How can we better facilitate health through urban-planning? This training engages participants on ways to intersect urban-planning and health, using tools and evidence developed through the USAID-funded Building Healthy Cities (BHC) project to understand the application of social determinants of a health approach in two urban settings.
This was presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October by Dr. Damodar Bachani, Dr. Ahmad Isa and Kim Farnham Egan
Strategy and Options for Planning Inclusive CitiesJIT KUMAR GUPTA
Presentation looks at the context of inclusive cities, its relevance in the Indian context, problems faced by Indian cities and what are the options to make cities inclusive, and sustainable
Making Ludhiana Smart- Concepts, Issues and Options JIT KUMAR GUPTA
Presentation tries to look at the Ludhiana- first metropolis of state of Punjab- in terms of its strength, weaknesses, opportunities and options to make it most vibrant, smart, sustainable and most productive city of the state.
Strategy and Options for Planning Inclusive CitiesJIT KUMAR GUPTA
Presentation looks at the context of inclusive cities, its relevance in the Indian context, problems faced by Indian cities and what are the options to make cities inclusive, and sustainable
Making Ludhiana Smart- Concepts, Issues and Options JIT KUMAR GUPTA
Presentation tries to look at the Ludhiana- first metropolis of state of Punjab- in terms of its strength, weaknesses, opportunities and options to make it most vibrant, smart, sustainable and most productive city of the state.
URBAN BASICS
Urbanization and development: Historical Perspective
An Academic Presentation to BdevS, Center for Development Studies
Kathmamndu University
2014
Rajendra P Sharma
rpsharma@mailcity.com
Strategies for Promoting Urban SustainabilityJIT KUMAR GUPTA
Presentation looks at the options of making urban areas more liveable, productive and sustainable. It includes the reduction of energy consumption through green buildings and green transport
Slums - origin, growth, problems & solutions - B.ARCH STUDY REPORT Ar. Prerna Chouhan
WHAT IS A SLUM?, EXAMPLES OF SLUM, CAUSES OF SLUM, CHARACTERISTICS OF SLUMS, EFFECTS OF SLUMS, SLUM CLEARANCE, RE-HOUSING, RE-HOUSING SCHEMES, EXAMPLES AND CASE STUDIES.
ARANYA LOW COST HOUSING, DHARAVI SLUM, ROCINHA – FAVELA IN BRAZIL.
Khayelitsha-0.4million, Kibera-0.7million, Dharavi-1million, Ciudad Neza-1.2million, Orangi Town-2.4 million
Lecture (second of three parts) for the 2018 UP Plano Board Exam Review Sessions; content credited to The City Reader (2016) and my Plan 201 learnings.
Every one in the world wants to live in a compact environment. like in olden days the peoples they were used telephone, telegram, etc. for communication. but in the current scenario every one have smart phones for better communication. Because smartphones are compact and convenient to them.This presentation about Compact City planning and also it dealt how various compact cities in the developed and developing countries manage themselves. This presentation just gives an outline of the compact city planning.
Area Appreciation - Ward 20 & 22, Muzaffarpur, BiharMdOsamaZamani
Detailed presentation about a neighbourhood in a small organically developed town in Bihar. Talks about the present conditions in the area along with the vulnerabilities and conclusion.
URBAN BASICS
Urbanization and development: Historical Perspective
An Academic Presentation to BdevS, Center for Development Studies
Kathmamndu University
2014
Rajendra P Sharma
rpsharma@mailcity.com
Strategies for Promoting Urban SustainabilityJIT KUMAR GUPTA
Presentation looks at the options of making urban areas more liveable, productive and sustainable. It includes the reduction of energy consumption through green buildings and green transport
Slums - origin, growth, problems & solutions - B.ARCH STUDY REPORT Ar. Prerna Chouhan
WHAT IS A SLUM?, EXAMPLES OF SLUM, CAUSES OF SLUM, CHARACTERISTICS OF SLUMS, EFFECTS OF SLUMS, SLUM CLEARANCE, RE-HOUSING, RE-HOUSING SCHEMES, EXAMPLES AND CASE STUDIES.
ARANYA LOW COST HOUSING, DHARAVI SLUM, ROCINHA – FAVELA IN BRAZIL.
Khayelitsha-0.4million, Kibera-0.7million, Dharavi-1million, Ciudad Neza-1.2million, Orangi Town-2.4 million
Lecture (second of three parts) for the 2018 UP Plano Board Exam Review Sessions; content credited to The City Reader (2016) and my Plan 201 learnings.
Every one in the world wants to live in a compact environment. like in olden days the peoples they were used telephone, telegram, etc. for communication. but in the current scenario every one have smart phones for better communication. Because smartphones are compact and convenient to them.This presentation about Compact City planning and also it dealt how various compact cities in the developed and developing countries manage themselves. This presentation just gives an outline of the compact city planning.
Area Appreciation - Ward 20 & 22, Muzaffarpur, BiharMdOsamaZamani
Detailed presentation about a neighbourhood in a small organically developed town in Bihar. Talks about the present conditions in the area along with the vulnerabilities and conclusion.
ICRB is a leading research and consulting firm that
provides data driven pragmatic and cost effective
innovative solutions
Our Design centric Human Connection framework
helps Development Sector agencies in project
implementation and monitoring, streamlining and
scaling up processes, improving visibility and Sharing
knowledge.
ICRB's Strong and widespread network of consultants
and domain experts enable it to operate in diverse
markets and consumer segments
Health Impact Assessment (HIA) is a structured and innovative process for prospectively assessing the potential impacts of a project, program or policy on the health and well-being of populations. In order to support capacity building in the field of HIA, the National Collaborating Centre for Healthy Public Policy (NCCHPP) has developed an online course on HIA. This 5-hour course is available free of charge in English and French and can be accessed at any time upon registration. It aims to familiarize participants with the process of conducting health impact assessments of projects, programs, and policies in collaboration with relevant stakeholders.
Quicksand is a design strategy and innovation consultancy headquartered in India and working across a diverse range of contexts in the Global South. Over the last decade, it has consulted extensively in the area of global development, having partnered multi-laterals, governments and private philanthropy to bring the best practices of design and innovation in the public sector. This presentation shares some of the learnings from that body of work.
Social Networks for Data Use: How we can leverage a world of connections to i...MEASURE Evaluation
Presented by Michelle Li, MEASURE Evaluation; Daines Mgidange, PATH; and Sarah Romorini, Population Services International, for a December 2017 webinar.
Responsible Data for Children Training_PublicSlides_110922.pdfStefaan Verhulst
The Responsible Data for Children (RD4C) initiative—a collaboration between The GovLab and UNICEF to promote the more responsible handling of data for and about children—has spent much of 2022 developing ways to socialize and operationalize the principles that put the best interests of children and a child rights approach at the center of our data activities.. From publishing new case studies that provide detail on what a responsible data approach looks like in action to supporting UNICEF and UNHCR country offices in helping them implement a responsible data for children approach to their operations to expanding its offerings in different languages, we’ve sought to help organizations understand what responsible data for children means and how they can realize it in their day-to-day operations.
Today, RD4C is continuing this work with self-guided training. Based on the tutorials offered to UNICEF staff in early 2022, these slides are a resource for organizations seeking to understand ways to operationalize the RD4C principles and implement the RD4C tools.
Similar to Building Healthy Cities - Urban Planning as a Tool for Health (20)
In October 2022, the COVID-19 Vaccine Collaborative Supply Planning Initiative (VCSP) held its second in-person retreat for its network of stakeholders and partners involved in COVID-19 vaccine supply planning from global, regional, and country levels. During the retreat, each country presented its COVID-19 vaccine supply planning context at a poster reception. Wish you’d been there? Check out the posters here
Expert Panelists: Dr. Jason Reed, Biomedical HIV Prevention
Technical Advisor, Jhpiego & Dr. More Mungati, STAR-L Director, EGPAF, Lesotho
Moderator: Dr. Seema Ntjabane, Care & Treament Specialist, USAID-Lesotho
Expert panelists:
Dr. Tafadzwa Chakare, Technical Director, Jhpiego, Lesotho
Dr. More Mungati, STAR-L Director, EGPAF Lesotho
Facilitator:
Dr. Seema Ntjabane, Care & Treatment Specialist, USAID-Lesotho
Panelists:
Dr. Abiye Kalaiwo is a Public Health Specialist and USAID's Nigeria's technical lead for Key Populations, managing PEPFAR's
single largest Key Populations program. He has over 12 years of experience in HIV and infectious disease programs at the national level.
Dr. Jason Reed offers more than 12 years of experience in public health surveillance and medical epidemiology, specifically in HIV surveillance systems, prevention programming, and implementation research at state, national and international levels.
At the end of the training, participants will be able to:
State the indications for PrEP
State the eligibility for PrEP
Name the 5 main eligibility criteria for PrEP
Explain how to exclude Acute HIV Infection
Expert Panelists:
Dr. Abiye Kalaiwo, Program Manager, USAID/Nigeria
Dr. Jason Reed, Biomedical HIV Prevention Technical Advisor, Jhpiego
Moderator:
Olawale Durosinmi-Etti, JSI Nigeria
Speakers discuss PrEP counseling, special situations, and other topics covered in training modules three and four. During this webinar, expert speakers review key highlights from modules three and four, and respond to questions from participants.
Part one: https://www.slideshare.net/jsi/prep-elearning-discussion-i
Speakers discuss PrEP eligibility, management, and other topics covered in training modules one and two. During this webinar, expert speakers will review key highlights from the first two modules, share Nigeria specific guidance, and respond to questions from participants.
Part 2: https://www.slideshare.net/jsi/prep-elearning-discussion-2
Presentation by Jeff Sanderson at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
Implementing ETP and SS: The Liberia ExperienceJSI
Presentation by Dr. Rose Macauley at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
Ebola Transmission Prevention and Survivor Services Program, GuineaJSI
Presentation by Dr. Meba Kagone at "Post-Ebola Survivors - Research and Recovery Lessons from West Africa," a USAID Brown Bag on May 2, 2019 at USAID/Crystal City.
Together with NIH/PREVAIL, today’s session focuses on learnings from these programs in relation to survivor care and post-outbreak recovery of health services and health systems.
Facilitator: Jeff Sanderson, Team Leader, West Africa Post-Ebola Programs, JSI R&T/APC
The Presenters:
Dr. Libby Higgs, Global Health Science Advisor for the Division of Clinical Research at NIAID, NIH (confirmed)
Dr. Meba Kagone, former Chief of Party for ETP&SS, Guinea, JSI/APC (confirmed)
Dr. Rose Macauley, former Chief of Party for ETP&SS, Liberia, JSI/APC (confirmed)
Jeff Sanderson (for Dr. Kwame Oneill, former Director of the Program Implementation Unit, Ministry of Health and Sanitation, Sierra Leone)
Background:
The Ebola Transmission Prevention & Survivor Services (ETP&SS) program included four components; country programs in Guinea, Liberia and Sierra Leone, and a regional program designed to share best practices and lessons learned.
ETP&SS assisted these governments to prevent further Ebola transmission, reduce stigma and other barriers to care for survivors when accessing health services, support the strengthening of needed specialty services, and build more resilient and self-sustaining health systems.
The regional program sought to ensure the sharing of lessons learned and best practices across the three countries and the region through meetings, exchanges and conferences with partners such as NIH, WHO, and the West African Consortium.
Funded by the Global Health Bureau through the Advancing Partners & Communities Project, John Snow Research & Training Institute implemented the program from July 2016 through July/August 2018.
These slides were presented by Dr. Henry Nagai during JSI’s Index Testing & Partner Notification for HIV Epidemic Control webinar on April 11th, 2019. Dr. Nagai is currently the Project Director/Chief of Party for the JSI-implemented USAID Strengthening the Care Continuum project in Ghana with a focus on HIV and key populations. Using funding from USAID and PEPFAR, the Project is improving the capacity of the Government of Ghana and civil society partners to provide quality and comprehensive HIV services for key populations and people living with HIV.
HIV Index Testing: The USAID DISCOVER-Health Project Experience in Zambia JSI
This was presented by Kalasa Mwansa during the Index Testing & Partner Notification for HIV Epidemic Control webinar on April 11th, 2019. The USAID DISCOVER- Health Project Experience aims to increase the use of high quality, integrated health services in specific target groups, and to provide integrated health products and services in a sustainable manner. In addition, it aims to contribute to HIV epidemic control and provides HIV index testing at every ART site.
Root Cause Analysis: A Community Engagement Process for Identifying Social De...JSI
This presentation serves as a training of trainers for the root cause analysis process, where participants will be able to train their organizational staff and community members on the process. In addition, it shows how it can be used for community engagement, coalition building, and to identify the root causes of HIV.
Setting Them up for Failure: Why Parents Struggle to Adhere to Infant Safe Sl...JSI
This poster was presented by Christin D'Ovidio at the National Conference on Health Communication, Marketing & Media.
Each year in Vermont, 4-6 infants die of unsafe sleep environments. The Vermont Department of Health contracted with JSI Research and Training Institute, Inc. (JSI), to study the major barriers Vermont parents and professionals face with regard to infant safe sleep. The research examined: what parents know, have heard, or find confusing about infant safe sleep practices; decisions around infant safe sleep practice; and response to existing infant safe sleep materials.
Some of the major themes with implications for future
communication efforts included parents’ need to be respected as good and competent caregivers, the desire for information that addresses the unique sleep challenges in their family, and
a skepticism of infant safe sleep research and messaging.
Although parents are highly motivated to do what is best for their baby and are aware of the basic infant safe sleep guidelines, parents who struggle the follow the guidelines feel they must choose between sleep and safety, or adapt the guidelines as their version of “safe sleep.”These parents feel they are being set up for failure, due to a lack of guidance to get their baby to sleep in a safe sleep environment. Parents want assistance grounded in the reality of the challenges
and choices they face to get their babies to sleep while keeping
them safe.
Binge-Free 603: What's Your Reason? Preventing Binge Drinking in Young Adults...JSI
This poster was presented by Christin D'Ovidio at the National Conference on Health Communication, Marketing & Media.
Through a contract with the NH Department of Health and Human Services, JSI conducted peer-crowd/peer-group validation and formative research to inform a public health prevention campaign targeting young adults (YA), aged 21-25, identified as most likely to engage in the misuse of alcohol.
The campaign (Binge-Free 603: What’s Your Reason?) addresses binge drinking behaviors and utilizes harm reduction messaging to create an effective marketing mix. JSI used a social norming, a social marketing approach, as the strategic planning framework for developing a campaign to decrease the prevalence of binge drinking in NH YA.
The resulting, highly-targeted campaign includes video production, illustration, social media assets (Facebook, Instagram, Youtube, Snapchat), A/B testing and geo-targeting to further hone effective messaging and reach, and a website.
USAID Community Capacity for Health Program (Mahefa Miaraka)JSI
How Can Population, Health, and Environment Projects Learn from Family Planning High Impact Practices?
JSI’s Yvette Ribaira shares best practices from Madagascar in a new webinar.
On February 6th, JSI population, health, and environment (PHE) expert Dr. Yvette Ribaira shared insights from her experience in Madagascar during a webinar examining the link between PHE programs and high-impact practices (HIPs) drawn from family planning activities.
Watch the webinar here: https://bit.ly/2SKbuvG
Dr. Ribaira, a medical doctor, has spent her career in public health strengthening the Madagascar’s health system, with a specific focus on community health in the last decade. She currently leads the JSI’s USAID Community Capacity for Health Program in Madagascar, locally known as Mahefa Miaraka, which implements the Population Health and Environment (PHE) Activity, funded by Advancing Partners and Communities.
The webinar was hosted by the PACE (https://thepaceproject.org/) (Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health) project and included presenters from the Population Reference Bureau and USAID.
Read more about JSI’s work on population, health, and environment, as well as family planning, in Madagascar and around the world at www.jsi.com
USAID Community Capacity for Health Program (Mahefa Miaraka): Re-engaging Pop...JSI
This presentation was given by Yvette Ribaira at the International Conference on Family Planning (ICFP) in Kigali, Rwanda in November 2018. (This is the English version of the presentation).
In Madagascar, there are 80% endemic species, 80% of the country is rural, 72% of the population is poor, with only 2.7% population growth. There are over exploitation and destruction of natural resources and lack of access to family planning in rural areas.
Program implications:
1. Partnership for integration health, population, environment
2. Coverage in universal health by delegation of tasks to CAs
3. Increased productivity by women and men
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
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
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
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Building Healthy Cities - Urban Planning as a Tool for Health
1. Building Healthy Cities – Urban Planning
as a Tool for Health
Fifth Global Symposium on Health Systems Research
October 9, 2018
Dr. Damodar Bachani, JSI India, BHC Deputy Project Director
Dr. Ahmad Isa, IOM Makassar, National Migration Health Officer
Kim Farnham Egan, JSI, BHC Program Officer
2. Outline
• Introduction to Building Healthy Cities
• Engaging the System: A systems mapping approach
to increase data use and inform planning
• Indore, India
• Makassar, Indonesia
• Q&A
• Group activity
• Facilitated discussion of group activity outcomes
• Closing
4. Building Healthy Cities Project
• Three Year Learning Project (2017 – 2020)
• Partner Smart Cities:
• Indore, Madhya Pradesh, INDIA
• Makassar, South Sulawesi, INDONESIA
• Da Nang, VIETNAM
Evaluating and Documenting a New Model for Urban
Health
5. Expected Inputs & Results
IR1: Increase opportunities for
all citizens to voice demand
for healthy cities
IR2: Increase availability
of data influential to
policy decision-making
IR3: Create a health-
aware management
model across sectors
IR4: Document how
replicable & sustainable this
model is for other cities
Increased equity of city
services
More SDH-sensitive city
plans, policies, funding
Greater citizen
engagement in building
healthy communities
Usable, relevant
information on
scalability
6. Healthier urban environments improve citizens’ quality of life, reduce
health costs and mortality
Clean & Rapid Public
Transport Green Built Environment
Facilities for Physical Activity
Dedicated Pathways
Defining Smart, Healthy Cities
10. Engaging the System:
A Systems Mapping
Approach to Increase Data
Use and Inform Planning
11. How We See Social Issues
Cloud-type Problems
(Disorderly & Irregular)
E.g. Problems are poorly
structured and still
emerging; many related
issues and limitations,
solutions not yet defined
and often a matter of
stakeholder judgment.
Clock-type Problems
(Predictable & Rational)
E.g. Problems are well
understood, there exists
clear steps for
diagnosing the
problem, and with well-
known best practices
for implementation.
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
12. Systems Practice Helps with Cloud
Problems
Resisting applying “clock-like” fixes to “cloud-like”
problems
Work across stakeholders to find methods and tools that
will describe the “cloud” problem and find effective
solutions
The challenge:
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
14. So, What is ‘Systems Practice’?
Systems practice = the practice,
processes, and tools that allow
organizations (and cities) to effectively
address adaptive challenges in
complex environments.
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
15. Key Practices
Four practices will increase effectiveness
when working on adaptive problems in
complex environments:
Seek overall health, not just completed indicators
See patterns, not just problems
Unlock change, don’t force it
Plan to adapt, don’t stay the course if it isn’t working
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
16. Key Processes
Challenge
Build urban health strategies that can
work with complex city systems.
Approach
Find common incentives for
stakeholders to work together across
city systems.
Opportunity
Find agreement on the purpose,
process, and approach, while building
capacity across urban planning and
health.
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
17. Tools: Dynamic System Mapping
• This map can help to make sense of a huge amount of
information and how it all connects
• Help to develop a theory on where “best buys” interventions
might be (e.g. those that improve multiple issues)
• Help to establish a visual framework for shared activities,
learning and adapting
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
20. Steps in Systems Mapping
Community-based and qualitative assessments
• Health Needs Assessment
• Data Use & Access Assessment
• Political Economy Analysis
• NCD Risk Factor & Environment Survey
1. Share data validation cards: Barriers &
Enablers
2. Identify key barriers and enablers
3. Conduct upstream downstream analysis
4. Analyse and explain patterns and
connections
5. Construct systems mapping loops
21. Services for Underserved Populations
Enablers
• Informal settlements located close to
middle-class neighborhoods benefit
from improved city services and
infrastructure.
• Social protection schemes including
ration cards, old age pension, Aadhar
program, health schemes, employment
schemes, housing assistance, skill
training, disability pension.
• Interest in participating in community
incentives for physical activity/exercise.
• Smart Cities engaged community
groups on issues of waste management
and in some cases, sanitation.
Barriers
• Dangerous conditions in neighborhoods -
poor drainage and infrastructure for storm
and waste water, narrow roads and lanes,
unsafe pedestrian infrastructure.
• Lack of land rights for informal settlements
and housing tenure for those with
undocumented status.
• Low knowledge of social protection schemes
among lower income brackets.
• Many UPHCs and Anganwadi centers are not
accessible for these communities, due to
distance and operating hours.
• In informal settlements, focus on and
understanding of healthy environments was
limited to immediate risks.
• Understanding of the long term risks of
malnutrition, tobacco chewing, smoking, and
alcohol consumption was low.
• Lack of continuity of care and low
compliance with clinical care
recommendations for chronic disease.
Step 1
Data Validation Cards: Example
22. Groups write their responses to these questions
using worksheets:
Step 2
Identify Key Barriers and Enablers: Format
23. Rank Barriers n= 20 %
1
High vacancies among Urban PHCs, ASHAs and other primary
health workers.
16 80
2
Five sectors are not included in Smart Cities – 1) ICDS, 2) pollution
control 3) field publicity, 4) commerce, and 5) health.
12 60
3
Low understanding of the long term risks of malnutrition, tobacco
chewing, smoking, and alcohol consumption.
10 50
4 Lack of training for non-health workers. 10 50
5
Health and service performance data is not shared between
sectors nor is it made public.
9 45
6
Low knowledge of social protection schemes among lower
income brackets.
9 45
7
Dangerous conditions in neighborhoods - poor drainage and
infrastructure for storm and waste water, narrow roads and lanes,
unsafe pedestrian infrastructure.
9 45
8
Task based accountability for better coordination and
management.
9 45
Step 2
Identify Key Barriers and Enablers
24. Work fast to get lots of
ideas out:
•FIRST: what causes,
enables, amplifies,
bolsters, fosters, leads
to… (THEME)
•THEN: what is the effect
of, what does it lead to,
what results from…
(THEME)
Topic
Number
Team
Member
Names
Adapted from “Introduction to a Systems Practice” by The Omidyar Group Licensed CC BY-SA
Step 3
Conduct Upstream Downstream Analysis: Format
25. Theme: High vacancies of community health workers at Urban
Primary Health Centers
UPSTREAM DOWNSTREAM
• Overburdened job profiling
• Inadequate number of health
workers
• Lack of recruitment over the
years
• Existing staff over-burdened
• Inadequate incentives
(monetary/facilities)
• Quality of health services
affected
• Low production of doctors from
medical colleges
• Overall healthcare delivery
affected
• Long curriculum
#2
Step 3
Conduct Upstream Downstream Analysis: Example
29. Action Points BHC Supported Activities
STRENGTHENING PUBLIC HEALTH
Strengthening Urban PHCs and civil
dispensaries
Mapping and situation analysis of primary health care facilities
Training needs assessment
Organizing and conducting training of health care personnel
Support ISCDL for developing
network of health ATMs
Identify strategic location of health ATMs
Tools for monitoring of their utilization
Universal health care for urban poor Participatory research in urban poor settlements
Screening for lifestyle diseases Identify public health care facilities for screening program
Training health care personnel on screening procedures
Plan and conduct screening of lifestyle diseases
EDUCATION
Developing health promoting
schools
Develop guidelines on health promoting schools
Prepare tools for assessment of health promoting schools
Baseline and post-training assessment of selected schools
Organize, conduct, and monitor training of teachers
PUBLIC AWARENESS
Developing messages and material
for public awareness on healthy
lifestyles, food hygiene, traffic rules
Organize meeting of experts to identify key messages dissemination
Engage an agency for development of public awareness material
Support ISCDL & health sector in dissemination of material
DATA MANAGEMENT
Improve data management and
analysis for effective monitoring,
planning, and decision making
Developing Hospital Management Information System
Analysis of water pollution data and water-borne diseases
Developing outcome and impact indicators for Smart City Mission
Analyze data to prepare report on health profile of citizens
OTHER ACTIVITIES
Organizing orientation workshop for other Smart Cities
Support for operational & health systems research
Using Systems Mapping in Project Planning & Implementation
31. Workshop and Agenda
• Held on 13-14 September 2018 in Makassar, Indonesia.
• Attended by 41 participants from 29 departments/organizations.
• Purpose: to hold an interactive discussion among stakeholders
to validate findings from BHC assessments, explore enablers and
barriers, and explore healthy system mapping through upstream
and downstream analysis.
• Sessions: Sharing research findings through a Gallery Walk,
Interactive quiz, Group work.
32. Key Sectors
Government
Health Institutions
• Health department
• Health service providers
• National health insurance
provider
Non-Health Institutions
• Regional planning agency
• Communication and
informatic department
• Social department
• Civil and registration
department
• Environmental department
• Education department
• Transportation department
• Disaster management
• Community empowerment
office
• Garbage management
• Public works department
• Statistical bureau
Private Sectors
• Communication company
• Property company
• Entrepreneur association
• Health provider
Academia, Researchers, and
Professionals
• University
• Research institution
• Journalist
• Police
Community Representatives
• Community leader (formal and
informal) from sub-district, village,
and remote island
• NGOs and faith-based
organizations
• Diffable association
33. What worked well?
Workshop Experience
What could have worked better?
• IT support
• Time extension
1. Interactive quiz to gather
participant input
2. Health campaign - stretching
exercise during work
3. Gallery walk to explore different
angles
4. Upstream and downstream
analysis
“Now I understand how systemic
approach and mapping work. We
can explore any health issue deeper,
broader and more comprehensive
considering including socio-cultural
aspect” - Participant from Research and
Development Agency of Makassar City
(Balitbangda Makassar)
34. What surprised us?
• 83 enablers and 78 barriers explored during gallery walk.
• Data-related issues and health awareness were the barriers participants
most agreed with.
• Public-private partnerships and demand on data and information were
the enablers participants most agreed with.
• Most groups did not agree that the high prevalence of NCDs was
related to lack of knowledge on risky behaviors (smoking, alcohol, etc.).
• Integrated data system (house of data) already
Built, but still empty.
Participant Observations
35. Barriers and Enablers
Top 3 enabler factors, as prioritized by workshop participants:
1. Collaboration of government, private sector, and communities to support Smart
Cities.
2. Healthy lifestyle movement (Gerakan Masyarakat sehat “Germas”) has been
regularly promoted.
3. Use of technology-based data for decision-making in government institutions
and communities.
Top 9 barrier factors, as prioritized by workshop
1. Lack of awareness of healthy behaviors.
2. Complicated procedures for accessing data.
3. Problems with quality, completeness, and timeliness of data.
4. Low participation in Musrenbang in the neighborhood.
5. Lack of community knowledge (lower income) about health insurance scheme.
6. Lack of data integration between departments and dashboard.
7. Lack of data storage and analysis.
8. Lack of ICT use in remote areas and vulnerable communities (disability, slum
area, poor area).
9. Not all people have easy access to clean water.
36. Causal Effect - Example 1
Upstream Downstream
Theme: Lack of awareness of healthy behavior
Lack of supporting policies on health
issues
Lack of facilities and infrastructure
Lack of people compactness in the
neighborhood
Lack of knowledge about health
Lack of socialization from government
Social and economic issues
Low level of education
Government program
related to health are not
running well
Uncomfortable environment
(garbage, etc.)
High risk of disease
Lack of accessing health
facilities
Lack of willingness to
behavior change and new
approach adaptation
37. Upstream Downstream
Theme: Lack of awareness of healthy behavior
Lack of supporting policies on health
issues
Lack of facilities and infrastructure
Lack of people compactness in the
neighborhood
Lack of knowledge about health
Lack of socialization from government
Social and economic issues
Low level of education
Government program
related to health are not
running well
Uncomfortable environment
(garbage, etc.)
High risk of disease
Lack of accessing health
facilities
Lack of willingness to
behavior change and new
approach adaptation
Causal Effect - Example 1
38. Upstream Downstream
Theme: Lack of awareness of healthy behavior
Lack of facilities and infrastructure
Lack of knowledge about health
Social and economic issues
Low level of education
High risk of disease
Lack of willingness to
behavior change and new
approach adaptation
Causal Effect - Example 1
39. Theme: Lack of awareness of healthy behavior
Lack of facilities and infrastructure
Social and economic issues
Lack of knowledge about health
Low level of education
High risk of disease
Lack of willingness to
behavior change and new
approach adaptation
Causal Effect - Example 1
41. Upstream Downstream
# Theme: Lack of awareness of healthy behavior
Lack of supporting policies on health
issues
Lack of facilities and infrastructure
Lack of people compactness in the
neighborhood
Lack of knowledge about health
Lack of socialization from government
Social and economic issues
Low level of education
Government program
related to health are not
running well
Uncomfortable environment
(garbage, etc.)
High risk of disease
Lack of accessing health
facilities
Lack of willingness to
behavior change and new
approach adaptation
Causal Effect - Example 2
42. # Theme: Lack of awareness of healthy behavior
Lack of supporting policies on health
issues
Lack of knowledge about health
Lack of socialization from government
Government program
related to health are not
running well
Lack of accessing health
facilities
Causal Effect - Example 2
Upstream Downstream
43. # Theme: Lack of awareness of healthy behavior
Lack of supporting policies on health
issues
Lack of knowledge about health
Lack of socialization from government
Government program
related to health are not
running well
Lack of accessing health
facilities
Causal Effect - Example 2
47. Instructions
• Time: 20 minutes.
• Divide into 3 groups - introduce yourselves and
identify a “reporter.”
• Theme with upstream (cause) and downstream
(effect) factors based on BHC assessments in Indore
and Makassar.
• Discuss and identify causes and effects, and draw
arrows to show your work.
• Add upstream/downstream factors as needed.
• If you have time, create a “loop” using your
identified causes and effects.
• Afterwards, your reporter will summarize your
discussion to the rest of the session (3 minutes).
48. Upstream Downstream
Theme: Lack of awareness for healthy behavior
Lack of supporting policies on health
issues
Lack of facilities and infrastructure
Lack of people compactness in the
neighborhood
Lack of knowledge about health
Lack of socialization from government
Social and economic issues
Low level of education
Government program
related to health are not
running well
Uncomfortable environment
(garbage, etc.)
High risk of disease
Lack of accessing health
facilities
Lack of willingness to
behavior change and new
approach adaptation
Example
49. Theme: Lack of awareness for healthy behavior
Lack of supporting policies on health
issues
Lack of knowledge about health
Lack of socialization from government
Government program
related to health are not
running well
Lack of accessing health
facilities
Example
50. Theme 1
Theme: Problems with data quality, completeness and timelines
UPSTREAM DOWNSTREAM
• Lack of real time data • Lack of data
• Limited data analysis
• Poor quality of data which
cannot be used/analyzed
• Manual data collection • Out of date data
• Poor/inappropriate data collection
system
• Programs inhibited
• Few training and guidelines for data
management
• Few documented activities
#1
51. Theme 2
Theme: Neighborhood environmental conditions - poor drainage,
infrastructure for storm & waste water, unsafe narrow roads & lanes
UPSTREAM DOWNSTREAM
• Lack of work at grassroots level for solid
and liquid waste collection and
disposal in some communities
• Water pollution and stagnation
leading to breeding conditions
for mosquitos
• Inadequate infrastructure for drainage
of storm and waste water
• Health problems related to
above conditions
• Value of water not understood by
citizens; Inadequate collection of
water after use
• Low coverage of beneficiaries
due to non-participation
• Encroachment of roads and lanes for
various purposes
• Obstacles in transport system
due to above conditions
further leading to air pollution
• Lack of planning for footpaths and
roads in residential settlements
• Poor drainage may lead to
injuries, accidents
#2
52. Theme 3
Theme: Low understanding of long-term risks of tobacco and
alcohol use
UPSTREAM DOWNSTREAM
• Illiteracy and lack of awareness about
harmful effects of tobacco/alcohol
• High use of tobacco and
alcohol
• Lack of information-education-
communication to control their use
• Rising prevalence of diseases
attributable to tobacco/alcohol
• Lack of media involvement in public
awareness
• Crime, domestic violence, road-
traffic accidents due to alcohol
• Peer pressure for their use (trial/regular)
• Unnecessary wastage of
resources
• Easy availability of tobacco/alcohol
throughout the city
• Economic loss
• Government considers tobacco and
alcohol products important sources of
revenue
• Lack of stringent enforcement of
regulations to market tobacco/alcohol
#3
53.
54.
55.
56. Thank You!
Questions or comments? Contact us at:
Dr. Damodar Bachani damodar_bachani@in.jsi.com
Dr. Ahmad Isa aisa@iom.int
Kim Farnham Egan kfarnhamegan@jsi.com
Visit our website at jsi.com/buildinghealthycities