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1.
    
This article reports on a case study of a mid-programme capacity building evaluation within a large education aid programme collaboration between non-governmental educational organisations in Malawi and US university literacy faculty. The article outlines the programme context and its formal and informal capacity building inputs. Analyses of data collected on capacity building at the midpoint of the programme are offered. The authors argue that capacity is built along the life of large programmes, and evaluating capacity building development (and understanding its challenges) before the end of the programme can help cross-national teams of administrators and implementers in modifying programme operations.  相似文献   

2.
ABSTRACT

Despite the benefits of antenatal care, evidence from sub-Saharan Africa suggests that women often initiate these services after the first trimester of pregnancy and do not complete the recommended number of visits. This study examines the impact of mobilising faith-based and lay leaders to address the socio-cultural barriers to antenatal care uptake in northern Ghana in the context of a broader child survival project. A quasi-experimental design was used, and data were analysed using a difference-in-differences approach. The results presented in this article indicate the potential for faith-based and lay leaders to promote uptake of maternal and child health behaviours.  相似文献   

3.
    
This article examines a training approach for community health volunteers which increased access to maternal health services in rural communities in Zambia. The effectiveness of the training approach was evaluated in an operations research component. Skilled birth attendance rates increased by 63% from baseline over a two-year period in the intervention districts, out-performing increases recorded in control sites at statistically significant levels. As a low-cost, high-impact intervention which shows good sustainability potential, the approach is suitable for national level scale-up and for adaptation for use in other countries in support of maternal and new-born health goals.  相似文献   

4.
    
This article examines the prevalence of non-compliance on the age-for-grade policy in the post-free primary education system in Kenya. We utilised data from the 2009 cohort of enrolled primary schoolchildren. The analysis revealed non-compliance to be a persisting concern in the school system, characterised by both under-age and over-age enrolment at the age-for-grade level of analysis in spite of the introduction of free primary education in 2003. Irrespective of the nature of non-compliance, overcrowding in the lower grades is more prevalent, with potential for adverse compromises in quality of learning and the attendant added dimension of the mismatched grade-for-age curricula.  相似文献   

5.
    
This article explores three NGO projects that assemble and distribute clean birthing kits in Ethiopia. It contrasts the government's health strategy that aims to increase skilled birth attendance, with local realities as most women in rural and remote settings give birth at home, often in unhygienic conditions, and without skilled assistance. Many health facilities are also unable to provide hygienic conditions for birthing women. The findings indicate that clean birth kits have assisted the NGOs to effectively promote clean delivery at home or in health facilities, and to encourage antenatal care, and early referral to emergency obstetric and new-born care.  相似文献   

6.
    
This paper examines a demand-side intervention that significantly increased access to maternal health services in rural Zambia in a context where skilled birth attendance rates had been stagnant for over two decades. Aspects of the intervention design that were crucial to the programme's success were the participatory and adult learning-centred approach used to mobilise intervention communities, the use of a community volunteer model, and the design's sensitivity and responsiveness to underlying social factors and problems. The demand-side intervention is already being scaled up in six districts, and is highly suitable for national level scale-up.  相似文献   

7.
    
Projects introducing improved stoves that save firewood and reduce emissions and indoor smoke address real needs but have often not succeeded as expected. One of the reasons may be that lessons have not been learnt effectively. We reviewed the only available comprehensive list of principles for stove project design. We modified it, and added more principles based on literature and our own experience. Our list consists of 20 principles covering the areas of awareness creation of multiple benefits, stove design and variety, participation of the beneficiaries, production modes, role of subsidies, and the necessity of accurate assessments and reporting.  相似文献   

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International development aid is driven by actors steeped in Western neo-liberal theory and practice. Africa has largely received failed Western aid, administered mainly through international NGOs in neo-comprador relationships. This article calls for African-centred and -led development, revitalised through endogenous development (ED) praxis. Using a water, sanitation, and hygiene (WASH) sector case study from Ghana, the article theorises Africa's WASH development within the context of globalisation and the politics of knowledge production on Africa. It shows how ED provides African people with self-determining and culturally relevant development necessary for WASH justice and improved health and livelihoods.  相似文献   

10.
    
Implementing change is far harder than making policy pronouncements that call for change. Rwanda, in the 20 years since the 1994 genocide, has made substantial progress in turning around its economy and in meeting key Millennium Development Goals (MDGs). Real GDP in Rwanda grew at a rate of over 8% per year in the past years, the percentage of the people living in poverty has dropped by 14%, and UNDP reports that Rwanda is on track to meeting many but not all MDGs by 2015. Rwanda's progress in economic and social spheres stands out in Africa, where many countries, despite commitments to the MDGs, lag behind on performance. The difference in Rwanda is the leadership's attention to implementation, and the incorporation of endogenous practices, particularly into planning and accountability. This article is based on observations of practice at national and community levels and of policy design and implementation. It is a by-product of a study of the impact of different approaches to community health delivery systems in Rwanda, completed as part of the author's doctoral dissertation, and also of the author's experience working within the government in Rwanda.  相似文献   

11.
    
This paper reflects on the use of a participatory learning and action (PLA) framework in a strategic planning process (SPP) at a primary school in rural Kenya. Successes and challenges are discussed, focusing on the barriers to fully implementing the PLA framework. Additionally, lessons learnt and ways forward for participatory SPPs are outlined. The PLA framework allowed the project stakeholders to engage in a planning process that gave participants a voice in the process. Although PLA methodology faces shortcomings, the application of this model is a step towards making community development more sustainable.  相似文献   

12.
Based on empirical evidence from a donor-funded project in Ghana, this article demonstrates that when development implementation is depoliticised, targets will likely be achieved within budget and on time. Funded and supervised by the Millennium Challenge Corporation of the United States, Ghana Compact I has been recommended as a model for future development implementation. This article is an attempt to explain this success, compared to select social programmes. It argues that Compact I was implemented successfully because it was insulated from political interference, and suggests that donor-induced depoliticisation offers a route to successful development implementation in recipient countries.  相似文献   

13.
  总被引:1,自引:0,他引:1  
The gap between theories and the actual practice of development is often great, but the gap between concepts of endogenous approaches and the practice of endogenous development may be hardest to bridge, particularly when the funding agency is a global actor. Nathalie Tinguery, Country Program Coordinator for US African Development Foundation (USADF) in Burkina Faso, reflects on her experience of incorporating values and goals into her development practice of working with communities and for an international funder. She describes how she remains focused on endogenous development, what this means in her development practice, and what it is about USADF policies and practice that make this brand of endogenous development possible. Views expressed are those of the author and do not necessarily represent the official positions of USADF.  相似文献   

14.
Logistics support plays a critical role in the delivery of quality health care services, particularly in developing countries. This study utilised systems methodology and Integrated Logistics Support (ILS) analysis to develop a support framework for a Vision Centre in rural Vietnam. The methodology employs elements of both “soft” (in particular Checkland's Soft Systems Methodology approach) and “hard” systems practices to develop an accessible and robust logistics planning tool.  相似文献   

15.
    
This article reports on a study conducted with an unemployed group of community members residing in the Gugulethu Township in South Africa. The study aimed to gain an in-depth understanding of their needs and challenges, and what they thought could be done to assist and empower them so that they could improve their lives. Their basic human needs were violated during apartheid and as a consequence, they are still battling poverty today. We offer suggestions on how Black communities in South Africa could be supported and empowered in order to become employable and self-reliant.  相似文献   

16.
This paper examines connections between sustainable livelihoods and the ability to deal with health risks, in the Kilombero Valley in Tanzania where rates of mortality and morbidity from malaria remain high. Application of the Sustainable Livelihoods Approach (SLA) to a narrative of daily lives demonstrates that villagers have experienced a reduction in assets, income, and capital, which limits their ability to follow health promotion advice. The focus on livelihoods highlights possible local developmental interventions that could have a significant impact on improving the health and well-being of the villagers, with potential relevance to other places in the Global South.  相似文献   

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This article discusses case examples of community-led initiatives triggered by the introduction of an external development programme in Senegal and Mali. These are community initiatives that learn from projects initiated and funded by an external donor organisation, and transform interventions to better meet their own needs. The circumstances leading to the demand for, and successful establishment of, health infrastructure are examined to understand the triggers. These breakthroughs demonstrate unintended benefits of development, and the need to leverage donor-led initiatives. Therefore, community involvement, participation, and empowerment are key in establishing local ownership in development projects.  相似文献   

19.
    
The development sector is rife with complaints about strict accountability requirements imposed by donors. However, this paper argues that the imposition of a new accountability framework can sometimes be converted into a useful tool. This note describes how the IMPACT alliance used the Five Capabilities (5C) model prescribed by the Dutch Ministry of Foreign Affairs. It describes the major findings from a baseline assessment, and reflections on that process. The authors argue that the operationalisation of the 5C model provides useful opportunities for discussing capacity development priorities with partners.

Utilisation du modèle des cinq capacités (5C): faire de nécessité vertu

Les plaintes sont nombreuses dans le secteur du développement concernant les exigences strictes de reddition de compte imposées par les bailleurs de fonds. Cependant, cet article soutient que l'imposition d'un nouveau cadre de reddition de comptes peut parfois être convertie en outil utile. Cette note décrit la manière dont l'alliance IMPACT a eu recours au modèle des cinq capacités (5C) prescrit par le ministère néerlandais des Affaires étrangères. Elle décrit les principales conclusions tirées d'une évaluation de référence, ainsi que des réflexions sur ce processus. Les auteurs soutiennent que l'opérationnalisation du modèle des 5C donne des occasions utiles de discuter des priorités de développement des capacités avec les partenaires.

Operando el modelo de las Cinco Capacidades (5C): hacer de la necesidad una virtud

En el ámbito de desarrollo, prevalecen las quejas en relación a las estrictas medidas de rendición de cuentas impuestas por los donantes. Sin embargo, el presente artículo sostiene que el requisito de usar un nuevo marco para la rendición de cuentas, a veces puede convertirse en un ejercicio útil. En el artículo se describe cómo la alianza impact usó el modelo Cinco Capacidades (5C) recomendado por el Ministerio de Asuntos Exteriores de Holanda. En este sentido, se analizan las conclusiones de una evaluación de referencia y se hacen reflexiones respecto a este proceso. Los autores sostienen que la implementación del modelo 5C genera oportunidades útiles para revisar las prioridades en torno al desarrollo de capacidades con las contrapartes.

Utilizando o modelo das Cinco Capacidades (5C): fazendo da necessidade uma virtude

O setor de desenvolvimento é repleto de reclamações sobre exigências rigorosas de prestação de contas impostas por doadores. Porém, este artigo argumenta que a imposição de uma nova estrutura de prestação de contas pode às vezes ser convertida em uma ferramenta útil. Esta nota descreve como a aliança IMPACT utilizou o modelo das Cinco Capacidades (5C) prescrito pelo Ministro holandês de Assuntos Estrangeiros. Ele descreve os principais resultados de uma avaliação de base e reflexões sobre este processo. Os autores argumentam que a operacionalização do modelo 5C oferece oportunidades úteis para se discutir as prioridades de desenvolvimento de capacidade com parceiros.  相似文献   


20.
    
When the US President's Emergency Plan for AIDS Relief (PEPFAR)-supported Supply Chain Management System (SCMS) programme began working in Ethiopia in 2006, the estimated population of people living with HIV exceeded one million, while only 24,000 were on treatment and only 50 treatment sites were in operation. SCMS and other key partners entered into this context to support the Ethiopian government in significantly strengthening the public health supply chain system, with the aim of increasing the availability and accessibility of pharmaceutical products. The country now has 1,047 treatment sites and is nearing complete treatment coverage. This article discusses how priorities were set among many competing challenges from 2006 until 2014, and how the four-step strategy of build, operate, transfer, and optimise has resulted in a successful partnership.  相似文献   

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