quality of life assessment program - … assessments...nazneen kanji january 2013. akdn
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AKDN• Group of 11 development organizations with
diverse development mandates
• Primarily works in the poorest parts of South andCentral Asia, East and West Africa (30 countries)
• Adopts a Multi-Input Area Development (MIAD)approach in selected areas
• Seeks to improve the Quality of Life of peopleliving in program areas
• Long-term perspective and commitment
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Definition: Quality of Life (QoL)
Working definition of a good QoL:
• People’s basic needs are met
• People can act effectively in pursuit of their goals
• People feel satisfied with their life
(Material, social and subjective dimensions)
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AKDN’s QoL Assessments
• Use a holistic framework to inform AKDN/partnerprogram strategies (are we doing the right things?)
• Capture the views of different populationsegments on what matters to them and thechallenges they face
• Understand the interactions that affect QoL in aparticular (sub-national) context
• Analyze AKDN’s contribution to change over time
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Framework for the QoL Assessments
Peoples’
People’sPerceptions
andSatisfaction
HouseholdEconomy
Socialand
CulturalLife
Natural andBuilt
Environment
Healthand
Education
Voice andRepresentation
AK
DN
Pro
gram
s
PoliciesandInstitutions
DirectImplementation
Methodology Development(2007)
• Literature review
• Exploratory studies (Tajikistan and Syria)
• Consultations with sector experts for selection ofoutcome indicators
• Mixed methods: development of a household surveyinstrument and a ‘sentinel sites’ study
• Integrated analysis including secondary data
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Domains
• Household Economy
• Natural and Built Environment
• Health and Education
• Social and Cultural Life
• Voice and Representation
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Indicator examples: householdeconomy
Survey:
• Household material asset levels• Saving levels• Debt levels• % of adults formally employed• % of families with all year basic food security• % of households with migrants/remittances
Sentinel Sites:• Livelihood strategies and how they are changing• Socio-economic consequences of migration• Access to and quality of financial services
Health and EducationSurvey:Health
• % of deliveries by a skilled birth attendant*• Rate of caesarean sections• Stunting rates in under 5’s*• % reporting ill-health in preceding 2 weeks• Perceptions of individual health status
Education
• Adult literacy rates*• Pre-school and school enrollment rates• Levels of education in the population* MDG Indicators
Sentinel sites: Key issues affecting access to and qualityof services (access includes physical access,affordability and any socio-cultural obstacles)
Social and Cultural LifeSurvey:
• % of individuals who feel physically safe in thecommunity
• % of individuals who participate in groups and networks
• % of individuals reporting time available for leisure
Sentinel Sites:
• Perceived voice and influence in the household andcommunity (by gender and generation)
• Collective responses to address community concerns
• Youth concerns and aspirations
• Conflict resolution mechanisms
• Trust in community leaders
Countries to Date• Tajikistan (Gorno-Badakhshan Autonomous Oblast) (2
rounds: 2007 and 2010)
• Syria (Salamieh District) (2007)
• Mali (Mopti Region) (2008)
• Mozambique (Cabo Delgado Province) (2008)
• Afghanistan (Badakhshan Province) (2010)
• Kyrgyzstan (Naryn Oblast) (2011)
• Tanzania (Kilwa District) (2012)11
Challenges
• Capacity scarce; takes time to develop
• Findings require careful interpretation
• Data may be unreliable or difficult/lengthy to collect
• Program M&E still needed
• Changes in donor preferences
• Decision-maker bias for positive findings
Positive Aspects of Methodology
• Explicitly gives ‘agency’ to people and values theirviews/priorities to shape development intervention
• Asking people what changes their QoL putsdevelopment work into an appropriately modest context
• Joint analysis of information by AKDN agencies allowsfor more coordination and reflective choices in programdevelopment
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