Transcript PROVIDING EYE CARE THROUGH EMPOWERED PEOPLE (PEEP)

Service Delivery & Sustainability Plan
B.R. Shamanna
2nd COSI Symposium
VEIRC, New Delhi
Service Delivery
•Community Level
•Primary Level
•Secondary Level
Service Delivery
•Primary Prevention
Health Promotion
Specific Protection
•Secondary Prevention
Early Diagnosis – Screening
Treatment
Referral
•Tertiary Prevention
Limitation of Disability & Rehabilitation
Service Delivery - Roles
•Eye Care organizations
•Development organizations
•Education organizations
•Rehabilitation organizations
•Other Organizations – groups, clubs etc.
Sustainability
“Sustainability is seen as the
ability of the system to produce
benefits valued sufficiently by
users & stakeholders leading to
ensuring enough resources to
continue activities with long
term benefits”
Sustainability
“A Health Service is considered
sustainable when operated by
an organizational system with
the long term ability to mobilize
and allocate sufficient resources
for activities that meet individual
or public health needs”
Sustainability – Development
Parlance!
“The capacity of the health
system to function effectively
over time with a minimum of
external support”
Sustainability
“Program continuity or sustainability
refers to the capacity of a program to
continue functioning, supported by
its own resources (human, material
and financial), even when external
sources of funding have ended”
Components for Sustainable
Development
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Technical Sustainability
Social/Cultural Sustainability
Political Sustainability
Financial Sustainability
Managerial Sustainability
Sustainability
• Technical - staff, training, skills
• Managerial - organization, delivery,
systems, marketing
• Financial - cost reduction, containment,
sharing, income generation
• Leadership - vision, mission, values
Sustainability
• Community
• Primary Level
• Secondary Level
Questions?
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How do you plan to obtain long –term
programmatic support?
How do you plan to get community’s
support?
What will the in-country support be?
(Salaries, commodities, office space,
equipment, volunteers, IEC, Community
Funding, User fees, Income Generation
etc)
Questions?
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At what time will the above be
introduced to the project?
How does the organization plan to get
political support for the project?
(Government support, relationship with
government policy, networking
organizations having common goal etc)
Describe plans for continued financial
support. (Donor support, fund raising,
how funding is solicited?)
Strategies for Financial
Sustainability
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Fees for service
National and International donors
Income generating activities
In-kind support – Volunteer, space
Collaborative interventions
Cross subsidies – sharing of costs
Strategies for Financial
Sustainability
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Self sustaining activities internally
Community networks
Insurance – Group, Social etc
Corporate support
Fundraising campaigns
Strategies for Institutional/
Program Sustainability
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Institutional Vision, Mission and Values
Staff competency – technical and Mgmt.
Institutional evaluation systems
Regular performance reviews
“Change” – adapt and flexibility
Strategies for Political
Sustainability
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Government support – organization
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Government support – project
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Community support – both above!
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Complementary policies
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Networking and collaborations
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Lobbying & Pressure groups – Advocacy
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Media management & meetings
Measures to Increase Sustainability
• User charges & community management
• Management reforms
• Designing a public health package &
strengthening donor assistance
• Compulsory health insurance for work
force
• Increasing effectiveness & minimizing
costs
Sustainability
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Not an end state but a process
Viable Organization
Managerial & Technical
Expertise
Necessary Resources
Foundations of Sustainable
Eye Health Program
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Effective Leadership
Managerial Competence
Clinical Competence
Partnerships and Collaborations
Financial Viability
Process to sustain the above