Wright et al participatory quality development-who-conference-berlin2008
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Wright et al participatory quality development-who-conference-berlin2008 Wright et al participatory quality development-who-conference-berlin2008 Presentation Transcript

  • Participatory Quality DevelopmentMichael T. Wright, PhD., LICSW, MS Karl Lemmen, ipl.-Psych.Martina Block, Dipl.-Psych., MPHHella von Unger, PhD.Research Group Public HealthProf. Rolf Rosenbrock Deutsche AIDS-Hilfe Berlin-Conference, 23 October 2008
  • National Demonstration Projects toEstablish Participatory Models for QualityAssurance– Filling the structural gap for quality assurance in community work– Partners: Deutsche AIDS-Hilfe and Gesundheit Berlin– Funders: Federal Center for Health Education (Ministry for Health); Ministry for Education and Research– Focus on Quality Assurance, not Evaluation – Consensus on supporting processes of quality development– Approach: community-based research (action research, participatory research)
  • Project Components– Skill-Building Workshops on Participatory Methods – partcipatory curriculum– Methods Handbook – internet based, interactive– Individualized Consulting – project-driven focus– Peer Review Process– Good Practice Criteria – systematic input from CBOs at the regional level– Network of Researchers Interesting in participatory methods – opening a new discursive space in German
  • Participation Needs AssessmentEvaluation Planning Implementation Cooperation
  • Participatory Quality Development– Ongoing process of improvement– Participation of target groups and front line workers in decision-making regarding quality– Identifying and expanding local knowledge– Quality measures which are: – Customized – Feasible – Useful – Participatory – Reliable
  • Practice-Based Evidence– As a complement to evidenced-based practice– Evidence generated from the structures and the logic of the practical work– Role of science is supportive, not privileged– Local evidence in focus: – What works at a specific point in time, in a specific place, in a specific context
  • Local Knowledge/ Local Theory– The knowledge of local actors – Most often implicit– Local experts play a central role– On the basis of this knowledge, forming local explanations (local theories) – Making knowledge explicit – Structuring local knowledge– By testing local theories, the local knowledge is expanded – What works at a specific point in time, in a specific place, in a specific context
  • Collaboration Target Group Prevention & Health Promotion Project/ Institution Funder
  • Participation– Decision-making power at all stages – Including defining the problem– Emphasis on target groups and front line staff – They have the local knowledge – Their learning is most important– Not either/or, but a developmental process – Dependent on local characteristics
  • Stages of ParticipationStage 9 Self-Organization Goes beyond participationStage 8 Decision-making powerStage 7 Partial decision-making power ParticipationStage 6 Co-determinationStage 5 InclusionStage 4 Hearing Preliminary Stages of ParticipationStage 3 InformationStage 2 Directive Non-ParticipationStage 1 Instrumentalization
  • More Participatory User Advisory Council Guided Working Open Space Group Focus Group Rapid Assessment Recording the Requests and Concerns of the Target Group ObservationLess Participatory