Tuesday, June 3, 2008

[EQ] Capacity, Change and Performance

 

Capacity, Change and Performance

Study Report

 

Heather Baser and Peter Morgan, Joe Bolger, Derick Brinkerhoff, Anthony Land, Suzanne Taschereau
April 2008 – Synthesis

The European Centre for Development Policy Management (ECDPM)

 

Available online PDF [163p.] at:

http://www.ecdpm.org/Web_ECDPM/Web/Content/Download.nsf/0/AE807798DF344457C1257442004750D6/$FILE/Morgan_Baser__2008_Study-Report_Capacity_Performance_Change%20revised%2028052008.pdf

 

                The purposes of the study were:

• to enhance understanding of the interrelationships among capacity, change and performance across a wide range of development experiences; and

• to provide general recommendations and frameworks to support the effectiveness of external interventions aimed at improving capacity and performance.

 

The study was thus intended to provide some new perspectives on capacity issues.
First, it was to use an endogenous perspective of capacity – how capacity develops from within – rather than looking only at what outsiders, usually international agencies, can do to induce it. This implied considering external contributions as only an influence rather than the entry point of the research.
Second, the study was to bring in ideas from the capacity literature beyond that produced by the international development community.
Third, the study was to provide evidence of good practice in developing capacity.

 

The chapters and their contents are as follows:

• Chapter 1 – the introduction – provides an overview of the context in which the study was developed, its original objectives and an outline
  of some of the major themes covered. It ends with the preview of the themes coming out of the report.

• Chapter 2 – the methodology – presents the original analytical framework and some of the key issues we addressed in the research.

• Chapter 3 – the concept of capacity –its   components: competencies and capabilities.

• Chapter 4 – the actors – looks at the structure, mandate and identity of the actors in the cases (groups, sub-units of organisations,
  formal and informal networks) who shape the process of capacity development.

• Chapter 5 – the context of capacity and capacity development – assesses the influence of context and its interactions with capacity,
  and stakeholder demand or support.

• Chapter 6 – capacity development – is the core of the report with a discussion of the different ways to think about capacity development
  and what works why and when. It looks at the different conditions under which capacity development takes place, then at various
  strategies for change, both internal and external. It ends with a discussion of the processes of capacity development including different
  approaches (such as planning and control, emergence or incrementalism), the issue of sequencing, and the importance of time and timing.

• Chapter 7 – capacity, performance and results – analyses the interrelationships between performance and results, and the tension
  between two approaches to change: one that concentrates on ‘results’ or task achievement and one that focuses on the capacity
  development. It finishes with a discussion of the implications of applying results-based management with its focus on achievement to

  capacity issues.

• Chapter 8 – tools and frameworks – suggests how we might think about two major techniques used to address capacity issues,
  capacity assessments and monitoring and evaluation (M&E), in the light of the findings presented earlier in the report.

• Chapter 9 – the contribution of external interveners – addresses what external groups or organisations can do to strengthen the capacity

  of others and whether current approaches to capacity development by external actors are ‘good enough’ or need rethinking.

• Chapter 10 – future trends in capacity development – looks at possible challenges in the future for external actors trying to influence
  capacity development, including seeing capacity as a strategic objective, and the rise of a new generation of actors.

• Chapter 11 – selected conclusions – presents some insights beyond what appeared in the previous analysis, and then returns to the
  question raised at the beginning of the report: ‘Is there inherent value in the concept of capacity?’ It also provides some general
  recommendations for external interveners to help them think about how to address capacity and capacity development.

 

The case studies

The Lacor Hospital, Gulu province, northern Uganda

SISDUK, a participatory development programme in Takalar District, South Sulawesi, Indonesia

COEP – Committee of Entities in the Struggle against Hunger and for a Full Life, Brazil

The Rwanda Revenue Authority (RRA), Rwanda

The role of churches in governance and public performance, Papua New Guinea

The Health Sector Support Programme (HSSP), Papua New Guinea

Decentralised education service delivery, Pakistan

Decentralised education service delivery, Ethiopia

A comparative analysis of decentralised education service delivery in Ethiopia and Pakistan

The Environmental Action (ENACT) programme, Jamaica

The Environment and Sustainable Development Unit (ESDU), Organisation of Eastern Caribbean States (OECS), St Lucia

The Observatório network, Brazil

The World Conservation Union, IUCN in Asia

Local Government Support Programme (LGSP), the Philippines

The Centre for Trade Policy and Law (CTPL), Russia

NGOs in South Asia

The Public Sector Reform Programme (PSRP), Tanzania

The National Action Committee Western Cape (NACWC), South Africa


Full reports of the case studies are available at www.ecdpm.org/capacitystudy

 

 

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
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Information Technology - Virtual libraries; Research & Science issues.  [DD/ IKM Area]

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and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

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[EQ] 15by2015 Quality health care for all

15by2015 Quality health care for all 

 

Website: http://www.15by2015.org/index.php/resources/

 

Primary health care and prevention are the best and most affordable ways to save the most lives and improve overall health.

 

With the “15by2015” campaign we ask that donor organizations allocate 15% of their vertical funding towards sustainable comprehensive primary health care that is accessible and affordable in all regions of the world.

 

“15 by 2015” is a campaign calling for all major global health donors to allocate 15% of all their grants towards strengthening the primary health care system of the country they are working in. The target date is the same as with the globally known and used eight millennium development goals, 2015.

 

Why “15by2015”?

Primary health care cuts across diseases in a systemic way. Investing in improving the quality of primary health care (infrastructure, human resources and equipment) is a broad-based and sustainable investment that should be accessible and affordable for all. For example, if good primary health care were available in the 42 countries accounting for about 90% of child deaths worldwide, 63% of these deaths could be prevented.

 

The most prevalent health care problems in developing countries are respiratory illnesses, diarrhoea and complications of labour and delivery. These can and must be treated within the same primary health care framework that deals with diseases such as malaria, tuberculosis and AIDS….”

 

            Contact Information:

 

 

Global Health through Education Training and Service (GHETS):

David Egilman, MD, MPH
8 North Main St, Suite 401 Attleboro MA 02703
Tel: +1 (508) 226-5091 x 11 Fax: +1 (508) 448-8346 degilman@ghets.org

 

World Organization of Family Doctors (Wonca):

Dr Alfred W. T. Loh - College of Medicine Building
16 College Road #01-02 Singapore 169854
Tel: +65 6224 2886 Fax: +65 6324 2029 ceo@wonca.com.sg

 

The Network: Towards Unity for Health:

Pauline Vluggen Executive Director
P.O. Box 616, 6200 MD Maastricht - Universiteitssingel 60, Maastricht the Netherlands
Tel: +31 (0)43-3885638 Fax: +31 (0)43-3885639 secretariat@network.unimaas.nl

 

Primary Health Care/Family Medicine Education Network

Maaike Flinkenflogel, MD Coordinator Primafamed - Department of Family Medicine and Primary Health Care -Ghent University
De Pintelaan 185
9000 Gent Belgium
Tel: +32 9 332 6082 Maaike.flinkenflogel@ugent.be - primafamed@ugent.be

 

The European Forum for Primary Care:

Diederik Aarendonk
Otterstraat 118 – 124, 3513 CR Utrecht - PO Box 1568, 3500 BN Utrecht The Netherlands
Tel: +31 30 27 29 700  Fax: +31 30 27 29 729 Mob: +31 (0)6 232 09 708 d.aarendonk@euprimarycare.org

 

 

Doctors for Global Health:

Lanny Smith, MD, MPH, DTM&H
P. O. Box 1761 Decatur, GA 30031, U.S.A.
(404) 377-3566 lannysmith@yahoo.com

 

 

Health Alliance International:

Wendy Johnson, MD, MPH - Director of New Initiatives
4534 11th Ave NE Seattle, WA 98105
+1 (206) 543-8382 wjohns@u.washington.edu

 

 

 

*      *      *     *

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ IKM Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

------------------------------------------------------------------------------------

PAHO/WHO Website: http://www.paho.org/

EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

 

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.