2012 lemmen pq iq hiv-berlin-neu
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PQD/PQE Participatory Quality Development
A new Approach to HIV-Prevention
Karl Lemmen
German AIDS-Hilfe e.V.
Department Quality Assurance
Prof. Dr. Michael Wright
Catholic University of Applied Sciences Berlin |
Institute for Social Health
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Welcome!
1. HIV-Prevention in Germany
2. Why PQD? 6 Arguments!
3. Implementing
& Achieving Sustainability
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
BZgA – Federal Center for Health Education:
Generally Accepted Messages for Everybody
Stay strong!
Join in!
Don’t’ give
AIDS a chance
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Deutsche AIDS-Hilfe e.V. - Focussing Key
Groups: MSM, IVDU, Sexworkers, Migrants
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Umbrella Organization:
Leadership & Lobbying for Vulnerable
Groups■ 1 National Office
■ 122 Local & Regional ASOs
■ 9 Peer Networks of PWA/Target
Groups
Bottom up Organization with high
Participatory Tradition
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
From Aachen to Zwickau:
Quality Assurance = Work in Progress
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
A – Z: National Demonstration Project
12 Local ASOs
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
1. Why PQD?
1. Background:
History & Mission
Statement of Deutsche
AIDS-Hilfe - Participatory
Tradition: once upon a time
….
2. Background:
UNAIDS: GIPA
= International Standard
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
2. Why PQD ?
■ Central Role of Participation
� Decision making power of keygroups and front line staff at all stages in HIV-Prevention
� Needs Assessment
� Project-Planning
� Implementation
� Evaluation
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
3. Why PQD ?
■ Focus on Practice Based
Evidence
■ Complement to evidence based
practice
■ Evidence is generated form the
structures and the logic of the
practical work
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
4. Why PQD ?
■ Central role of local
experts
■ Structuring and testing
local theories
■ Expanding local knowledge
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
5. Why PQD ?
■ Tailored processes
■ Adapted to local
conditions, values, capacity
& structure of involved
organization
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
6. Why PQD ?
■ Feasible methods
■ Proportional to service
provision practice
■ Limited time, integrated
into daily working routine
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Tools to support implementation of PQD
■Homepage = Handbook
■Workshops
■Consulting: call an expert
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
www.pq-hiv.de
■ Handbook
■ Theory & Concepts
■Methods
■Good practice
examples
■ Links & Literature
■ English Translation in
preparation !
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Handbook Theory: Stages of Participation
Stage 9 Self-Organization Goes beyond participation
Stage 8 Decision-making power
ParticipationStage 7 Partial decision-making power
Stage 6 Co-determination
Stage 5 Inclusion
Preliminary Stages of ParticipationStage 4 Hearing
Stage 3 Information
Stage 2 Directive
Non-ParticipationStage 1 Instrumentalization
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Handbook: Methods More participatory
Service User Advisory Committee
Guided Working Group Open
Space
Focus Group
Rapid Assessment
Enquiries and Concerns Register
Observation
Less participatory
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Methods: Pdf for easy download
■ Circles of Influence
■ Reflect on participatory
decision making process
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Good Practice Examples
■ Evaluation of onsite MSM-
prevention
■ Thank you for Safer Sex!
■ Sittenstrolche Munich
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Skill Building: 3 Workshops
1. Epidemiology
& Needs Assessment
■ Who is most at risk at the local level?
■ How do we know what our target
groups need?
2. Project Planning &
Implementation
■ What do we want to achieve at the
local level?
3. EvaluationHow do we know what works?
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Evaluation Data: PQ-Training 2009 & 2010
1.12.31.51.490 3-2009
1.02.31.51.3842-2010
1.22.01.91.41003-2010
1.01.61.81.31001-2010
1.12.21.31.192 2-2009
1.43.42.51.81001-2009
Skills of TrainersContextOrganizationOverallscoreBenefit for work
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Consulting: call an expert
■ External support to solve a
local question/problem
■ e.g. Sittenstrolche Munic:
Evaluation of onsite
prevention
■ Stimulus for local
organisational development
■ e.g. to enhance local
collaboration
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Lessons Learnt 2006 - 2011
■ There’s a need…
■ for useful tools and ongoing support
■ to connect skill building with organizational development
■ You’ve got to understand the importance…
■ of a local focus & national collaboration
■ of creating a culture of critical discourse on quality
■ It’s crucial to gain a deeper insight into…
■ How frightening Quality Assurance can be
■ How you can respect the fear of incompetence
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
International Perspective
■www.iqhiv.org
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Conclusion
■ Advantages: ■ strong philosophical base to support change
management
■ wide range of methods to suit many contexts
■ Disadvantages: ■ need to engage with the theory first
■ may require organizational development, training or technical assistance
Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012
Thank you
for your attention!