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
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
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
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
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
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
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
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