capacity building approaches-afghanistan
TRANSCRIPT
Capacity Building Approaches
Akmal Samsor
JS Consultancy Services
Outline
• Aim of capacity building (linking capacity building to nation building)
• Definition of capacity building
• Levels of capacity building
• 4 approaches of capacity building
• Questions ?
Why Capacity Building?
Development(Prosperity) Nation
Cap
acity
Shared
V
alues
Trust
Capacity Building
Defining Capacity Building
• “interventions aiming to produce sustained changeat levels ranging between the individual and entire nations” (Sajiwandani, 1998)
• Capacity building “can be applied to interventions which have changed an [individual’s] organization’s or community’s ability to address health issues by creating new structures, approaches and/or values” (Crisp et al; 2000)
Nation
Sector Level Capacity
Sub-Sector, Field or Inter-Organizational Capacity
Organizational Capacity
Individual Capacity
Levels of Capacity Building
Capacity Building Approaches
• There are four approaches mostly used for capacity building:
1. top-down organizational approach;
2. bottom-up organizational approach;
3. partnerships approach; and
4. community organizing approach
Capacity Building Approaches
• Top-down organizational approach:– Changing Existing Policies or Practices
– Organizational Restructuring
– Policy Development
What can be done?– Change some of the policies and practices regarding in DH and PH?
– Modify the current structure of DH or PH or …. ?
– Design a shorter duration of surgical skills trainings to decrease maternal mortality in remote areas ? (India-18month training in basic and advance EmNOC)
– Public health practitioner certification ?
– …………….
Capacity Building Approaches
• Bottom-Up Organizational Approach: • The most common type know to us
• Provision of Skills to the Staff
• Developing a core of well-trained individuals
• What can be done?• Train other staff besides nurse, midwives, doctors?
• Specific Surgical Skills Training for MDs ?
• Skills training for specialists working in DHs and PHs?
• Promoting a culture of continuous learning and improvement?
• ………
Capacity Building Approaches
• Partnership Approach:
• Strengthening the relationships between organizations
• Providing possibilities for the two-way flow of knowledge
• Collaborations and information sharing between organizations
• What can be done?• Developing mother-child relationship between the hospitals ? (specialty
hospital in Kabul becoming a mother of PHs or DHs OR a PH for DHs)
• Developing Sisterhood relationship between hospitals ? (PH with PH or DH with DH)
• Partnerships with hospitals of other countries ?
• ………
Capacity Building Approaches
• Community Organizing Approach: – Individual members are drawn into forming new organizations or
joining existing ones
– Ambitious approach to capacity building
• What can be done?• Strengthening hospital boards?
• Strengthening health shuras ?
• CP conferences every week within the DHs and PHs?
• Learning groups within DHs and PHs or with health care providers of a districts ?
• ………
Take Home Message
• Training is just one approach to capacity building, there are three other approaches which can be used to build the capacity of health care workers or health care organizations or build the capacity of health sector.
Thank You
• Questions/ Comments?