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Specially Prepared for :
                                 Health Professionals that
                              want to make a bigger impact



          Innovations in Global Health:
              Title Page
   Ten Ways to Add Value to Your Global
                         Health Project

Elvira Beracochea, MD. MPH.
President
elvira@midego.com

                                              www.midego.com
Objectives
1. Discuss The Process of Innovation
2.Discuss Ten Ways to Innovate and Add
Value to Global Health Projects
3.Discuss Ways to Take Global Health to
the Next Level


                              www.midego.com
What is Innovation?
“The process of analyzing
a problem and solving it
by creating a new or better
process, product or
service.”
          Dr. Elvira Beracochea
                       www.midego.com
Innovation is the Process to
     Meet The MDGs
Nothing New
TRIZ: The process of innovation is
about finding someone else who
already solved your problem!
    Similar     Similar
    Problem     Solution


    My          My
    Problem     Solution
                            www.midego.com
What is Innovation in Global Health?
  “Innovation is the specific instrument of
  entrepreneurship... the act that endows resources
  with a new capacity to create wealth. ”
  Peter Drucker

  “Innovation is the instrument of public health … the
  act that endows resources with a new capacity to
  create health on a global scale.”
   Dr. Elvira Beracochea

                                           www.midego.com
Innovate: Ask Four Questions

1.What is the problem?
2.Who else may have a
similar problem?
3.How did they solve it?
4.How can the solution be
adapted?              www.midego.com
Ten Innovations to Achieve
          10 Goals
1.    Goal Setting and Coaching
2.    Online Technical Assistance
3.    Rights Based Approaches
4.    Storytelling and Integration
5.    Asset Based Approach
6.    Powerful Communication
7.    Urgency: The Power of NOW
8.    Capacity Transfer
9.    Knowledge Stewardship and Management
10.   Cloning                          www.midego.com
Goal 1.

• Motivate Health Workers and Improve
  Individual Performance:
  Health Workers Know What to Do and
  Do What They Know
Goal Setting

What is a Goal?
“A goal is a dream with
deadline.”

                 Napoleon Hill
                      www.midego.com
1. A Coach’s Appeal

•   Be the first
•   Be a leader
•   Be known
•   Be strong
•   Be an example
•   Be the change
•   Be unstoppable
                     www.midego.com
1. DREAM with a purpose

Coaching focuses on what it takes to
make dreams come true:
       Determination
       Resourcefulness
       Effectiveness
       Accountability
       Motivation           www.midego.com
1.Coaching and Motivation
1. Inspire: Create A Powerful Vision
2. Motivate: Find What They Do Right
3. Give Feedback: Minimum Required for Action
4. Ask Questions: Non-judgmental
5. Keep on Track: Goal-oriented
6. Build Teams: Delegate
7. Cheer up and Support: Be There Without Being There

      “Resourcefulness is the Ultimate Resource”
                                        www.midego.com
Result
• I have to say, in turn, that I studied health care
  management course [which] provides some professional
  development for country leaders every year. This way I
  studied behavior change, project development, etc. But
  first time in my life because of your course I, finally, got
  clear understanding of certain terms and concepts such
  as mission, vision, volunteer... I used to think that
  because of language and cultural differences I will never
  ever understand them appropriately. Now I feel that I
  was wrong... I believe that now I can use these concepts
  in my work. So thanks for your course so much! (Russia)
                                                    www.midego.com
Goal 2.

• Increase Productivity: Global Scale,
  Consistent Quality and Low Cost
2. Global Scale: Being there
       without being there
Online Technical Assistance Programs:
• 7-Day MPH
• 7-Day M&E Manager
• 7-Day Pharmacy Manager
• 7-Day Child Health Expert
• 7- Day Public Health Leader
• 7-Day Hospital Manager

Visit our website for the complete list of OTA programs
2. Franchising and
         Contracting Out
•   Inbuilt Scale up
•   Tested Model
•   Management Support to Franchisee
•   Designed to be Sustainable
•   Pay for Results
•   Effective human resource management
•   Streamlined staff development
Goal 3.

• Expand Coverage
3. Rights Based Approach to PH
                 The White Rabbit put on
                 his spectacles. “Where
                shall I begin, please your
                   majesty?” he asked.
                “Begin at the beginning,”
                  the King said gravely,”
                and go on till you come to
                    the end; then stop”

                “Alice in Wonderland” Lewis Carroll, 1865
3.Health is a Human Right and
        Everyone’s Job
• UDHR, 1948
• CEDAW, 1979
• Right to Development, 1986
• CRC, 1989
• ICDP Cairo, 1994 and Cairo +5 +15
• Millennium Declaration, 2000
• Paris Declaration, 2005     www.midego.com
3. Strategic Planning for The New
        Rights Based MDGs
• Ensure everyone’s rights are met by
DESIGN
•Community Medicine Approach:
    • Continuum of Care
       – NCD
       – Mental Health
       – Social Health
    • Patient-centered care
• Paris Declaration on Aid Effectiveness
Goal 4.

• Reduce Fragmentation and Increase
  Efficiency
4. Storytelling: Integrated
   Healthcare Delivery




                      www.midego.com
4. Integrated Health Service
        Management
• Health System Strengthening
• Quality Improvement: Six Sigma
  Adapted to Global Health
• Clinic Management Approach
• Hospital Development Approach
• Community Oriented Primary Care
  Approach
Goal 5.

• Improved Project Management: Reduce
  Unnecessary Complexity and Increase
  Accountability
5. : Asset Based Project
Management Approach
Asset + Process= Result
MAKE IT AND KEEP IT
 SHORT AND SIMPLE
   Set Daily Targets
Result

• "As a result of this program, I was able to call for a
  workshop addressing issues of HIV/AIDS in relation
  to gender violence. I and my volunteers are at least
  talking to two people now each day about HIV. My
  management system has changed, the ways to pass
  messages about a hidden phenomenon and how to
  treat patients. Storing of information and records has
  changed and field work visits has also changed."
   (Sudan)

                                                www.midego.com
5. Results Oriented M&E:
Account for Results Every Day
            “Can you do addition?” the
           White Queen asked. “What is
           one and one and one and one
           and one and one and one and
              one and one and one?”

            “I don’t know,” said Alice.
                  “I lost count.”

           Through the Looking Glass and What Alice Found there,
                            Lewis Carroll, 1871
Goal Scorecard - India
Measure         Score last   Score this      Action            Who is
and             week         week                              responsible
Count                                                          for
Each                                                           reporting
Goal                                                           this score?
Immunization    35           22 (fully       Follow up of      Immunization
                             Immunized) on   rest 13           worker,
                             survey                            mobilize,
                                                               Sarpanch
Malaria cases   50           22              Health            Malaria
in under 5                                   education for     workers, and
years                                        vector            Sanitary worker
                                             reduction

                                             Distribution of
                                             insecticide
                                             Impregnated
                                             bed nets
Goal Scorecard - Tanzania
Measure               Score last   Score this               Action              Who is
and                   week         week                                         responsible
Count                                                                           for
Each                                                                            reporting
Goal                                                                            this score?
Number of             15           55                       Increase            District Health
facilities Immunize                                         information on      Director: facilities
100 % children                                              immunization        prepared for
below 5 years                                               program             immunizations

New malaria           40           125                      - Provision of      Clinic Director
infections among                   Other children NOT in    ITNs to children,
children                           the list to be           purchased
                                   supported with nets to
                                   reduce malaria           through another
                                                            project
Goal Scorecard - Nepal
Measure            Score last   Score this Action         Who is
and                month        this month                responsible
Count                                                     for
Each                                                      reporting
Goal                                                      this score?
190 wasted         210          193        Celebrate      District
children will be                                          Manager
rehabilitated
monthly
150 FCHVs          165          123        Conduct        FCHV
have the                                   additional     Coordinator
knowledge and                              training and
skills for case                            supervision
findings,                                  visits
referral and
treatment
follow up
Goal Scorecard - Zambia
Measure           Score last   Score this    Action   Who is
and               quarter      quarter                responsible
Count                                                 for
Each                                                  reporting
Goal                                                  this score?
Number of girls   0            1,397 girls            Felicia
reached
Number of girls   0            676 girls              Felicia
reported
having
received
services at
health
facilities:
Goal Scorecard – Myanmar
Measure             Score last   Score this   Action               Who is
and                 month        month                             responsible
Count                                                              for reporting
Each                                                               this score?
Goal
Number of           2            2            Local leaders will
meetings with                                 help identify peer
local leaders                                 educators

Number of peer      5            8
educators
identified
Number of peer      5            -            Trainer was on
educators trained                             leave
Number of           100          25           Need
mothers                                       transportation to
supported                                     remaining
                                              villages
Goal 6.

• Effective Communication for Effective
  Coordination
6. Powerful Communication
              Tools
How can I get maximum results from all I do?
      What is the next level thinking?
   What is the breakthrough I need now?
  What can I do now to massively advance
             towards my goal?
    What new ideas are emerging here?
        How can I apply this today?
           What is my next step?
6.Networks and Partnership
           Tools
•8,000,000 children die of preventable
and treatable conditions
– Could 100,000 health centers prevent 80
 deaths each?
•500,000 women die of preventable
pregnancy and delivery complications
– Could 1000 NGOs prevent 500 deaths
 each?                       www.midego.com
Goal 7.

• Rapid Results
7. Personal Effectiveness:
     The Power of NOW
• New Thinking Tools:
  – No Other Way
  – Next step
  – If I could do only one thing today…
• The “100-Day Project”
  – Rapid visible results
  – Baby Steps
  – Empowerment
7. The $100 NOW Test
            What can you do now with $100?
Write up to 50 different things you can accomplish now?
Goal 8.

• Rapid Capacity Building and Application
  of Training
8. Team Capacity Transfer
          Programs
The 7 Benefits of Capacity Transfer:
• Team Building: staff have clear roles and responsibilities and work
  smoothly
• Improved Communication: staff share a common vision and support
  each other’s efforts
• Concerted Action: staff proactively avoiding duplication and creating
  synergy opportunities
• Accountability: backstop staff get a simple scorecard that tells you
  how your staff and their projects are going
• Improved Individual and Team Performance: field staff deliver
  quality results and add value to their team’s work
• Strong Community Participation: everyone in the community
  participate in your projects or programs
• Visible Results: Project delivers visible results every day!
                                                             www.midego.com
8. Personalized Training

1. Focus on your Personal Mission
2. Define your Goals
3. Set Daily Success Targets
4. Use a Checklist to Meet each Target
5. Provide Action Oriented Training
6. Start NOW! Take Baby Steps to GET
   STARTED and Stay Motivated Today
7. Visualize Clear Success Milestones
                                         www.midego.com
Sample of a client’s results:
Ownership of Results- Ghana
Goal 9.

• Manage Knowledge and Steward to the
  Right Information
9. New Knowledge
   Management products
• Minimum Training Program
  – Action oriented
  – Ownership of results
• Knowledge Stewardship
  – Access just the information you need
• Digital Communities of Practice
• Wiki
Goal 10.

• Increase Local Technical Experts and
  Sustain Development Assistance at
  Lower Costs
10. “Cloning” of MIDEGO’s
             Expertise
•   TA operations manual
•   Certification
•   Licensing
•   Streamlined processes
•   Consultant training
•   Apprenticeship
•   VIP
Innovation

        Why,” said the
       Dodo, “the best
       way to explain it
         is to do it.”

       Alice in Wonderland, Lewis Carroll 1865
May I have a Volunteer?
Why don’t you answer these questions
and see what you learn about yourself?
1.What is your goal?
2.What is stopping you from achieving it?
3.What can you do about it NOW?
4.What else?
5.What else?
6.What will it look like when you achieve your
goal?
7.What is your next step?
                                  www.midego.com
Goal Scorecard – Your Turn
Measure   Score this   Score next   Action   Who is
and       quarter      quarter               responsible
Count                                        for
Each                                         reporting
Goal                                         this score?
Objectives
1. Discuss The Process of Innovation
2.Discuss Ten Ways to Innovate and Add
Value to Global Health Projects
3.Discuss Ways to Take Global Health to
the Next Level


                              www.midego.com
Visit us at www.midego.com


                Remember to Download the
              “Global Health Starter Program”
        to start making a bigger impact right away!


                         Thank you!




Copyright ©2010 MIDEGO

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Innovations in Global Health: Ten Ways to Add Value to Your Global Health Project

  • 1. Specially Prepared for : Health Professionals that want to make a bigger impact Innovations in Global Health: Title Page Ten Ways to Add Value to Your Global Health Project Elvira Beracochea, MD. MPH. President elvira@midego.com www.midego.com
  • 2. Objectives 1. Discuss The Process of Innovation 2.Discuss Ten Ways to Innovate and Add Value to Global Health Projects 3.Discuss Ways to Take Global Health to the Next Level www.midego.com
  • 3. What is Innovation? “The process of analyzing a problem and solving it by creating a new or better process, product or service.” Dr. Elvira Beracochea www.midego.com
  • 4. Innovation is the Process to Meet The MDGs
  • 5. Nothing New TRIZ: The process of innovation is about finding someone else who already solved your problem! Similar Similar Problem Solution My My Problem Solution www.midego.com
  • 6. What is Innovation in Global Health? “Innovation is the specific instrument of entrepreneurship... the act that endows resources with a new capacity to create wealth. ” Peter Drucker “Innovation is the instrument of public health … the act that endows resources with a new capacity to create health on a global scale.” Dr. Elvira Beracochea www.midego.com
  • 7. Innovate: Ask Four Questions 1.What is the problem? 2.Who else may have a similar problem? 3.How did they solve it? 4.How can the solution be adapted? www.midego.com
  • 8. Ten Innovations to Achieve 10 Goals 1. Goal Setting and Coaching 2. Online Technical Assistance 3. Rights Based Approaches 4. Storytelling and Integration 5. Asset Based Approach 6. Powerful Communication 7. Urgency: The Power of NOW 8. Capacity Transfer 9. Knowledge Stewardship and Management 10. Cloning www.midego.com
  • 9. Goal 1. • Motivate Health Workers and Improve Individual Performance: Health Workers Know What to Do and Do What They Know
  • 10. Goal Setting What is a Goal? “A goal is a dream with deadline.” Napoleon Hill www.midego.com
  • 11. 1. A Coach’s Appeal • Be the first • Be a leader • Be known • Be strong • Be an example • Be the change • Be unstoppable www.midego.com
  • 12. 1. DREAM with a purpose Coaching focuses on what it takes to make dreams come true: Determination Resourcefulness Effectiveness Accountability Motivation www.midego.com
  • 13. 1.Coaching and Motivation 1. Inspire: Create A Powerful Vision 2. Motivate: Find What They Do Right 3. Give Feedback: Minimum Required for Action 4. Ask Questions: Non-judgmental 5. Keep on Track: Goal-oriented 6. Build Teams: Delegate 7. Cheer up and Support: Be There Without Being There “Resourcefulness is the Ultimate Resource” www.midego.com
  • 14. Result • I have to say, in turn, that I studied health care management course [which] provides some professional development for country leaders every year. This way I studied behavior change, project development, etc. But first time in my life because of your course I, finally, got clear understanding of certain terms and concepts such as mission, vision, volunteer... I used to think that because of language and cultural differences I will never ever understand them appropriately. Now I feel that I was wrong... I believe that now I can use these concepts in my work. So thanks for your course so much! (Russia) www.midego.com
  • 15. Goal 2. • Increase Productivity: Global Scale, Consistent Quality and Low Cost
  • 16. 2. Global Scale: Being there without being there Online Technical Assistance Programs: • 7-Day MPH • 7-Day M&E Manager • 7-Day Pharmacy Manager • 7-Day Child Health Expert • 7- Day Public Health Leader • 7-Day Hospital Manager Visit our website for the complete list of OTA programs
  • 17. 2. Franchising and Contracting Out • Inbuilt Scale up • Tested Model • Management Support to Franchisee • Designed to be Sustainable • Pay for Results • Effective human resource management • Streamlined staff development
  • 18. Goal 3. • Expand Coverage
  • 19. 3. Rights Based Approach to PH The White Rabbit put on his spectacles. “Where shall I begin, please your majesty?” he asked. “Begin at the beginning,” the King said gravely,” and go on till you come to the end; then stop” “Alice in Wonderland” Lewis Carroll, 1865
  • 20. 3.Health is a Human Right and Everyone’s Job • UDHR, 1948 • CEDAW, 1979 • Right to Development, 1986 • CRC, 1989 • ICDP Cairo, 1994 and Cairo +5 +15 • Millennium Declaration, 2000 • Paris Declaration, 2005 www.midego.com
  • 21. 3. Strategic Planning for The New Rights Based MDGs • Ensure everyone’s rights are met by DESIGN •Community Medicine Approach: • Continuum of Care – NCD – Mental Health – Social Health • Patient-centered care • Paris Declaration on Aid Effectiveness
  • 22. Goal 4. • Reduce Fragmentation and Increase Efficiency
  • 23. 4. Storytelling: Integrated Healthcare Delivery www.midego.com
  • 24. 4. Integrated Health Service Management • Health System Strengthening • Quality Improvement: Six Sigma Adapted to Global Health • Clinic Management Approach • Hospital Development Approach • Community Oriented Primary Care Approach
  • 25. Goal 5. • Improved Project Management: Reduce Unnecessary Complexity and Increase Accountability
  • 26. 5. : Asset Based Project Management Approach Asset + Process= Result MAKE IT AND KEEP IT SHORT AND SIMPLE Set Daily Targets
  • 27. Result • "As a result of this program, I was able to call for a workshop addressing issues of HIV/AIDS in relation to gender violence. I and my volunteers are at least talking to two people now each day about HIV. My management system has changed, the ways to pass messages about a hidden phenomenon and how to treat patients. Storing of information and records has changed and field work visits has also changed." (Sudan) www.midego.com
  • 28. 5. Results Oriented M&E: Account for Results Every Day “Can you do addition?” the White Queen asked. “What is one and one and one and one and one and one and one and one and one and one?” “I don’t know,” said Alice. “I lost count.” Through the Looking Glass and What Alice Found there, Lewis Carroll, 1871
  • 29. Goal Scorecard - India Measure Score last Score this Action Who is and week week responsible Count for Each reporting Goal this score? Immunization 35 22 (fully Follow up of Immunization Immunized) on rest 13 worker, survey mobilize, Sarpanch Malaria cases 50 22 Health Malaria in under 5 education for workers, and years vector Sanitary worker reduction Distribution of insecticide Impregnated bed nets
  • 30. Goal Scorecard - Tanzania Measure Score last Score this Action Who is and week week responsible Count for Each reporting Goal this score? Number of 15 55 Increase District Health facilities Immunize information on Director: facilities 100 % children immunization prepared for below 5 years program immunizations New malaria 40 125 - Provision of Clinic Director infections among Other children NOT in ITNs to children, children the list to be purchased supported with nets to reduce malaria through another project
  • 31. Goal Scorecard - Nepal Measure Score last Score this Action Who is and month this month responsible Count for Each reporting Goal this score? 190 wasted 210 193 Celebrate District children will be Manager rehabilitated monthly 150 FCHVs 165 123 Conduct FCHV have the additional Coordinator knowledge and training and skills for case supervision findings, visits referral and treatment follow up
  • 32. Goal Scorecard - Zambia Measure Score last Score this Action Who is and quarter quarter responsible Count for Each reporting Goal this score? Number of girls 0 1,397 girls Felicia reached Number of girls 0 676 girls Felicia reported having received services at health facilities:
  • 33. Goal Scorecard – Myanmar Measure Score last Score this Action Who is and month month responsible Count for reporting Each this score? Goal Number of 2 2 Local leaders will meetings with help identify peer local leaders educators Number of peer 5 8 educators identified Number of peer 5 - Trainer was on educators trained leave Number of 100 25 Need mothers transportation to supported remaining villages
  • 34. Goal 6. • Effective Communication for Effective Coordination
  • 35. 6. Powerful Communication Tools How can I get maximum results from all I do? What is the next level thinking? What is the breakthrough I need now? What can I do now to massively advance towards my goal? What new ideas are emerging here? How can I apply this today? What is my next step?
  • 36. 6.Networks and Partnership Tools •8,000,000 children die of preventable and treatable conditions – Could 100,000 health centers prevent 80 deaths each? •500,000 women die of preventable pregnancy and delivery complications – Could 1000 NGOs prevent 500 deaths each? www.midego.com
  • 37. Goal 7. • Rapid Results
  • 38. 7. Personal Effectiveness: The Power of NOW • New Thinking Tools: – No Other Way – Next step – If I could do only one thing today… • The “100-Day Project” – Rapid visible results – Baby Steps – Empowerment
  • 39. 7. The $100 NOW Test What can you do now with $100? Write up to 50 different things you can accomplish now?
  • 40. Goal 8. • Rapid Capacity Building and Application of Training
  • 41. 8. Team Capacity Transfer Programs The 7 Benefits of Capacity Transfer: • Team Building: staff have clear roles and responsibilities and work smoothly • Improved Communication: staff share a common vision and support each other’s efforts • Concerted Action: staff proactively avoiding duplication and creating synergy opportunities • Accountability: backstop staff get a simple scorecard that tells you how your staff and their projects are going • Improved Individual and Team Performance: field staff deliver quality results and add value to their team’s work • Strong Community Participation: everyone in the community participate in your projects or programs • Visible Results: Project delivers visible results every day! www.midego.com
  • 42. 8. Personalized Training 1. Focus on your Personal Mission 2. Define your Goals 3. Set Daily Success Targets 4. Use a Checklist to Meet each Target 5. Provide Action Oriented Training 6. Start NOW! Take Baby Steps to GET STARTED and Stay Motivated Today 7. Visualize Clear Success Milestones www.midego.com
  • 43. Sample of a client’s results: Ownership of Results- Ghana
  • 44. Goal 9. • Manage Knowledge and Steward to the Right Information
  • 45. 9. New Knowledge Management products • Minimum Training Program – Action oriented – Ownership of results • Knowledge Stewardship – Access just the information you need • Digital Communities of Practice • Wiki
  • 46. Goal 10. • Increase Local Technical Experts and Sustain Development Assistance at Lower Costs
  • 47. 10. “Cloning” of MIDEGO’s Expertise • TA operations manual • Certification • Licensing • Streamlined processes • Consultant training • Apprenticeship • VIP
  • 48. Innovation Why,” said the Dodo, “the best way to explain it is to do it.” Alice in Wonderland, Lewis Carroll 1865
  • 49. May I have a Volunteer? Why don’t you answer these questions and see what you learn about yourself? 1.What is your goal? 2.What is stopping you from achieving it? 3.What can you do about it NOW? 4.What else? 5.What else? 6.What will it look like when you achieve your goal? 7.What is your next step? www.midego.com
  • 50. Goal Scorecard – Your Turn Measure Score this Score next Action Who is and quarter quarter responsible Count for Each reporting Goal this score?
  • 51. Objectives 1. Discuss The Process of Innovation 2.Discuss Ten Ways to Innovate and Add Value to Global Health Projects 3.Discuss Ways to Take Global Health to the Next Level www.midego.com
  • 52. Visit us at www.midego.com Remember to Download the “Global Health Starter Program” to start making a bigger impact right away! Thank you! Copyright ©2010 MIDEGO

Editor's Notes

  1. These are the action-oriented principles of MIDEGO’s coaching