Five case studies that showcase partnership-based models that have successfully expanded access to basic services for marginalized populations and groups. Research carried out for the Multilateral Investment Fund/Inter-American Development Bank by the Innovation and Technology for Development Centre/Technical University of Madrid. Download the report at www.itd.upm.es

1. Partnerships for innovation in access to basic
services. Five case studies.

2. Partnerships for innovation in access to basic services
Latin America
• 80% of the population live in urban
areas
• 40% of the population are
“vulnerable” and earn US$4-10 a day
• 125 million people lack access to
health services
• 30 million people without access to
safe drinking water
• 100 million people without improved
sanitation
• 40 million lack modern electricity
services
Beyond the MDGs
• The time limit for achieving the
Millennium Development Goals
(MDGs) is 2015
• Results have been unequal
• Effort s are needed to ensure
delivery of basic services to the “last
mile” of the population

3. There are initiatives that prove that the provision
of basic services can reach the “last mile” of the
population in a sustainable manner .

4. Partnerships for innovation in access to basic services
• Research carried out for the
Multilateral Investment Fund/Inter-
American Development Bank by the
Innovation and Technology for
Development Centre/Technical
University of Madrid, in collaboration
with BPD), EHAS and ONGAWA.
• Five case studies that showcase
partnership-based models that
have successfully expanded access
to basic services for marginalized
populations and groups.
The project

5. Partnerships for innovation in access to basic services
Methodology
• Selection of the five studies. Criteria such as
geographical and sectoral diversity; length of
time in operation; actors; innovations; and results to date.
• Multi-disciplinary team of five senior consultants
(one for each study)
• Initial research of documentation on each service model
• Fieldwork (Interviews, meetings and focus groups…)
• Consolidation of the five studies and production of infographics. Careful revision by
the promoters of each model
• Final publication. Summary of the case studies and overarching conclusions (emphasis
on innovation)

6. Partnerships for innovation in access to basic services
Case studies
Inclusive Sanitation Markets
Water For People
Comprehensive solid waste
management
Ciudad Saludable
“Luz en casa”
sustainable energy
AMP
e-Health in rural areas
TulaSalud
Access to water and sanitation
eThekwini

7. Partnerships for innovation in access to basic services
Publications

8. Partnerships for innovation in access to basic services
Dry Ecological
Toilet as a market
opportunity

9. Partnerships for innovation in access to basic services
Tele-training
+
Tele-medicine
+
Health promotion

10. Partnerships for innovation in access to basic services
Solar Home
Systems via a
pay-for-service
model

11. Partnerships for innovation in access to basic services
Inclusive businesses
+
Social inclusion of
recyclers
+
Environmental
impact

12. Partnerships for innovation in access to basic services
Public sector
promoted multi-stakeholder
partnerships
based on
incentives

13. Partnerships for innovation in access to basic services
What kind of innovation?
Product Process
Position Paradigm

14. Partnerships for innovation in access to basic services
Product Do it more appropriately
Blending existing technologies

15. Partnerships for innovation in access to basic services
Product Do it more appropriately
• Products form part of
programs or solutions
but the focus is always
on more than just the
product

16. Partnerships for innovation in access to basic services
Product Do it more appropriately
Local personnel use cell phones, portable ultrasounds
and videoconferencing to provide services in remote
rural areas
Tula Salud in Guatemala

17. Partnerships for innovation in access to basic services
Product Do it more appropriately
The transport of waste in motofurgones reduces time
and assists the work of the recyclers
Ciudad Saludable (Peru)

18. Partnerships for innovation in access to basic services
Product Do it more appropriately
• The final product goes
beyond provision of a
basic need by
incorporating user
demands

19. Partnerships for innovation in access to basic services
Product Do it more appropriately
89.1% of the population of District 9 want a toilet, sink
and shower in their bathroom. These three elements
have been integrated in the Dry Ecological Toilets.
Inclusive Sanitation Markets in Bolivia

20. Partnerships for innovation in access to basic services
Product Do it more appropriately
• The quality of the
product or service goes
hand-in-hand with
maintenance, capacity-building
of local
personnel and ongoing
research

21. Partnerships for innovation in access to basic services
Product Do it more appropriately
Solar Home Systems
7 days: Average time for
addressing problems in 2013
0.28%: Payment default rate
2013
Luz en Casa Program

22. Partnerships for innovation in access to basic services
Process Do it more simply
Innovations in the way that services
are created and delivered

23. Partnerships for innovation in access to basic services
Process Do it more simply
• Adopting flexible
collaborative
processes

24. Partnerships for innovation in access to basic services
Process Do it more simply
• Knowing the context and
local dynamics (not
designing from an office)
• Identifying and
mobilizing local
capacities
• Working with existing
local organizations and
systems

25. Partnerships for innovation in access to basic services
Process Do it together
En 2011, Water For People, in collaboration
with the company Casa del Ceramista,
reduced the price of the Dry Ecological Toilet
by 34%
Mercados inclusivos de saneamiento en Bolivia

26. Partnerships for innovation in access to basic services
Process Do it more simply
Users are trained in the use of Solar Home Systems and
local technicians in their installation and maintenance
Luz en Casa Program

27. Partnerships for innovation in access to basic services
Process Do it more simply
• The services are
centered on the user:
social marketing and
simplicity of use

28. Partnerships for innovation in access to basic services
Process Do it more simply
• Leadership of individuals
or organizations that
connect the local with the
global (rooted
cosmopolitans)

29. Partnerships for innovation in access to basic services
Process Do it more simply
• Accepting and
learning from
mistakes
• Focusing on
continuous learning
• Not working in the
short-term
• Flexibility to integrate
changes

30. Partnerships for innovation in access to basic services
Short-term (tele-consultation), mid-term (tele-training)
and long-term programs (health promotion) among the
young - ensure that important changes are made in rural
health services
Tula Salud Porgram
Process Do it more simply

31. Partnerships for innovation in access to basic services
Position Do it together
Changes in the way services are presented to
the user and reframed with governments

32. Partnerships for innovation in access to basic services
Position Do it together
• Users assume an active
role in the service chain
• Services are adapted to
the needs of the user

33. Partnerships for innovation in access to basic services
Community participation is
promoted through Photovoltaic
Electrification Committees
Luz en Casa Program
Position Do it together

34. Partnerships for innovation in access to basic services
Position Do it together
• Understanding the
diversity of “last mile”
communities and working
with diverse collectives to
address their specific
needs

35. Partnerships for innovation in access to basic services
“The toilets have brought big
changes to women’s lives. Before
they used to have to go to the
toilet in the neighboring cane field
where they were sometimes
attacked or even raped.”
Tandi Sukazi (Municipality of
eThekwini)
Position Do it together

36. Partnerships for innovation in access to basic services
Position Do it together
• Working closely with the
public sector to
advocate for regulation
of the service and the
integration of changes
within the system

37. Partnerships for innovation in access to basic services
The Ministry of Energy and Mines in Peru has certified
the Solar Home Systems as an option for rural
electrification
Luz en Casa Program
Position Do it together

38. Partnerships for innovation in access to basic services
Position Do it together
• Seeking economic
sustainability and
reduction of costs to the
user by combining
alternative sources of
finance

39. Partnerships for innovation in access to basic services
Paradigm Do it differently
Changes in the mental models that
shape what the service offers

40. Partnerships for innovation in access to basic services
Paradigm Do it differently
“The aim is to support processes
that change the vision. I do it, we do
it together and then you do it.”
Paloma Román (Ciudad Saludable)

41. Partnerships for innovation in access to basic services
Paradigm Do it differently
• Producing changes in
the perceptions and
attitudes of all the
participating actors

42. Partnerships for innovation in access to basic services
Paradigm Do it differently
• Centering on a
comprehensive vision of
the service while
innovating at any part of
the value chain (not just
at the end)

43. Partnerships for innovation in access to basic services
Paradigm Do it differently
• Managing to attract a
mix of different
resources from the
public and private
sectors as well as civil
society

44. Partnerships for innovation in access to basic services
Paradigm Do it differently
• Introducing lasting
changes in institutional
practices within
organizations,
particularly in the public
sector

45. Partnerships for innovation in access to basic services
Paradigm Do it differently
By the end of 2013, the community tele-facilitators were
integrated in the public health system in Guatemala
Programa de Tula Salud

46. Partnerships for innovation in access to basic services
What kind of innovation?
Product
Do it more
appropriately
Process
Do it more simply
Position
Do it together
Paradigm
Do it differently

47. Other 4P at the BoP (BIF, 2014)
Pilots
Perseverance
Passion
Partnering

48. CONCLUSIONS
Encompassing the whole value chain
New forms of working in partnership
Adopting flexible models
Assigning a new role to users
Exploring, experimenting, learning …
Generating inclusive businesses and social
entrepreneurship
Institutionalizing the models

49. REFLECTIONS
ReplicabilIty
Re-aplicability
Oriented projects
Oriented services
Islands of change
Systemic change
Making mistakes
Learning
Beneficiaries
Users

50. The challenges
At the start …
1. Finding change agents in place
2. Counting on capital and resources to enable experimentation
3. Positioning the initiative on the map
Consolidation…
1. Addressing large increases in demand
2. Dealing with organizational challenges
3. Attracting expert knowledge and specific recourses
Maturity and scale-up…
1. Sharing the knowledge generated
2. Ensuring decentralization
3. Promoting adequate strategies for expansion

51. How can our institutions support this kind of initiative?

52. Download the publication in www.itd.upm.es
Descarga la publicación en www.itd.upm.es

53. www.itd.upm.es
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