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2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
2012 lemmen pq iq hiv-berlin-neu
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2012 lemmen pq iq hiv-berlin-neu

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  • 1. PQD/PQE Participatory Quality Development A new Approach to HIV-Prevention Karl Lemmen Prof. Dr. Michael Wright German AIDS-Hilfe e.V. Catholic University of Applied Sciences Berlin |Department Quality Assurance Institute for Social Health
  • 2. Welcome!1. HIV-Prevention in Germany2. Why PQD? 6 Arguments!3. Implementing & Achieving SustainabilityKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 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 – IQ-HIV 2012
  • 4. Deutsche AIDS-Hilfe e.V. - Focussing Key Groups: MSM, IVDU, Sexworkers, MigrantsKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 5. Umbrella Organization:Leadership & Lobbying for VulnerableGroups ■ 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 – IQ-HIV 2012
  • 6. AFrom achen to wickau: ZQuality Assurance = Work in ProgressKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 7. A – Z: National Demonstration Project 12 Local ASOsKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 8. 1. Why PQD?1. Background: History & Mission Statement of Deutsche AIDS-Hilfe - Participatory Tradition: once upon a time ….2. Background: UNAIDS: GIPA = International StandardKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 9. 2. Why PQD ?■ Central Role of Participation Decision making power of key groups and front line staff at all stages in HIV-Prevention Needs Assessment Project-Planning Implementation EvaluationKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 10. 3. Why PQD ?■ Focus on Practice Based Evidence ■ Complement to evidence based practice ■ Evidence is generated form the structures and the logic of the practical work Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 11. 4. Why PQD ?■ Central role of local experts ■ Structuring and testing local theories ■ Expanding local knowledgeKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 12. 5. Why PQD ?■ Tailored processes ■ Adapted to local conditions, values, capacity & structure of involved organizationKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 13. 6. Why PQD ?■ Feasible methods ■ Proportional to service provision practice ■ Limited time, integrated into daily working routineKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 14. Tools to support implementation of PQD ■Homepage = Handbook ■Workshops ■Consulting: call an expertKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 15. 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 – IQ-HIV 2012
  • 16. 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 – IQ-HIV 2012
  • 17. 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 – IQ-HIV 2012
  • 18. Methods: Pdf for easy download ■ Circles of Influence ■ Reflect on participatory decision making processKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 19. Good Practice Examples ■ Evaluation of onsite MSM- prevention ■ Thank you for Safer Sex! ■ Sittenstrolche MunichKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 20. 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 – IQ-HIV 2012
  • 21. 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 – IQ-HIV 2012
  • 22. 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 – IQ-HIV 2012
  • 23. 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 – IQ-HIV 2012
  • 24. International Perspective ■ www.iqhiv.orgKarl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
  • 25. 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 – IQ-HIV 2012
  • 26. Thank you for your attention!Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012

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