The document summarizes the asset-based community development approach used in the Bangladesh Child Survival Program from 2004-2010. [1] The program used community mobilization, participation and governance to build organizational capacity through peoples' institutions. [2] It established community health worker networks and leadership structures to deliver simple, affordable child survival interventions in hard to reach areas. [3] The program measured increases in organizational and community capacity over time using a sustainability framework and indicators.

1. 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

2. “ If you don’t know
where you’re going,
you might end up
someplace else.”
-Yogi Berra.

3. Child Survival
Interventions
Simple affordable interventions to avert most under-5 deaths are
available, yet millions (6.9M in 2010) of children are still dying yearly.

4. 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 hard
to reach populations ( Coverage and Equity).

5. Community –Based Health Care
The community -based approach can extend delivery of interventions
to those areas where access to health services is difficult.

6. Child Survival Program CSP 2004-10
DELIVERY PLATFORM of the CSP:
Community Mobilization, Participation and Governance
Mutual 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 objective
that stays in the group or organization even individual members
leave .

7. PRIMARY GROUPS
The 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

8. Community Leadership Structure
Each primary group select a representative to higher tiers for GOVERNANCE
and to link with the corresponding level of the government and health system.

9. PEOPLES’ INSTITUTION
Central to the delivery platform is the Peoples Institution, the
governance body of the CBO system whose roles includes:
1. Identifying opportunities and areas to develop in the community
2 helping the poorest and most marginalized population in the community
3. Advocating for policy changes
4 Linking their communities with the government and the health facilities.

10. Levels of Community Linkage with
Government and Health Systems

11. Community Health Management Structure
CSP Program
Training & follow-up Disseminate survey data
Training Training
Coordination &
Follow-up Building good network
Network building
Establishing in the community MOU for referral service
Raising health fund
Coordination & networking Exchanging ideas
Supervision PI Health Working together Health
CHV Recognition for improving Facility
Linking
Technical Team health status Centers
TTBA resources
Awareness raising Leadership Community
Providing health service Health Fund available receives health
Referring
for treatment services
Motivational support
Organizing 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)

12. Capacity Building of the Community Based Organizations (PI)
Problem – Oriented Methods (Deficiency Model)
vs. Asset – based (Strengths) Approach

13. Asset-based approach as an alternative way to capacity Building

14. Action and Innovation

15. “…of the best of what is””
Collaborative inquiry seeing and affirming the best and highest
qualities of the group and its members

16. Use of metaphors and stories

17. …of what might be
Collectively envisioning what their community might be
knowing their strength.

18. …what should be the ideal
Collectively they create provocative propositions-the realistic dreams.

19. …how to innovate and act
Action planning and developing implementation strategy

20. 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.

22. Sustainability OCI (Organizational Scores Source of
Framework Capacity Indicators)
Sustainability Framework used for CSP data
Components Examples only
1. Health Outcomes % delivery by SBA KPC
2. Health and Social One CHV visit 100 PI data
Services household per month
3. Organizational PI hold regular PI data
Capacity monthly meetings
4. Organizational PI implementing PI data
Viability Community based
program
5. Community All members are doing PI data
Capacity saving and self-
managed
6. Ecological, human, Community PI data
Economic, political involved in the
and policy running of the
environment
community clinics

23. CSSA Progress in Panchagor, Netrokona and Dhaka
(Composite Percentage for all Indicators in Each Component)
SATHI SUPOTH PARI
Baseline Final Baseline Final Baseline Final
Health 41 92 49 96 42 87
Health 23 95 20 97 10 89
Services
Comm. 56 96 64 84 25 79
Envircity
Capa onment 41 94 61 96 46 85
Org. Capacity 36 90 66 99 0 78
Org. Viability 35 92 22 98 0 60

24. “Go to the people
Live with them
Learn from them
Love them
Start with what they know
Build on what they have:
But of the best leaders When their task is done
The people will remark “We have done it ourselves.”
Lao Tzu (6th Century BC)

25. “ It’s not what you
look at that matters,
it’s what you see.”
-Henry David Thoreau (1817-1862)