Asset-Based Approach to Build and Measure Organizational Capacity

Bangladesh Child Survival Program (2004-2010)

Netrokona, Panchagor and Dhaka DistrictsBangladesh

WORLD RENEW

Alan TalensKohima Daring

Nancy TenBroek

CORE Group Spring Meeting, Baltimore , MDApril 22,2013

“ If you don’t know where you’re going, you might end up someplace else.”

-Yogi Berra.

Child Survival Interventions

Simple affordable interventions to avert most under-5 deaths areavailable, yet millions (6.9M in 2010) of children are still dying yearly.

There are barriers for the effective interventions to reach mothers, newborns, children and families who need them most.

There is a need for effective delivery platforms to reach large and hard to reach populations ( Coverage and Equity).

Community –Based Health Care

The community -based approach can extend delivery of interventions to those areas where access to health services is difficult.

Child Survival Program CSP 2004-10

Mutual Partnership: Relational process in which each partners learns, grows and develops as a result of their interaction with each other.Capacity: Group/organizational skills to carry out an objective that stays in the group or organization even individual members leave .

DELIVERY PLATFORM of the CSP:Community Mobilization, Participation and Governance

PRIMARY GROUPS

The Primary Group is the entry point to CBO system (Peoples Institution). Men and Women in separate groups participate in community activities ( health promotion, IGA ,literacy, saving) through their primary group

Community Leadership Structure

Each primary group select a representative to higher tiers for GOVERNANCE and to link with the corresponding level of the government and health system.

Central to the delivery platform is the Peoples Institution, the governance body of the CBO system whose roles includes:1. Identifying opportunities and areas to develop in the community2 helping the poorest and most marginalized population in the community3. Advocating for policy changes 4 Linking their communities with the government and the health facilities.

PEOPLES’ INSTITUTION

Levels of Community Linkage with Government and Health Systems

CHV

TTBA

PI Health Technical Team

Health Facility Center

s

· Training · Follow-up· Establishing in the community· Coordination & networking

·Disseminate survey data ·Training·Building good network·MOU for referral service·Exchanging ideas

· Training & follow-up· Coordination & Network building· Raising health fund

· Leadership· Health Fund available for treatment· Initiate health programs· Ensure health services

·Awareness raising·Providing health service·Referring·Motivational support ·Organizing·Promoting treatment seeking behavior

· Community receives health services spontaneously.

Working together for improving health status

· Supervision· Recognition · Linking resources

Community People

CSP ProgramCommunity Health Management Structure

The People’s Institution is responsible for establishing the community -based health care (through selection and training of

CHVs and TBAs)

Capacity Building of the Community Based Organizations (PI)

Problem – Oriented Methods (Deficiency Model) vs. Asset – based (Strengths) Approach

Appreciative Inquiry

Asset-based approach as an alternative way to capacity Building

Action and Innovation

DISCOVERY

Collaborative inquiry seeing and affirming the best and highest qualities of the group and its members

“…of the best of what is””

Use of metaphors and stories

Dream

Collectively envisioning what their community might be knowing their strength.

…of what might be

Design…what should be the ideal

Collectively they create provocative propositions-the realistic dreams.

Destiny…how to innovate and act

Action planning and developing implementation strategy

MEASURE

The group members agree on the need to monitor their growth in capacityIn order to understand where they are and where they hope to be.

Sustainability Framework used for CSP

Sustainability Framework Components

OCI (OrganizationalCapacity Indicators)

Examples only

Scores Source of data

1. Health Outcomes % delivery by SBA KPC

2. Health and Social Services

One CHV visit 100 household per month

PI data

3. Organizational Capacity

PI hold regular monthly meetings

PI data

4. Organizational Viability

PI implementing Community based program

PI data

5. Community Capacity

All members are doing saving and self-managed

PI data

6. Ecological, human, Economic, political and policy environment

Community involved in the running of the community clinics

PI data

CSSA Progress in Panchagor, Netrokona and Dhaka (Composite Percentage for all Indicators in Each Component)

SATHI SUPOTH PARI

Baseline Final Baseline Final Baseline Final Health 41 92 49 96 42 87

Health Services

23 95 20 97 10 89

Comm. Capacity

56 96 64 84 25 79

Environment 41 94 61 96 46 85

Org. Capacity 36 90 66 99 0 78

Org. Viability 35 92 22 98 0 60

Lao Tzu (6th Century BC)

“Go to the peopleLive with themLearn from themLove themStart with what they knowBuild on what they have:But of the best leaders When their task is doneThe people will remark “We have done it ourselves.”

“ It’s not what you look at that matters, it’s what you see.”

-Henry David Thoreau (1817-1862)