sustainability karl blanchet robert lindfield @eyesustain
TRANSCRIPT
Sustainability
Karl BlanchetRobert Lindfield
@eyesustain
Overview• Introductions• Definitions of sustainability• Examples of non-sustainability• Overview of sustainability framework• How to measure sustainability• Questions and conclusions• Next steps
Rules• Everyone is encouraged to contribute• No such thing as a silly question• Short and sweet
Learning • Able to understand the complexity of sustainability• Able to use the sustainability assessment framework to categorise
sustainability• Able to set sustainability targets• Able to assess sustainability of own eye care programme
Definitions of Sustainability• Turn to the person next to you.• Discuss the definition of sustainability• Come up with a short and sweet definition of sustainability
You have 5 minutes
Share it......• Tell us your definition....
Twitter: @eyesustain
The multiple definitions of sustainability
The multiple definitions of sustainability
Adoption, appropriation, continuation, consolidation, durability, integration, longevity, maintenance, permanence,
perpetuation, persistence, routinisation, survival, viability and resilience
The multiple definitions of sustainability
4 groups of definitions: (i) continuity of health benefits, (ii) institutional and organisational
capacity, (iii) community capacity, (iv) a multidimensional and systemic
approach to sustainability.
The multiple definitions of sustainability
• Sustainability of what?• Different views on time, quality and space• A “boundary term”• Need for consensus
Examples of non-sustainability• Turn to the person next to you (or if you want a change turn to the
person behind you)• Discuss things that make sustainability difficult• Come up with your best example
You have 5 minutes
The sustainability framework
The Sustainability Framework
Sarriot et al. 2008
Share it......• Tell us your example....
Twitter: @eyesustain
Measuring sustainability
Measuring sustainability
• Use of indicators• The sustainability reference: level under which the system is not sustainable• Radar diagrams
Sustainability Analysis Process (SAP)
75
75
100
70 80
100
No
100
100
75
Yes
20
20
50
100
5
0
100 15
24
Component 1: Rehabilitation outcomes
Component 2: Service Provision
% of P&O who produce 6-8 devices per month
% of devices that missed standard delivery times
% of PT who treat 10-15 people per day
Existence of national quality standards
% of devices that respect quality standards
% of regions with at least 2 PTA and 2P&OA
% of PWDs who experience pain with their new device
Number of different suppliers of raw materials
% of rehab centres with adequate level of equipment
Number of PT and P&O in Somaliland
Blanchet et al. In Press
SAP
75
75
100
70 80
100
No
100
100
75
Yes
20
20
50
100
5
0
100 15
24
Component 1: Rehabilitation outcomes
Component 2: Service Provision
% of P&O who produce 6-8 devices per month
% of devices that missed standard delivery times
% of PT who treat 10-15 people per day
Existence of national quality standards
% of devices that respect quality standards
% of regions with at least 2 PTA and 2P&OA
% of PWDs who experience pain with their new device
Number of different suppliers of raw materials
% of rehab centres with adequate level of equipment
Number of PT and P&O in Somaliland
5
75
% of people in the waiting list at the centre
% of PWDs in the regions whose needs were not fulfilled
% of PWDs who were referred to other services
% of PWDs entering the centre and whose needs were fulfilled
% of PWDs who were referred from other services
10 2
50
20
10
50
100
100
Component 1: Rehabilitation outcomes
Component 2: Service Provision
Number of different sources of funding
Existence of strategy and action plan
% of staff with job descriptions
% of income received from donors
Number of coordination meetings per year
4 5
Yes
20
100
100
12
40
% staff assessed every year
85
75
Component 3 & 4: organisational capacity and viability
Component 5: Community capacity
40
10 % of assessment and planning exercices involving community members
% of PWDs and parents who know the existence of rehabilitation centres
% of PWDs who contributed to the cost of the service
Number of satisfaction questionnaires analysed every semester
% of PWDs who can afford the price of the service
50
100
10
10
20
30
60
50
Component 3 & 4: organisational capacity and viability
Component 5: Community capacity
2
10
% of price covered by donors
UN Level of Security % of UN conventions on disability ratified by the Government
% of price covered by Government
85
40
3
100
0
40
20 Component 6: Environment
Measuring sustainability
• For each example:– How would YOU measure it?– What would be an acceptable indicator?
You have 5 minutes
Share it......• Going through the examples.
Twitter: @eyesustain
Discussion• Why is sustainability so complex?• How can I measure sustainability?• How can I set targets to make my programme more sustainable?
Twitter: @eyesustain
Conclusion• Tell us what you think.
Twitter: @eyesustain
Or we could always talk to each other.........