1) The document discusses intensifying Aboriginal voice in public health governance through participation and integrating social values into governance processes.
2) It examines how governance structures like committees can diffuse knowledge and be used to encode social values.
3) The author studies Aboriginal voice integration and diffusion in public health collaboratives through analyzing governance complexity and pathways for social values.
Engaging effectively with aboriginal people in primary health networksUniversity of Newcastle
On behalf to the Australian Healthcare and Hospitals Association (AHHA), the below slideshow was presented as a webinar delivered on 20/8/2015 as part of the AHHA seminars "Forming Effective Clinical Councils and Community Advisory Committees" see: http://bit.ly/1gY2qvC
Community resource mobilization in Asia (Aid finance session)IIED
The lack of government support for poor communities in Rio de Janeiro, Brazil encouraged those communities to mobilize their own resources. People in the communities decided to come together and start saving money. This community savings was used for initiatives like housing, education, and livelihood programs. The Asian Coalition for Community Action (ACCA) Program provided additional support for community-managed projects. Through their initiatives, the communities demonstrated their abilities and changed perceptions of them, attracting further support from governments and other organizations.
The document discusses shared services for municipalities in New Jersey. It provides examples of successful shared service programs in areas like emergency services, public health, education, and economic development. It also identifies potential barriers to implementing shared services like political and financial issues. The document advocates breaking down barriers by starting with small, priority projects and taking an iterative approach to implementation.
The document discusses advocacy and lobbying to promote the rights of marginalized communities. It defines advocacy as influencing people in a way that makes them believe something is in their best interest without obvious rewards. Advocacy involves translating people's voices to those in power. The oppressed, elected representatives, experts, and concerned citizens can advocate. Advocacy should focus on the economically poor, Dalits, Adivasis, women, sexual minorities, children. It should target centers of power, state institutions, public opinion, and the excluded communities themselves. Networking and empowering affected people are most effective routes for ensuring pro-poor change.
Gender, participation and cimate changeCIFOR-ICRAF
This document discusses gender and participation in climate change and REDD+ processes. It notes that women often lack participation in REDD+ programs in countries like Nepal and the DRC. However, simply increasing participation may not ensure equitable benefit-sharing, as participation can mean different things and deeper social and institutional barriers may prevent women's meaningful engagement. Lessons from studying gender and forest governance emphasize understanding why women do not participate more fully, what difference their participation could make, and how to improve participation through strategic alliances and deliberative, autonomous spaces that address underlying social norms. Participation alone may not remedy unequal gender relations or benefit all heterogeneous women's groups.
Gender, participation and cimate changeCIFOR-ICRAF
This session of the 2014 IUFRO World Congress focused on challenges, opportunities, and outcomes of securing women’s participation in forest governance, linking them with issues and experiences in climate change adaptation and mitigation.
The document provides data and outcomes from DD (developmental disabilities) Councils for fiscal years 2008-2012. It includes numbers of people trained in self-advocacy and systems advocacy, programs and policies created, and members of the public and policymakers educated. Examples are given of Council activities promoting community living, employment, early intervention, and self-advocacy in different states. Budget justifications submitted to federal agencies cite Council impact and exceeding targets for individuals' independence and community integration.
The document discusses problems facing typical Filipino communities, including poverty, poor living conditions, unemployment, low education levels, and more. It emphasizes the importance of genuine citizen participation and involvement in decision making, implementation, and evaluation of development programs. Key elements of successful community organization and development include leadership, teamwork, transparency, and addressing felt community needs.
Engaging effectively with aboriginal people in primary health networksUniversity of Newcastle
On behalf to the Australian Healthcare and Hospitals Association (AHHA), the below slideshow was presented as a webinar delivered on 20/8/2015 as part of the AHHA seminars "Forming Effective Clinical Councils and Community Advisory Committees" see: http://bit.ly/1gY2qvC
Community resource mobilization in Asia (Aid finance session)IIED
The lack of government support for poor communities in Rio de Janeiro, Brazil encouraged those communities to mobilize their own resources. People in the communities decided to come together and start saving money. This community savings was used for initiatives like housing, education, and livelihood programs. The Asian Coalition for Community Action (ACCA) Program provided additional support for community-managed projects. Through their initiatives, the communities demonstrated their abilities and changed perceptions of them, attracting further support from governments and other organizations.
The document discusses shared services for municipalities in New Jersey. It provides examples of successful shared service programs in areas like emergency services, public health, education, and economic development. It also identifies potential barriers to implementing shared services like political and financial issues. The document advocates breaking down barriers by starting with small, priority projects and taking an iterative approach to implementation.
The document discusses advocacy and lobbying to promote the rights of marginalized communities. It defines advocacy as influencing people in a way that makes them believe something is in their best interest without obvious rewards. Advocacy involves translating people's voices to those in power. The oppressed, elected representatives, experts, and concerned citizens can advocate. Advocacy should focus on the economically poor, Dalits, Adivasis, women, sexual minorities, children. It should target centers of power, state institutions, public opinion, and the excluded communities themselves. Networking and empowering affected people are most effective routes for ensuring pro-poor change.
Gender, participation and cimate changeCIFOR-ICRAF
This document discusses gender and participation in climate change and REDD+ processes. It notes that women often lack participation in REDD+ programs in countries like Nepal and the DRC. However, simply increasing participation may not ensure equitable benefit-sharing, as participation can mean different things and deeper social and institutional barriers may prevent women's meaningful engagement. Lessons from studying gender and forest governance emphasize understanding why women do not participate more fully, what difference their participation could make, and how to improve participation through strategic alliances and deliberative, autonomous spaces that address underlying social norms. Participation alone may not remedy unequal gender relations or benefit all heterogeneous women's groups.
Gender, participation and cimate changeCIFOR-ICRAF
This session of the 2014 IUFRO World Congress focused on challenges, opportunities, and outcomes of securing women’s participation in forest governance, linking them with issues and experiences in climate change adaptation and mitigation.
The document provides data and outcomes from DD (developmental disabilities) Councils for fiscal years 2008-2012. It includes numbers of people trained in self-advocacy and systems advocacy, programs and policies created, and members of the public and policymakers educated. Examples are given of Council activities promoting community living, employment, early intervention, and self-advocacy in different states. Budget justifications submitted to federal agencies cite Council impact and exceeding targets for individuals' independence and community integration.
The document discusses problems facing typical Filipino communities, including poverty, poor living conditions, unemployment, low education levels, and more. It emphasizes the importance of genuine citizen participation and involvement in decision making, implementation, and evaluation of development programs. Key elements of successful community organization and development include leadership, teamwork, transparency, and addressing felt community needs.
CAA provides an independent assessment of how well local public services are serving communities and achieving long-term goals. It focuses on priority outcomes in Local Area Agreements and Sustainable Community Strategies. The assessment examines prospects for future improvement, sustainability, inequality, disadvantage, value for money, and how well services are integrated and empower local people. CAA uses evidence from organizations and engages local stakeholders to understand needs and draft reports, which are shared for feedback before publication.
The document summarizes governance structures and processes for the Global Fund to Fight AIDS, Tuberculosis and Malaria. It describes the Fund's governing Board, Secretariat, Technical Review Panel, and Partnership Forum. It also outlines the Board's responsibilities, membership, committees, and meeting schedule. Additionally, it provides details on the Partnership Forum's aims, consultation process, themes for discussion, and plans for participation.
The Many Faces of Non Profit Governance_Paper_Hansh Raj Joshi_NepalHansh Raj Joshi
CARE Nepal introduced a dialogue tool to improve governance in federations and civil society organizations in Nepal. The tool focused on representation, legitimacy, transparency, and synergy. Two partner organizations made progress in these areas. They increased inclusion of women and marginalized groups in leadership. They also improved transparency through social audits and established feedback mechanisms. Both partners gained greater legitimacy through advocacy and collaboration with the government and other groups.
Instruments for improvement of Accountability and Governance in NGOsHumaneasy Consulting
This document discusses key areas for improving board accountability in non-governmental organizations (NGOs). It recommends that NGOs establish clear statutes, bylaws, and policies to define the roles and responsibilities of the board and avoid conflicts of interest. Regular board and executive director evaluations can help ensure mission fulfillment and sustainability. Annual board training keeps members informed and engaged in strategic planning. Together, these practices aim to strengthen governance, accountability, and long-term institutional development.
This document summarizes Lori's background and qualifications. She believes in forging collaborative efforts through integrity and respect to create positive change. She has successfully resolved conflicts between organizations, found cost efficiencies without compromising outcomes, negotiated agreements between multiple parties, and merged initiatives to create mutual benefits. Her experience shows an ability to achieve goals through communication, collaboration, and coordination.
Spectrum at 25: One agency's story of transformationAaron Johannes
Spectrum Society has tried to be thoughtful about the focus of our supports for 25 years, and this is our story about becoming a learning organization. Originally presented by Susan Stanfield and Ernie Baatz at the InclusionBC 2013 Conference in Vancouver B.C.
Spectrum Society at 25: One agency's story of transformationErnie Baatz
Spectrum Society is a non-profit agency that has transformed its services over 25 years from focusing on compliance and risk management to focusing on relationships, personal networks, and self-direction. The agency was influenced by pioneers in the field who emphasized social roles, functional skills, and community integration. Spectrum Society's mission has shifted from allowing people to function independently to supporting people to experience full citizenship. Through various projects, the agency has learned the importance of relationships, natural supports, individualized budgets, authentic leadership roles, and facilitating connections rather than just providing services. The agency continues to explore how to define and focus on quality of life rather than just quality services.
Silencing voices, closing space assessing the enabling environment for civil ...Dr Lendy Spires
- Many civil society organizations around the world have faced deteriorating conditions in recent years, with increasing restrictions on their operations through laws and regulations. This includes mandatory registration requirements, vague reasons for denying registration, and restrictions on foreign funding.
- A global partnership of civil society organizations has developed a framework to assess the enabling environment for CSOs, looking at constitutional protections of rights, laws and regulations, and the ability of CSOs to engage in policy and access information.
- Evidence shows that in many countries, governments have imposed onerous registration requirements, brought politically motivated legal actions against dissenting groups, and restricted the ability of CSOs to receive foreign funding for advocacy work. While problems exist even in democratic countries
Peduli is a Government of Indonesia initiative managed by The Asia Foundation to promote social inclusion. It works with 79 civil society partners across 26 provinces and 84 districts to improve access to services, economic opportunities, and participation in community processes for marginalized groups. This program snapshot examines Peduli's emerging approaches, including positioning inclusion as a local governance issue, adopting systems-based approaches, and establishing coalitions for inclusion. By thinking and working politically through locally led and adaptive solutions, Peduli and its partners have made gains in mobilizing social change for excluded communities in diverse contexts.
Safety and Justice Challenge May Networking Meeting WorkshopEveryday Democracy
Cook County and Charleston County shared their experiences engaging communities in discussions around safety and justice challenges. Both counties used dialogue circles and surveys to gather input from over 1,000 community members total. Key takeaways included the need to address racial bias and disparities, improve perceptions of trust in law enforcement and the justice system, and support reentry for those returning from incarceration. Survey results showed people found value in participating and being heard. The counties are using this community input to inform strategic planning and identify priorities like increasing training, creating more engagement opportunities, and establishing partnerships to support reform.
The document summarizes recommendations for enhancing the Transparent, Effective and Accountable Government (TEAG) initiative in India. It recommends that TEAG: 1) Focus on strengthening relationships to give marginalized groups a voice in decision-making, help define service agreements, and empower people to monitor providers; 2) Encourage grantees to implement pilot accountability projects rather than just research; 3) Create a practitioner network to build governance reform support.
This document discusses social accountability and civic engagement in Pakistan. It outlines several social accountability tools used by civil society organizations, including participatory budgeting, independent budget analysis, and citizen report cards. It notes examples of CSOs using these tools to increase accountability and engagement around issues like water access, land rights, and education. The document concludes by discussing lessons for civil society, including the need to find new ways to work with government and include marginalized communities.
The Senate Select Committee on Aging and Long Term Care released a final report on issues and progress in 2015. The report found that California is unprepared for its aging population and lacks an integrated system to provide long term services and support. It outlined an "IDEAL" system with values of consumer-centered care, cultural competency, and caregiver support. Realizing this vision will require addressing workforce shortages, improving data and coordination, and reforming long-term care financing. The Committee is working on legislative solutions and engaging stakeholders to achieve necessary reforms.
Integral city opening gateways to wellbeing in the human hive moscow - slid...Marilyn Hamilton
This document presents an overview of an Integral City model aimed at improving city well-being. It discusses four voices that make up a human hive (city-zen civic manager, civil society, business/entrepreneur, voice of integration). An Integral City is defined as serving as a reflective organ of the earth that builds individual and collective capacity. Key aspects of the model include using an Integral Vital Signs Monitor to track city well-being indicators across different levels and developing a community of practice to oversee indicator tracking and correct course as needed. The goal is to evolve cities as reflective organs that take care of individuals, communities and the environment.
Moving Forward - Implementing a new way of working for youth justice - Chris ...robine
The document discusses issues with New Zealand's youth justice system in the late 1990s and early 2000s, including underperformance, lack of focus and consistency, and outdated facilities. In response, reforms were implemented, such as dedicated youth justice teams, new residences, and a renewed emphasis on rehabilitation. Challenges remain around recidivism rates, disproportionate Maori representation, and inter-agency collaboration. The strategic direction is to reduce reoffending through outcome-focused services and smarter partnerships between youth justice and other organizations.
The Future of Community -based Services and EducationVanessa Coleman
This document discusses anticipated changes to community-based services and education over the next 15 years. It notes that the population is aging rapidly and becoming more diverse. Technology will change how services are delivered through new methods of interaction, content delivery, and accessibility devices. Funding challenges will remain constant even as needs grow. Laws and regulations will continue to determine funding and quality standards, requiring advocacy from those who work with seniors. The conclusion emphasizes that an aging population should not be viewed negatively, but as an opportunity for knowledge sharing and intergenerational support through community involvement.
This document discusses some of the ethical issues that may arise when conducting research in rural communities. It notes that confidentiality, skepticism of outsiders, and ensuring research has tangible outcomes are particular concerns. It recommends using a community-based participatory research (CBPR) approach to address these issues by collaborating with community partners throughout the entire research process and empowering community members. CBPR principles include recognizing the community's identity, building on its strengths, facilitating cooperative relationships, integrating knowledge with action, and disseminating findings to all partners. The document provides examples of how CBPR could be applied when researching rural healthcare by partnering with local organizations and leaders.
Advancing Racial Equity through Community Engagement in Collective ImpactLiving Cities
This document outlines an agenda for a panel discussion on advancing racial equity through community engagement in collective impact work. The agenda includes an overview, four panelists from different organizations, and a question and answer session. The panelists discuss their experiences engaging communities and advancing equity in their collective impact work, including lessons learned and advice for other practitioners. They emphasize the importance of relationship building, disaggregating data, youth engagement, and addressing power imbalances to do this work effectively.
CAA provides an independent assessment of how well local public services are serving communities and achieving long-term goals. It focuses on priority outcomes in Local Area Agreements and Sustainable Community Strategies. The assessment examines prospects for future improvement, sustainability, inequality, disadvantage, value for money, and how well services are integrated and empower local people. CAA uses evidence from organizations and engages local stakeholders to understand needs and draft reports, which are shared for feedback before publication.
The document summarizes governance structures and processes for the Global Fund to Fight AIDS, Tuberculosis and Malaria. It describes the Fund's governing Board, Secretariat, Technical Review Panel, and Partnership Forum. It also outlines the Board's responsibilities, membership, committees, and meeting schedule. Additionally, it provides details on the Partnership Forum's aims, consultation process, themes for discussion, and plans for participation.
The Many Faces of Non Profit Governance_Paper_Hansh Raj Joshi_NepalHansh Raj Joshi
CARE Nepal introduced a dialogue tool to improve governance in federations and civil society organizations in Nepal. The tool focused on representation, legitimacy, transparency, and synergy. Two partner organizations made progress in these areas. They increased inclusion of women and marginalized groups in leadership. They also improved transparency through social audits and established feedback mechanisms. Both partners gained greater legitimacy through advocacy and collaboration with the government and other groups.
Instruments for improvement of Accountability and Governance in NGOsHumaneasy Consulting
This document discusses key areas for improving board accountability in non-governmental organizations (NGOs). It recommends that NGOs establish clear statutes, bylaws, and policies to define the roles and responsibilities of the board and avoid conflicts of interest. Regular board and executive director evaluations can help ensure mission fulfillment and sustainability. Annual board training keeps members informed and engaged in strategic planning. Together, these practices aim to strengthen governance, accountability, and long-term institutional development.
This document summarizes Lori's background and qualifications. She believes in forging collaborative efforts through integrity and respect to create positive change. She has successfully resolved conflicts between organizations, found cost efficiencies without compromising outcomes, negotiated agreements between multiple parties, and merged initiatives to create mutual benefits. Her experience shows an ability to achieve goals through communication, collaboration, and coordination.
Spectrum at 25: One agency's story of transformationAaron Johannes
Spectrum Society has tried to be thoughtful about the focus of our supports for 25 years, and this is our story about becoming a learning organization. Originally presented by Susan Stanfield and Ernie Baatz at the InclusionBC 2013 Conference in Vancouver B.C.
Spectrum Society at 25: One agency's story of transformationErnie Baatz
Spectrum Society is a non-profit agency that has transformed its services over 25 years from focusing on compliance and risk management to focusing on relationships, personal networks, and self-direction. The agency was influenced by pioneers in the field who emphasized social roles, functional skills, and community integration. Spectrum Society's mission has shifted from allowing people to function independently to supporting people to experience full citizenship. Through various projects, the agency has learned the importance of relationships, natural supports, individualized budgets, authentic leadership roles, and facilitating connections rather than just providing services. The agency continues to explore how to define and focus on quality of life rather than just quality services.
Silencing voices, closing space assessing the enabling environment for civil ...Dr Lendy Spires
- Many civil society organizations around the world have faced deteriorating conditions in recent years, with increasing restrictions on their operations through laws and regulations. This includes mandatory registration requirements, vague reasons for denying registration, and restrictions on foreign funding.
- A global partnership of civil society organizations has developed a framework to assess the enabling environment for CSOs, looking at constitutional protections of rights, laws and regulations, and the ability of CSOs to engage in policy and access information.
- Evidence shows that in many countries, governments have imposed onerous registration requirements, brought politically motivated legal actions against dissenting groups, and restricted the ability of CSOs to receive foreign funding for advocacy work. While problems exist even in democratic countries
Peduli is a Government of Indonesia initiative managed by The Asia Foundation to promote social inclusion. It works with 79 civil society partners across 26 provinces and 84 districts to improve access to services, economic opportunities, and participation in community processes for marginalized groups. This program snapshot examines Peduli's emerging approaches, including positioning inclusion as a local governance issue, adopting systems-based approaches, and establishing coalitions for inclusion. By thinking and working politically through locally led and adaptive solutions, Peduli and its partners have made gains in mobilizing social change for excluded communities in diverse contexts.
Safety and Justice Challenge May Networking Meeting WorkshopEveryday Democracy
Cook County and Charleston County shared their experiences engaging communities in discussions around safety and justice challenges. Both counties used dialogue circles and surveys to gather input from over 1,000 community members total. Key takeaways included the need to address racial bias and disparities, improve perceptions of trust in law enforcement and the justice system, and support reentry for those returning from incarceration. Survey results showed people found value in participating and being heard. The counties are using this community input to inform strategic planning and identify priorities like increasing training, creating more engagement opportunities, and establishing partnerships to support reform.
The document summarizes recommendations for enhancing the Transparent, Effective and Accountable Government (TEAG) initiative in India. It recommends that TEAG: 1) Focus on strengthening relationships to give marginalized groups a voice in decision-making, help define service agreements, and empower people to monitor providers; 2) Encourage grantees to implement pilot accountability projects rather than just research; 3) Create a practitioner network to build governance reform support.
This document discusses social accountability and civic engagement in Pakistan. It outlines several social accountability tools used by civil society organizations, including participatory budgeting, independent budget analysis, and citizen report cards. It notes examples of CSOs using these tools to increase accountability and engagement around issues like water access, land rights, and education. The document concludes by discussing lessons for civil society, including the need to find new ways to work with government and include marginalized communities.
The Senate Select Committee on Aging and Long Term Care released a final report on issues and progress in 2015. The report found that California is unprepared for its aging population and lacks an integrated system to provide long term services and support. It outlined an "IDEAL" system with values of consumer-centered care, cultural competency, and caregiver support. Realizing this vision will require addressing workforce shortages, improving data and coordination, and reforming long-term care financing. The Committee is working on legislative solutions and engaging stakeholders to achieve necessary reforms.
Integral city opening gateways to wellbeing in the human hive moscow - slid...Marilyn Hamilton
This document presents an overview of an Integral City model aimed at improving city well-being. It discusses four voices that make up a human hive (city-zen civic manager, civil society, business/entrepreneur, voice of integration). An Integral City is defined as serving as a reflective organ of the earth that builds individual and collective capacity. Key aspects of the model include using an Integral Vital Signs Monitor to track city well-being indicators across different levels and developing a community of practice to oversee indicator tracking and correct course as needed. The goal is to evolve cities as reflective organs that take care of individuals, communities and the environment.
Moving Forward - Implementing a new way of working for youth justice - Chris ...robine
The document discusses issues with New Zealand's youth justice system in the late 1990s and early 2000s, including underperformance, lack of focus and consistency, and outdated facilities. In response, reforms were implemented, such as dedicated youth justice teams, new residences, and a renewed emphasis on rehabilitation. Challenges remain around recidivism rates, disproportionate Maori representation, and inter-agency collaboration. The strategic direction is to reduce reoffending through outcome-focused services and smarter partnerships between youth justice and other organizations.
The Future of Community -based Services and EducationVanessa Coleman
This document discusses anticipated changes to community-based services and education over the next 15 years. It notes that the population is aging rapidly and becoming more diverse. Technology will change how services are delivered through new methods of interaction, content delivery, and accessibility devices. Funding challenges will remain constant even as needs grow. Laws and regulations will continue to determine funding and quality standards, requiring advocacy from those who work with seniors. The conclusion emphasizes that an aging population should not be viewed negatively, but as an opportunity for knowledge sharing and intergenerational support through community involvement.
This document discusses some of the ethical issues that may arise when conducting research in rural communities. It notes that confidentiality, skepticism of outsiders, and ensuring research has tangible outcomes are particular concerns. It recommends using a community-based participatory research (CBPR) approach to address these issues by collaborating with community partners throughout the entire research process and empowering community members. CBPR principles include recognizing the community's identity, building on its strengths, facilitating cooperative relationships, integrating knowledge with action, and disseminating findings to all partners. The document provides examples of how CBPR could be applied when researching rural healthcare by partnering with local organizations and leaders.
Advancing Racial Equity through Community Engagement in Collective ImpactLiving Cities
This document outlines an agenda for a panel discussion on advancing racial equity through community engagement in collective impact work. The agenda includes an overview, four panelists from different organizations, and a question and answer session. The panelists discuss their experiences engaging communities and advancing equity in their collective impact work, including lessons learned and advice for other practitioners. They emphasize the importance of relationship building, disaggregating data, youth engagement, and addressing power imbalances to do this work effectively.
This document summarizes a study called the ECOTECH Project which aimed to understand how older adults and their caregivers contribute perspectives to Regional Health Innovation Ecosystems (RHIEs), and how their role could be enhanced. The study used a mixed-methods approach including a scoping review, focus groups/interviews, and concept mapping. Key findings included that older adults want more meaningful engagement in health innovation, stakeholders see value in their involvement, and engagement could provide societal benefits. Barriers to involvement include ageism and ineffective communication. The concept mapping identified priorities around public forums, co-production/partnerships, and engagement of older adults. The study concludes more collaboration is needed to implement frameworks that improve involvement of older adults
This document summarizes a study called the ECOTECH Project which aimed to understand how older adults and their caregivers contribute perspectives to Regional Health Innovation Ecosystems (RHIEs), and how their role could be enhanced. The study used a mixed-methods approach including a scoping review, focus groups/interviews, and concept mapping. Key findings included that older adults want more meaningful engagement in health innovation, stakeholders see value in their involvement, and engagement could provide societal benefits. Barriers to involvement include ageism and ineffective communication. The concept mapping resulted in clusters around public forums, co-production/partnerships, and engagement. Highly rated ideas focused on attending events, developing partnerships, and brainstorming with various
The document summarizes a health impact assessment (HIA) conducted on the South Thornton Subarea Revitalization (STaR) Plan in Thornton, Colorado. The HIA used a participatory, community-based approach including neighborhood tours, interviews, surveys, and forums. It found that access to goods and services, social connections, and transportation infrastructure were key factors influencing healthy eating and active living. The HIA recommendations aimed to increase access to nutritious food and physical activity. Short-term successes included ongoing coalition-building and funding to address health issues in the community.
This brief summary of "Utilizing participatory approaches to inform a health impact assessment of a city's revitalization plan" was presented at the Annual Meeting of the American Public Health Association in San Francisco, California.
October 31st, 2012
The document summarizes a study that evaluates the impact of a community-driven development (CDD) program in Sierra Leone on local institutions. The study uses a randomized controlled trial across 236 villages. It develops objective institutional performance measures and follows a pre-analysis plan to assess impacts on participation, public goods, and collective action. The plan aims to test hypotheses about whether the program increased participation of marginalized groups and improved institutions in a way that persisted after the program ended.
A slideshow I prepared for leading class discussion of a graduate seminar, CIS-650, I took during Fall 2020 through the School of Communication and Information Sciences at the University of Alabama (for my MLIS degree).
Wellbeing in Galway City - Presentation for the GCCN teamChris Noone
A description of the work of Dr. Michael Hogan, Dr. Benjamin Broome and their facilitation team using collective intelligence to facilitate the development of a shared vision of wellbeing in Galway for the Galway City Community Network and planning strategic objectives based on this shared vision.
The document summarizes key findings from the "Dropping off the Edge 2015" report on location-based disadvantage in Australia. It discusses how disadvantage is concentrated in specific communities and impacts families through issues like unemployment, domestic violence and low education. It also highlights the importance of social cohesion in building community resilience and dampening the effects of disadvantage. The organizations advocate for a long-term, place-based approach involving communities to address entrenched disadvantage in the most vulnerable locations.
Interplay Project. National Indigenous Research and Knowledges Network (NIRAK...Ninti_One
16 December 2014
Cairney S and Abbott T. Interplay Project. National Indigenous Research and Knowledges Network (NIRAKN) Chief Investigators Meeting, Adelaide, December 2014
This document discusses community mobilization for health programs. It defines community mobilization as engaging community sectors in a plan to improve health through capacity building. Key elements include human rights, education, leadership, and participation. Effective community mobilization tailors messages to audiences like women, youth, and leaders. It involves defining the community, creating a community profile, informing others, and obtaining commitment through collaboration. The process employs community meetings and data collection to organize stakeholders and address community needs. Challenges can include time/costs, differing priorities between groups, sustaining volunteer motivation, and ensuring representative community participation.
Roots of Health Inequity Dialogues: Designing Staff Development to Strengthen...Jim Bloyd, DrPH, MPH
Presentation and 3 20-minute exercises prepared for the annual conference of the Illinois Public Health Association, September 12, 2019 in Springfield, Illinois, USA. Abstract: The Cook County Department of Public Health (CCDPH) used the National Association of County and City Health Officials' online course for the public health workforce Roots of Health Inequity, to accomplish three goals: change the way staff think about public health; change the way staff practice public health; and apply health equity principles to the daily work. Chief Operating Officer Terry Mason, MD, required all staff to participate in the training.
Increasing the integration of a health equity approach by first training staff on health equity and how it is relevant to their work was a priority of the agency strategic plan, as well as a QI and Workforce Development priority for CCDPH.
Components of the CCDPH Roots of Health Inequity Dialogues include the creation of 1small groups for in-person discussion; a leadership committee; training staff as facilitators; evaluation; a commitment to dialogue. The small group-approach accomplished two things: dialogue and discussion were maximized, while disruption of regular duties and health department functions was minimized.
Reliance on staff to facilitate dialogues strengthened leadership for health equity within the health department, and eliminated the need for external facilitation. In addition, the “insider” knowledge of the Facilitators—most of whom have years of experience working at CCDPH---ensured that dialogue leaders understood the institutional culture, and increased the likelihood that the dialogues will be able to examine real barriers as well as opportunities to practice transformation.
Guiding Policymakers toward Community Health Investments to Strengthen Health...CORE Group
This document summarizes a presentation on moving beyond traditional frameworks for health systems strengthening to better integrate community health. It discusses how most existing frameworks lack explicit reference to communities and community health. A new "Beyond the Building Blocks" model is presented that adds community organizing and societal partnerships as additional components to the WHO health system building blocks. Practical examples of community organizing and partnerships from health programs in Bangladesh, Peru, and other countries are provided. The document advocates that community health is an essential but often overlooked part of strengthening health systems to achieve global health goals.
This community health assessment in Little Village, Chicago used participatory qualitative inquiry methods including focus groups, interviews, and oral histories to understand health issues from a community perspective. The assessment employed a community-based participatory research approach with academic and community partners collaborating throughout the process. Qualitative data analysis was an iterative process that engaged community stakeholders in developing codes, analyzing findings, and disseminating results. Key findings from the inquiry included stress from parenting, migration, occupation, and fear as major health concerns, as well as barriers to healthy coping. The participatory methods enhanced understanding of complex health issues and promoted meaningful relationships between partners.
These are slides from a session I am doing at the Joint Council of Extension Professionals 2014 Public Issues Leadership Workshop on April 7 in Alexandria, VA.
This document provides an overview of community health assessment. It defines key terms like community, needs assessment, and types of assessment including familiarization, problem-oriented, comprehensive, and assets-based. Methods of assessment are described such as surveys, epidemiological studies, forums, and focus groups. The community health assessment process involves data collection, interpretation, diagnosis, planning, implementation, and evaluation. Finally, characteristics of a healthy community are outlined.
Action Research Inquiry CycleINQUIRY CYCLE PHASE 2Implem.docxnettletondevon
Action Research Inquiry Cycle
INQUIRY CYCLE PHASE 2
Implement actions
and measure results
INQUIRY CYCLE PHASE 1
Plan for research and
addressing the problem
INQUIRY CYCLE PHASE 3
Evaluate and reflect
on results of actions
Assess the
Core Issues
1
Review the
Literature
2
Design the Projected
Intervention
3
Implement the
Intervention
4
Collect and
Analyze Data
5
Communicate Results
6
Evaluate
Outcomes
7
9
Recommend or Decide on
Next Steps
Reflect on and
Dialogue about
Results
8
Action Research Inquiry Cycle
INQUIRY CYCLE PHASE 2
Implement actions
and measure results
INQUIRY CYCLE PHASE 1
Plan for research and
addressing the problem
INQUIRY CYCLE PHASE 3
Evaluate and reflect
on results of actions
Assess the
Core Issues
1
Review the
Literature
2
Design the Projected
Intervention
3
Implement the
Intervention
4
Collect and
Analyze Data
5
Communicate Results
6
Evaluate
Outcomes
7
9
Recommend or Decide on
Next Steps
Reflect on and
Dialogue about
Results
8
9. Minkler M, Wallerstein N., eds. Community-Based Participatory Research for Health. San Francisco: Jossey-Bass; 2003.
10. Cargo M, Mercer SL. The value and challenges of participatory research: strengthening its practice. Annual Review of Public Health.
2008 April;29:325–50.
11. Devault M, Ingraham C. Metaphors of silence and voice in feminist thought. In: Devault M, ed. Liberating Method. Philadelphia, PA:
Temple University Press; 1999:175–86.
12. Bobo K, Kendall J, Max S. Organizing for Social Change. 3rd ed. Santa Ana, CA: Seven Locks Press; 2001.
13. Chambers E, Cowan MA. Roots for Radicals: Organizing for Power, Action, and Justice. New York: Continuum International Publishing
Group; 2003.
14. Lewin K. Resolving Social Conflicts and Field Theory in Social Science. Washington, DC: American Psychological Association; 1997.
15. Freire P. Pedagogy of the Oppressed. New York, NY: Continuum International; 1970.
16. Hacker K, Chu J, Leung C, Marra R, Pirie A, Brahimi M, English M, Beckmann J, Acevedo-Garcia D, Marlin RP. The impact of
Immigration and Customs Enforcement on immigrant health: perceptions of immigrants in Everett, Massachusetts, USA. Social Science &
Medicine. 2011 Aug;73(4):586–94.
17. Heller C, de Melo-Martin I. Clinical and translational science awards: can they increase the efficiency and speed of clinical and
translational research? Academic Medicine. 2009 Apr;84(4):424–32.
18. Minkler M. Linking science and policy through community-based participatory research to study and address health disparities. American
Journal of Public Health. 2010 Apr 1;100 Suppl 1:S81–87.
19. Hacker K, Collins J, Gross-Young L, Almeida S, Burke N. Coping with youth suicide and overdose: one community’s efforts to
investigate, intervene, and prevent suicide contagion. Crisis. 2008;29(2):86–95.
20. Wallerstein N, Duran B. Community-based participatory research contributions to intervention research: the intersection .
Community engagement in public health interventions for disadvantaged groups:...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the effectiveness of community engagement in public health interventions for disadvantaged groups. Click here for access to the audio recording for this webinar: https://youtu.be/tUZ-u7QbMCY.
Alison O'Mara-Eves, Senior Researcher, University College London, EPPI-Centre and Ginny Brunton, Senior Health Researcher, University College London, EPPI-Centre presented findings from their review:
O'Mara-Eves A., Brunton G., Oliver S., Kavanagh J., Jamal F., & Thomas J. (2015). The effectiveness of community engagement in public health interventions for disadvantaged groups: A meta-analysis . BMC Public Health, 15, 129.
Community engagement is becoming an increasingly popular component included in the development and implementation of public health interventions. Involved community members take on roles that range from merely being informed, to being consulted, to collaborating or leading on the design, delivery and evaluation of public health strategies. This review examines the use of public health interventions with a community engagement component, particularly for its use in reducing health inequities among disadvantaged populations. Findings of the review suggest community engagement in public health interventions has an effect on several health outcomes, including health behaviours and self-efficacy. This webinar will examine the effectiveness and components of public health interventions that include community engagement and the impact on health outcomes.
This document summarizes a panel discussion on community research with rural Hispanics in southern Illinois. The panelists discussed their roles in using a Community Participatory Research Approach, including partnership building, needs assessment, identifying issues, program development and implementation, and evaluation. They emphasized a social justice perspective and addressing health disparities. Their community-based participatory action research involved forming advisory committees, conducting assessments of community health concerns, developing and implementing local programs, and disseminating results through various media outlets and activities. The panel concluded by reflecting on the need for both evidence-based practice and practice-based evidence in health disparities research.
Bharat Mata - History of Indian culture.pdfBharat Mata
Bharat Mata Channel is an initiative towards keeping the culture of this country alive. Our effort is to spread the knowledge of Indian history, culture, religion and Vedas to the masses.
Presentation by Rebecca Sachs and Joshua Varcie, analysts in CBO’s Health Analysis Division, at the 13th Annual Conference of the American Society of Health Economists.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
How To Cultivate Community Affinity Throughout The Generosity JourneyAggregage
This session will dive into how to create rich generosity experiences that foster long-lasting relationships. You’ll walk away with actionable insights to redefine how you engage with your supporters — emphasizing trust, engagement, and community!
The Power of Community Newsletters: A Case Study from Wolverton and Greenleys...Scribe
YOU WILL DISCOVER:
The engaging history and evolution of Wolverton and Greenleys Town Council's newsletter
Strategies for producing a successful community newsletter and generating income through advertising
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Dive into the success story of Wolverton and Greenleys Town Council's newsletter in this insightful webinar. Hear from Mandy Shipp and Jemma English about the newsletter's journey from its inception to becoming a vital part of their community's communication, including its history, production process, and revenue generation through advertising. Discover the reasons behind outsourcing its design and the benefits this brought. Ideal for anyone involved in community engagement or interested in starting their own newsletter.
Indira awas yojana housing scheme renamed as PMAYnarinav14
Indira Awas Yojana (IAY) played a significant role in addressing rural housing needs in India. It emerged as a comprehensive program for affordable housing solutions in rural areas, predating the government’s broader focus on mass housing initiatives.
2. Encoding Social Values
“moral values and resource allocation cannot be
isolated from the social interactions through
which these are realised”
Anderson, I. (1997). The Ethics of the Allocation of Health Resources in Race
Matters: Indigenous Australians and ‘Our’ Society (pp. 191-208). Canberra:
Aboriginal Studies Press.
3. Is there a governance wedge?
• Argument: an intensification programme
needs to consider the role of governance in
Closing the Gaps
• Theme: multiple points and pathways for
encoding of social values into routine
governance processes
• Concepts: participation, governance,
integration
4. Governance
1. Centre for Aboriginal Economic Policy Research (2004-2008). “Indigenous
Community Governance Project”. Online.
2. NSW Auditor-General (2011). “Governance Lighthouse – Strategic Early Warning
System”. Online .
3. NSW Auditor-General (2011). “Corporate Governance – Strategic Early Warning
System”. NSW Auditor-General’s Report Volume Two 2011. Online
4. NSW Auditor-General (2015). “Governance Lighthouse – Strategic Early Warning
System (Checklist)”. Online.
“the evolving processes, relationships, institutions and
structures by which a group of people, community or
society organise themselves collectively to achieve the
things that matter to them”1
2-4
5. Aboriginal Voice Integration & Diffusion in Public Health
Collaboratives (AVID Study)
@MarkJLock, @StudyAVID, www.avidstudy.com
1) Lutschini, M. (2005). Engaging with holism in Australian Aboriginal health policy – a review. Australian and New Zealand Health
Policy, 2:15. Online.
2) Lock, M. (2007). Aboriginal holistic health: A critical review. Cooperative Research Centre for Aboriginal Health. Online.
3) Lock, M. et al. (2011). Indigenous participation in an informal national Indigenous health policy network. Australian Health
Review, 35(3): 309-15.
4) Lock, M. (2012). The bright sides of assimilation. Med J Aust, 197(7):417-418. Online.
5) Lock, M. (2015). I want to end meaningless rhetoric in Indigenous politics. Online.
6) Lock, M. (2015). Shame and disgrace in the governance of food and nutrition policy for Aboriginal and Torres Strait Islander
Peoples. Online.
7) Lock, M. (2015). Meet the Mob: Mark Lock. Online
‘there should be collaboration between and within
Governments at all levels, their agencies and funded service
providers to effectively coordinate services and programs’
6. Committees
• A committee is a group that keeps minutes and loses
hours (Milton Bearle)
• Committees are key integration structures
Single committee solution: I + C(p) > R
8. Governance Complexity
• AVID Website Governance Visualisation
• Corporate Governance and Accountability
Compendium
• Corporate Government Matrix
• Policy Context and Strategic Alignment
• The most effective committee consists of
three members two of whom are usually
absent (after Robert Copeland)
12. CtG Intensification
• multiple points and pathways for encoding of
social values into routine governance
processes.
• Practical steps – much excellent work already
being done by MNCLHD.
Editor's Notes
Note: This presentation was developed as the keynote presentation to the Intensifying Closing the Gap Seminar organised by New South Wales Health’s Mid North Coast Local Health District (MNCLHD). The presentation was developed with the view to provide the audience with an appreciation of the role of public health governance in Closing the Gaps in Aboriginal health outcomes. The main question guiding the presentation was is there a governance wedge preventing closing the gaps?
I acknowledge the traditional custodians of the land on which stand, the Dunghutti Nation, and pay my respects to Elders, past and present.
Many thanks to Robyn Martin and Andrew Bailey for this invitation to present, participate and be a champion in the intensifying closing the gap seminar.
I am a full-time research academic at the University of Newcastle, funded by the Australian Research Council who in 2013 awarded Peter O’Mara and I about ¾ million dollars to investigate Aboriginal Voice Integration and Diffusion in Public Health Collaboratives – or what we call the AVID study, which is essentially about answering the question where is my voice?
It’s a study about the encoding of social values through committees, more detail of which follows.
The quote that most affects my thinking about the efforts needed to intensify this closing the gap summit was written in ‘The Ethics of the Allocation of Health Resources’, where palawa trowerna academic Ian Anderson wrote that “moral values and resource allocation cannot be isolated from the social interactions through which these are realised” (Anderson, 1997, p. 192). He refers to the ‘moral’ behaviour enacted through the British form of colonisation on the First Peoples of Australia which, Anderson states ‘clearly demonstrates how moral values can be relativised through relations of power’ (Anderson, 1997, p. 193). There are many published works available that provide ample sources of the systemic racial discrimination against Australia’s First Peoples (Attwood, 2003; Attwood & Markus, 1999; Broome, 2002; Chesterman & Galligan, 1997; Eckermann, Dowd, Chong, Nixon, & Gray, 2010; Elder, 2003; Gardiner-Garden, 1999; Kidd, 1997; Reynolds, 2000, 2006).
A key theme from these works is that the structuring of social relations occurs through the encoding of social values into State institutions.
References:
Anderson, I. (1997). The Ethics of the Allocation of Health Resources Race Matters: Indigenous Australians and ‘Our’ Society (pp. 191-208). Canberra: Aboriginal Studies Press.
Attwood, B. (2003). Rights for Aborigines: Allen and Unwin.
Attwood, B., & Markus, A. (1999). The struggle for Aboriginal rights: Allen and Unwin.
Broome, R. L. (2002). Aboriginal Australians, black responses to white dominance 1788-2001.
Chesterman, J., & Galligan, B. (1997). Citizens without rights: Aborigines and Australian citizenship: Cambridge University Press.
Eckermann, A.-K., Dowd, T., Chong, E., Nixon, L., & Gray, R. (2010). Binan Goonj: bridging cultures in Aboriginal health: Elsevier Australia.
Elder, B. (2003). Blood on the wattle: Massacres and maltreatment of Aboriginal Australians since 1788: New Holland Frenchs Forest, Australia.
Gardiner-Garden, J. (1999). From Dispossession to Reconciliation. Retrieved from http://www.aph.gov.au/binaries/library/pubs/rp/1998-99/99rp27.pdf
Kidd, R. (1997). The way we civilise: Aboriginal affairs, the untold story: Univ. of Queensland Press.
Reynolds, H. (2000). Why weren't we told?: A personal search for the truth about our history: Penguin Books.
Reynolds, H. (2006). The other side of the frontier: Aboriginal resistance to the European invasion of Australia: UNSW Press.
It follows then that in seeking to Close the Gaps in Aboriginal peoples’ disadvantage, we would want to structure social relations in such a way in regard to principles such as equity, empowerment, and self-determination to name a few. A key way to do this is for the ‘full and ongoing participation by Aboriginal and Torres Strait Islander people and organisations in all levels of decision-making affecting their health needs’ (Australian Government, 2013, p. 10). The principle of participation is reflected in the NSW Aboriginal Health Plan (NSW Ministry of Health, 2012, p. 4), in the NSW Aboriginal Health Impact Statement and Guidelines, and the Mid North Coast Local Health District’s Community Engagement and Consumer Participation Framework 2015-2017. Indeed, it extends from the Alma Ata Declaration of Primary Health Care – particularly principles about full participation decision making (VI), the right and duty to participation in planning and implementation processes (IV).
A key theme is that the principle of Aboriginal peoples’ participation is integrated throughout a number of policy documents, and is diffused in the health system’s operation and management.
References:
Australian Government. (2013). National Aboriginal and Torres Strait Islander Health Plan 2013-2023. Retrieved from http://www.health.gov.au/natsihp
NSW Ministry of Health. (2012b). NSW Aboriginal Health Plan 2013-2023. Retrieved from North Sydney: http://www0.health.nsw.gov.au/policies/pd/2012/PD2012_066.html
NSW Ministry of Health. (2007). Policy Directive - Aboriginal Health Impact Statement and Guidelines. Retrieved from Sydney: http://www0.health.nsw.gov.au/policies/pd/2007/pdf/PD2007_082.pdf
Mid North Coast Local Health District. (2015). Mid North Coast Local Health District Community Engagement and Consumer Participation Framework 2015-2017. Retrieved from Coffs Harbour: http://mnclhd.health.nsw.gov.au/wp-content/uploads/MNCLHD-Community-and-Consumer-Engagement-Framework1.pdf
World Health Organization, and World Health Organization. "Alma Ata Declaration." Geneva: World Health Organization (1978).
Citizen participation is a key principle in the concept of governance. As you can see this particular definition of governance from the Centre for Aboriginal Economic Policy Research’s Indigenous Community Governance Project, is “the evolving processes, relationships, institutions and structures by which a group of people, community or society organise themselves collectively to achieve the things that matter to them” Garling, & Sanders, 2008, p. 9).
As noted in the Corporate Governance and Accountability Compendium for NSW Health “The NSW Health System is committed to the principles and practice of good governance, across all public health organisations, in a way that involves stakeholder and community participation” (NSW Ministry of Health, 2012a, p. 2.01).
For example, the NSW Auditor-General’s Corporate Governance Lighthouse is derived from some very good analysis (available online), is presented in an understandable graphic, and provides a checklist against the 17 criteria. As you can see on the graphic it states that ‘key stakeholder management is deliberately on top of the lighthouse’ and provides some key principles: who they are, what they are doing and how well they operate.
The key theme is that governance is a strategic place for enabling greater citizen participation – especially for Aboriginal and Torres Strait Islander People.
References:
Hunt, J., Smith, D., Garling, S., & Sanders, W. (2008). Contested governance: Culture, power and institutions in Indigenous Australia: ANU E Press. At http://press.anu.edu.au/titles/centre-for-aboriginal-economic-policy-research-caepr/c29_citation/
NSW Ministry of Health. (2012a). Corporate Governance and Accountability Compendium for NSW Health. Retrieved from North Sydney: http://www.health.nsw.gov.au/policies/manuals/Pages/corporate-governance-compendium.aspx
Centre for Aboriginal Economic Policy Research (2004-2008). “Indigenous Community Governance Project”. Online.
NSW Auditor-General (2011). “Governance Lighthouse – Strategic Early Warning System”. Online .
NSW Auditor-General’s Report Volume Two (2011). Online
NSW Auditor-General (2015). “Governance Lighthouse – Strategic Early Warning System (Checklist)”. Online.
The key phrase in the definition of governance in the previous slide is ‘organise themselves collectively’ which lead me to investigating the concept of integration. The concept of integration, like many other policy concepts (participation, collaboration, consultation, etc.) is positioned as a panacea for improving complex social phenomena. The Australian Government’s integration principle states that ‘there should be collaboration between and within Governments at all levels, their agencies and funded service providers to effectively coordinate services and programs’ (National Indigenous Reform Agreement 2008, p.A-21). In the document within which this statement is embedded there are no empirical foundations or operational manuals to guide health service executives in the right direction.
At this point I exit to the AVID study website to explain some particular aspects of the AVID database (see the ‘network’ tab of the website).
A key theme is the lack of an empirical foundation for the meaning, operationalisation, measurement, and monitoring of the integration principle. This is my goal in the AVID Study
This slide provides some background notes on the presenter, Dr Mark J Lock. The point is that Mark has developed a line of research on policy concepts – holism, participation, and integration. You can check-out his profile (https://www.newcastle.edu.au/profile/mark-lock) and see that he has a fair bit of movement between different organisations throughout his work history, and each one had its particular committee culture.
References:
Council of Australian Governments. (2008). National Indigenous Reform Agreement (Closing the Gap). Retrieved from Canberra: http://www.federalfinancialrelations.gov.au/content/npa/health_indigenous/indigenous-reform/national-agreement_sept_12.pdf
However, integration is rather a diffuse concept – it’s not possible to go into a supermarket and buy the ingredient “integration” to add to the collaboration soup! I think about integration, and indeed participation and governance, through the lens of committees.
Committees – defined as formally constituted groups of people – are a key mechanism for citizen participation with the Australian State. Now participation should not to be reduced to only those formal interactions which occur through committees. Nevertheless, I propose that committees are significant sites of integration because a) they are formally sanctioned mechanisms of the State, b) they are ubiquitous instantiations of Western democracy, c) they are taken as routine structures of governance, and d) they are sites where social values are encoded into decision making processes.
However, one of Australia’s cultural norms is to rely on the single committee solution proposed in regards to any issue (I) there is the ‘high level’ committee (C) of ‘prominent’ people (p) who will lead reform (R). But this represents simple thinking because of our complex, multifaceted environment. In fact committees are connected into a chain of knowledge diffusion.
They key theme is that committees are connected into a chain of knowledge diffusion.
Exit to the AVID study website https://avidstudy.newcastle.edu.au/vis/committees
This figure is from my PhD thesis – The Participation of Indigenous People in National Indigenous Health Policy Processes, 2003-2004 data.
Without going into the detail of the figure, the key point is that there are hundreds of committees and thousands of people giving advice about what to do in the health system.
Another key point to note is that this is a map of Aboriginal peoples’ participation – it is possible to visualise a system perspective of participation and develop performance indicators accordingly.
The key theme is that any single committee is structurally located within a much more complex governance environment.
Reference:
Lock, M. J. 2008. The Participation of Indigenous People in National Indigenous Health Policy Processes. Doctor of Philosophy, The University of Melbourne. https://minerva-access.unimelb.edu.au/handle/11343/35282
So it is evident that governance is complex but can viewed from different angles such as a single committee, an organisation, as a system and indeed as an institution
But it’s incredibly difficult to visualise the concept of governance and my attempt is the AVID website governance visualisation (click hotlink above)
The social policy domain of health is complex as evident upon reading through the information of the NSW Corporate Governance Matrix, and the NSW Health Corporate Governance and Accountability Compendium, and MNCLHD’s Policy Context and Strategic Alignment section in the Community and Consumer Engagement Framework.
Each of these documents provides details of the governance arrangements relevant to health, but it is difficult to cut through all the detail and see where strategic improvements could be made.
The key point being that measuring, monitoring and evaluation the principle of integration should occur through different angles.
References – refer to the references on slide number 4.
My particular angle to cut-through the miasma of governance is to investigate the committee-organisation-system-institution linkages.
This is what I call the BUFI governance chain: committee (bubble) : organisation (umbrella) : social policy system (frameworks) : acts/legislation (institutions). The colon ‘:’ denotes the myriad social relations inherent in each transition point.
For example the governance chain for the Mid North Coast Local Health District is:
Community reference groups/community connection forums/consultative forums > Community Engagement Sub-committee > Mid North Coast Health District Governing Board: MNCHDGB (Website with terms of reference, meeting minutes) > MNCLHDGB > Stewart Dowrick > MNCLHD Executive Leadership Team: MNCLHD-ELT (Service Agreement and corporate governance statement, and Model By-Laws) > Stewart Dowrick > NSW Health Senior Executive Forum: NSWH-SEF > Mary Foley > Ministry of Health Executive Leadership Team: MoH-ELT > Mary Foley > Ministry of Health: MoH (Acts and Regulations, Policy Directives, Policy and Procedures) > MoH (Jillian Skinner, Pru Goward) > NSW Cabinet > NSW Parliament > Governor-General > Governor-in-Council.
They key point being that the complexity of governance can be empirically interrogated.
References:
The Board is responsible for ensuring effective corporate governance frameworks are established for the Mid North Coast Local Health District (attestation), see http://mnclhd.health.nsw.gov.au/wp-content/uploads/MNCLHD-2013_14-Corporate-Governance-Attestation-Statement-CE-and-Chair-signed-FINAL.pdf
The Mid North Coast Local Health District’s (MNCLHD) Governing Board has worked to establish the Governance structure for the District in line with legislative and NSW Ministry of Health requirements. In doing so we have placed a strong emphasis on clinician and community engagement, and on ensuring our patients (and their carers and families) are at the centre of every decision we make. (strategic plan), see http://mnclhd.health.nsw.gov.au/wp-content/uploads/MNCLHD-GB-Review-January-2014-Strategic-Plan.pdf
An example of empirical investigation is the HNELHD Governance Chain (2014), the links between committees are formal ‘reporting’ links and this graphic was constructed from publicly available information.
This graphic reminds me that a committee is a cul-de-sac down which ideas are lured and then quietly strangled (Sir Barnett Cocks)
In terms of measurement methodology I propose that there should be a way of coding the governance relationships of the BUFI linkages, such as through the example of the organisation:
When a Board of Directors (BoD, a governing committee) resolves upon a set of decisions (BoDd+1), it is done so in the knowledge of a set of codified rules (CRn+1) explicitly written into the terms of the Constitution of an Organization (COt+1) which are themselves framed in terms of a particular social domain framework (SDFn+1) as defined in law through Acts and Legislation (A/Li+1). The executive committee (Eco) directs the organisational responses (ORn+1) to occur in accordance within the regulations of the Acts and Legislation (RA/L+1) through the organization’s numerous services (OSn+1) and practices (OPn+1) provided by many staff (OSt+1) such as health, welfare, education and so on. Furthermore, the BoD obtains advice (knowledge) through formally constituted community advisory committees (CAC) and clinical practice committees (CPC).
This governance chain can be formed into a kind of social transformation formula (which is a work in progress).
The key point is the possibility that concepts such as governance can be systematically investigated – much like the epidemiology of health with equations, calculations and analytical systems.
The fact that this isn’t the case begs the question is governance the wedge preventing us from closing the gaps in Aboriginal disadvantage?
Implications for an Intensified approach to Closing the Gaps:
I’ve mentioned a number of key points in each of the slides: encoding of social relations, concepts (participation, governance, integration), strategic positioning of governance, poor foundations to operationalise principles, complexity of governance can be systemically investigated, and that committees are inter-connected into a knowledge diffusion network. Each of these points add to the main theme that there are multiple points and pathways for encoding of social values into routine governance processes.
The MNCLHD has already embarked on many positive activities such as the mapping the services provided to Aboriginal people, mapping the committees of which the executives are members, and also the numerous range of specific programs and services. I would urge the MNCLHD to document the committees and committee members with the view to proving a link between the modification of governance arrangements and the MNCLHD’s future achievements in closing the gaps.
Thank you!