a culture of critical discourse on quality■ It’s crucial to gain a deeper insight into… ■ How frightening Quality Assurance can be ■ How you can respect the fear of incompetence Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  21. 21. International Perspective■ European Initiative followed the "How Do We Know What Works?" conference in 2010■ Convened by BZgA, WHO Europe and AIDS Action Europe■ Information, Practical Tools, Capacity Building, Technical Assistance■ Website, Downloads, Workshops, Advice■ PQD is one of the first three practical QI tools adapted and promoted by IQhivKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  22. 22. International Perspective ■ www.iqhiv.orgKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  23. 23. Conclusion■ Advantages: ■ strong philosophical base to support change management ■ wide range of methods to suit many contexts■ Disadvantages: ■ need to engage with the theory first ■ may require organizational development, training or technical assistanceKarl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011
  24. 24. Thank you for your attention!Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011

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