Changing our point of view

1. Measuringprogressin community facilitation Changing our point of view

2. Why do we measure progress?

3. Whatourexperience in 35 countries tells us Guyana Belgium Netherlands Russia Myanmar Thailand Senegal Sierra Leone Cambodia Spain Mali Kenya Indonesia DR-Congo Ethiopia Uganda Trinidad & Tobago Mozambique Bangladesh India Barbados Rwanda Philippines Solomon Islands Bangladesh Ukraine Belarus Zambia Suriname Burundi

4. What we have learned

5. “Wemeasureprogresstosatisfyourownneed. Wemeasure to check thatwe—the community—are moving in the direction and at the speed thatwe have chosen.”

6. “Measurement is an essential part of every learning cycle”

7. 4 reasons to measure progress.

8. 1 In order to learn from our experience so that we can do it better the next time.

9. 2 To be able to focus the effort thatwestillneed to maketo achieveour objective

10. 3 To celebrateourprogress!

11. 4 To be able to share ourprogresswithothers.

12. Our starting point

13. Everycommunity has withinitselfthe capacity to measure the progessitismakingtowardsitsdream.

14. Some questions

15. Who has the main responsibility for your health?

16. And who has the main responsibility for checking up on the current state of yourhealth?

17. So how wouldyoufeel if an external organisation wouldtakeresponsibility for measuring the progress of yourhealth? 

18. Our principles

19. Ownership by the communityitselffor itshealth and for monitoring itshealthisat the heart of the matter for us.

20. Each group owns the indicators for which it has the prime responsibility.

21. Our proposal

22. We measure the progress of a facilitated community project on two levels

23. 1 At the level of faciltation and its delivery

24. 2 Atcommunitylevel

25. 1 At the level of facilitation and its delivery • Indicators to demonstrateprogress: • The number of communitiesthatdevelop and implementtheir action plan. • The number of communitiesthattransfertheirskills. • The number of facilitatorstrained. • The number of support team competent to organise and to implement a facilitatedprocess. • The number of staff in health zones whoown and practice SALT. • The number of operational meetings. • The number of organisations whoown and practice SALT. • Number of papers/knowledgeassetscirculated.

26. 1 At the level of facilitation and its delivery • Base line levels • Base line levelsare usually ‘zéro’ for the first ‘SALT’ project in an area.

27. 1 At the level of facilitation and its delivery • Targets • Partners to definebased on theirexperience. • Targetsrelated to the environment, externalfactors and risks to the project.

28. 1 At the level of facilitation and its delivery • Examples to demonstrateprogress: • Documentation par photo des plans d’action; • Système d’information local géré par la communauté; • Interviewes par vidéo sur actions et résultats; • Liste de participation • Auto-évaluations des facilitateurs • Auto-évaluation des équipes de soutien; • Rapports des visites, réunions, rencontres • Vérification des plan d’extension • Cartographie de transfert horizontale

29. 1 All of these are OURresponsability

30. 2 Atcommunitylevel • Indicators: • Eachcommunity identifies for itself 1-2 indicators for each of its 3 priority practices. • => Eachcommunitywilldecide for themselves and will have responsibility to measurebetween 3 and 6 indicators.

31. 2 Atcommunitylevel • Base line level • The communitydecidesupon and measures the base levels. • The base levels are illustrated by the level of the practise in the Self Assessmenttoday.

32. 2 At communitylevel • Targets • The communitydecidesupon and measures the base levels. • The targets are illustrated by the targetlevel of the Self Assessment for the practice.

33. 2 At communitylevel • Means of verification • The communitydecides how theywilldetermineprogress and theymake the measurements.

34. We, as facilitators/partners • can use the experiences of othercommunitiesto inspire, but not to impose.

35. 2 All of theseare the responsability of the community.

36. How can the partners contribute?

37. 2 At communitylevel • Theycanadd the indicatorsthat are important for theirpurposes. • Theypropose theseindicatorsto the community to support theirownindicators • Theyoffertheir support to gatherthis information. • Theysharetheseindicatorsregularlywith the community.

38. An example

39. The community chooses to work on three priority practices for comprehensive vaccination.

40. 1 We acknowledge and accept. 2 We comply with the vaccination schedule. 6 We mobilise resources.

41. For eachpriority practice, the community identifies : • targetlevel for the practice in the Self Assessment. • 1 or 2 indicators • the base level • the target for theirchosen time period • the means of verification

42. 1 We acknowledge and accept. Base level: 3 Target level: 4 2 We comply with the vaccination schedule. Base level: 1 Target level: 3 6 We mobilise resources. Base level: 2 Target level: 4

43. 1 We acknowledge and accept. Indicator:Number of parents whoagree to the vaccination of theirchildren/ Number of parents withchildren to bevaccinated. 2 We comply with the vaccination schedule. Indicator:Number of parents whocomplywith the vaccination schedule/ Number of parents withchildren to bevaccinated. 6 We mobilise resources. Indicator: Sum of money in the bankaccount to pay for the vaccination of children.

44. 1 We acknowledge and accept. Moyens de vérification: During the monthly meeting. 2 We comply with the vaccination schedule. Moyens de vérification: During the monthlymeeting. 6 We mobilise resources. Moyens de vérification: During the monthlymeeting and home visits

45. UNICEF et the Health Districts measure (for example): —the percentage of motherswithchildrenagedbetween 12 and 23 monthswho live within 5 kms (or a 1 hourwalk) of a vacccination station. —the percentage of childrenagedbetween 12 and 23 monthswho have been completelyvaccinated. —the percentage of childrenagedbetween12 and 23 monthswho havereceived DTC1/Penta1. —the percentage of childrenagedbetween12 and 23 monthswho have received DTC3/Penta3.

46. Through the use of thesemethods of verification: • Family enquiry LQAS • FOSA enquiry • Qualitative enquiry for SPP

47. This information issharedregularly with the community for 2 reasons:

48. 1 To stimulate an in-depth discussion during the next Self Assessmentbased on evidence

49. 2 To update the action and the plan to measureprogress by the community

50. And the community?