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PRINCIPLES and BENCHMARKS of ACCESS to SERVICES KEY DIAGRAMS. Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013. Services in answer to which needs ?. Full realisation of life habits. Survival.
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PRINCIPLES and BENCHMARKS of ACCESS to SERVICES KEY DIAGRAMS Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013
Services in answer to whichneeds? Full realisation of life habits Survival
Typology of services in an inclusive society INCLUSIVE SOCIETY ELIMINATION OF BARRIERS Infrastructure, information, attitudinal… • MAINSTREAM SERVICES • Housing • Health • Education • Employment • Social protection • Food • Water • Sanitation • Security • Transportation + • SUPPORT SERVICES • Assistivedevices (ex: prostetics) • Personal assistant • SignLanguageInterpreter • Adapted transportation • Support to accessemployment • SPECIFIC SERVICES • Specialisededucation • Sheltered workshops • Specialisedday care services • post-amputation rehabilitation • Residential services
Continuum of services SUPPORT SERVICES SUPPORT SERVICES SUPPORT SERVICES SUPPORT SERVICES
The system of services: keystakeholders and idealgovernancemodalities Evaluateneeds, ensuringaccess, consult and garantee participation of people in decisionmaking Regulate, organize, allocatesufficientmeans, control, evaluateidentify and replicatelnnovation, guaranteequality (standards)… Autorities national and local Deliver services, informneeds, take part in decisions Voice concerns and priorities, control,ask for services, identifyneeds DEMAND OFFER Users (people withdisabilities, vulnerable people, represented by DPOs or formal/ informal organisation DELIVERY Service providers (private or public; Formal or informal; Ordinairy, specific or support) Deliverquality services, analyse needs, guaranteeaccess Use, choose services, evaluatequality
QUALITY and IMPACT criteria in a system of services and REGULATION mechanisms Accessibility standards Accreditationmechanisms Outreach / identification Financial processes Ethicalchartwithin a service Contractingmechanisms Consultation on governance of services Analysis of individualneeds
Access to Services requires… Authorities Users Prestataires + A completespectrum of services, withcontinuityensured + Stakeholdersinvolved in governance of the system of services Criteriaensuringquality and impact, withcorrespondingregulatorymechanisms
Access to servicesConcrete use for a DP or CdM Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013
1) Context 2) Actors Diagnosis / Data collection Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013
Data collection - CONTEXT Page 37 Geopoliticalcontext of the intervention Existingpolicies Administrative context and systems Existing services Obstacles limitingaccess to services Quality of services Existing and past practices
Data collection / ACTORS Page 41 Types of services providers and theirsectors of intervention Trainedprofessionnals Authorities / decisionmakers Users International organisations (UN …) and INGOs Donors
HOW TO OPERATIONNALIZE THE ACCESS TO SERVICES? LEARNING FROM NORTH AFRICA AND CENTRAL ASIA RPF
GUIDING TOOLS: CPF guidelines Access to Services guidelines DO Framingletter PROCESS fromcontext and stackholderanalysis …… to strategicorIentations
1. Existing of legal framework, National strategies 8. Existence of data on PwDs and vulnerable populations 2. Existence of regulatory mechanisms for services DECISION MAKERS Or authorities at local, regional, national level 4. Existing professional profiles and formal training programs 7. Existence of competent user organisations, extent to which they are active in decision-making & advocacy 9. Existence of multi- stakeholder consultation mechanisms 3. Existing services and types (mainstream, support, specific) SERVICES PROVIDERS (public, private, informal) USERS People with disabilities, their families, their representative organisations 6. General accessibility of existing services (physical, geographical, financial…) 5. Analysis of the overall quality of services (technical standards, key approaches: person centred)
Operationaladded valuefor DPs and CdMs Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013
Operationaladded value atstrategiclevel Ensures building on existing situations, services and establishedactorsateachsectoriallevel and territorial level Ensures a more systematic practice s regardingprojectmethodologies Builds up efficiency and impact of our actions Factor of resilience of communities and systems
Operationaladded value atmanageriallevel Easyownership by the team and partners Leads to sharing a common vision with teams and partners Convincingmethodology for a donor Useful for field monitorings, projectreviews and for evaluations
Territorial use Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International Lyon – Juin 2013
Dipecho 6 – Regional project / Nepal component Lead NFDN Authorities Lead ESCI/Rehab partners, Dipecho partners Users South Asia Regional Coordination Service providers Lead HI South Asia level Activities • At South Asia level • . Contribute to regional social study on disability in disasters • . Contribute to regional toolkit • . Contribute to development of innovative practices and guidelines • . Contribute to regional working group on inclusive DRM Dipecho partners NepalRed Cross Society Government • At national level • . 3 National Coordination Working Groups / year (NFDN/Advocacy team) • . Documentation of best practices (NFDN) • . Policy analysis within the country and national strategy to advocate for inclusive DRM policies (NFDN) • . Training / strategic collaboration with institutions to increase their knowledge and advocate for the inclusion of disability (NFDN) and . DRM issues in practices /curriculum (HI). • . Technical support to make policy documents /communication material more disability friendly (partnership NFDN/Samarthyam ?) • . Sensitize stakeholders on rights / inclusion and inclusive DM • . Disseminate good practices to state/non state actors (workshops, photographic missions, media coverage, exposure visits…) NFDN/NDWA HI National level Regional authorities NFDN chapters ESCI/Rehab partners Regional (sub-national) level District Development Committee In 5 regions 3 regional Coordination Working Groups / year in each region (NFDN/Advocacy team) ESCI/Rehab partners Dipecho partners Nepal Red Cross Sociiety • In x districts • . Sensitize stakeholders on rights / inclusion and inclusive DM • . Disseminate good practices to state/non state actors • . Inclusive DRM planning DPO advocacy sub-partner District level Village Development Committee In x villages . Risk Analysis/VCA - community inclusive contingency plans . Awareness raising activities on rights and inclusion and inclusive DM . Community mitigation measures . Inclusive DRM planning and local budget mobilization . Trainings and drill on inclusive disaster preparedness . Pre-positioning of disability related equipment Identification, needs assessment, information and access to services . Assistive devices provision and home modification .Capacity building for self-preparedness Self-help groups Community workers NRCS, project CWs Village level Most vulnerable persons, persons with disabilities and their families Community level