For the Child Survival project, the PI used the Sustainability Framework elements and chose their OCI which they assess every 6 months converting them into scores and plot them into the dashboards.
Asset-Based Approach to Build and Measure Organizational Capacity_Alan Talens_4.23.13
Asset-Based Approach to Build and Measure Organizational Capacity Bangladesh Child Survival Program (2004-2010) Netrokona, Panchagor and Dhaka Districts Bangladesh WORLD RENEW Alan Talens Kohima Daring Nancy TenBroek CORE Group Spring Meeting, Baltimore , MD April 22,2013
“ If you don’t knowwhere you’re going,you might end upsomeplace 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 hardto reach populations ( Coverage and Equity).
Community –Based Health CareThe community -based approach can extend delivery of interventionsto those areas where access to health services is difficult.
Child Survival Program CSP 2004-10 DELIVERY PLATFORM of the CSP: Community Mobilization, Participation and GovernanceMutual 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 objectivethat stays in the group or organization even individual membersleave .
PRIMARY GROUPSThe 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 GOVERNANCEand to link with the corresponding level of the government and health system.
PEOPLES’ INSTITUTIONCentral to the delivery platform is the Peoples Institution, thegovernance 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 changes4 Linking their communities with the government and the health facilities.
Levels of Community Linkage with Government and Health Systems
Community Health Management Structure CSP Program Training & follow-up Disseminate survey dataTraining Training Coordination &Follow-up Building good network Network buildingEstablishing in the community MOU for referral service Raising health fundCoordination & networking Exchanging ideas Supervision PI Health Working together Health CHV Recognition for improving Facility Linking Technical Team health status Centers TTBA resourcesAwareness raising Leadership CommunityProviding health service Health Fund available receives healthReferring for treatment servicesMotivational supportOrganizing Initiate health programs spontaneously.Promoting treatment seeking behavior Ensure health services Community People 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
Asset-based approach as an alternative way to capacity Building
…of what might beCollectively envisioning what their community might be knowing their strength.
…what should be the idealCollectively they create provocative propositions-the realistic dreams.
…how to innovate and actAction planning and developing implementation strategy
The group members agree on the need to monitor their growth in capacity In order to understand where they are and where they hope to be.
Sustainability OCI (Organizational Scores Source ofFramework Capacity Indicators) Sustainability Framework used for CSP dataComponents Examples only1. Health Outcomes % delivery by SBA KPC2. Health and Social One CHV visit 100 PI dataServices household per month3. Organizational PI hold regular PI dataCapacity monthly meetings4. Organizational PI implementing PI dataViability Community based program5. Community All members are doing PI dataCapacity saving and self- managed6. Ecological, human, Community PI dataEconomic, political involved in theand policy running of theenvironment community clinics
CSSA Progress in Panchagor, Netrokona and Dhaka (Composite Percentage for all Indicators in Each Component) SATHI SUPOTH PARI Baseline Final Baseline Final Baseline FinalHealth 41 92 49 96 42 87Health 23 95 20 97 10 89ServicesComm. 56 96 64 84 25 79EnvircityCapa onment 41 94 61 96 46 85Org. Capacity 36 90 66 99 0 78Org. Viability 35 92 22 98 0 60
“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.” Lao Tzu (6th Century BC)
“ It’s not what youlook at that matters,it’s what you see.” -Henry David Thoreau (1817-1862)