PRINCIPLES and BENCHMARKS of ACCESS to SERVICES

KEY DIAGRAMS

Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International

Lyon – Juin 2013

Services in answer to which needs?

Survival

Full realisation of life habits

Typology of services in an inclusive society

MAINSTREAM SERVICES Housing Health Education Employment Social protection Food Water Sanitation SecurityTransportation

SPECIFIC SERVICES•Specialised education•Sheltered workshops•Specialised day care services•post-amputation rehabilitation•Residential services

SUPPORT SERVICES • Assistive devices (ex: prostetics) Personal assistant Sign Language Interpreter Adapted transportation Support to access employment

INCLUSIVE SOCIETY

ELIMINATION OF BARRIERSInfrastructure, information, attitudinal…

+

PERSON

Prevention

Early detection

Pre-school

Education (all ages)

Health services

Vocational trainingAccess to

employment

Housing and shelter

Counselling

Sports and leisure

Transportations

Water, electricity

..........

SUPPO

RT SERVICES

SUPPORT SERVICES

SUPP

ORT

SER

VICE

S

SUPPORT SERVICES

Continuum of services

Service providers (private or public; Formal or informal; Ordinairy, specific or support)

Autorities

national and local

Users(people with disabilities, vulnerable people, represented by DPOs or formal/ informal organisation

Evaluate needs, ensuring access,

consult and garantee

participation of people in decision

making

Voice concerns and priorities, control, ask for services, identify needs

Deliver services, inform needs, take part in decisions

Deliver quality services, analyse needs, guarantee

accessUse, choose services, evaluate quality

Regulate, organize, allocate sufficient means, control, evaluate identify and replicate lnnovation, guarantee quality (standards)…

DEMAND OFFER

DELIVERY

The system of services: key stakeholders and ideal governance modalities

QUALITY and IMPACT criteria in a system of services and REGULATION mechanisms

QUALITY & IMPACT

Contracting mechanisms

Accreditation mechanisms

Accessibility standards

Financial processes

Ethical chart within a service

Analysis of individual needs

Consultation on governance of services

Outreach / identification

Access to Services requires…

QUALITY &

IMPACT

Prestataires

Authorities

Users

A complete spectrum of services, with continuity ensured

PERSONNE

Service de préventio

n / gestion

des risques

Diagnostic et

intervention

précoceCrèches, écoles

maternelles

Education à tout

âgeServices de santé (palette large, du local au

national)Formati

on professionelle

Médiation et

accès à l'emploi

Aide au logement

(inclue dans les

situations d'urgence

)

Conseil / accompag

nement (palette large)

Loisirs, sports

Transports

Eau, electricit

é

..........

Stakeholders involved in governance of the system of services

+ + Criteria ensuring quality and impact, with corresponding regulatory mechanisms

Access to Services within HI…WHAT ATS IS NOT WHAT ATS IS (AS OF TODAY)

A universally recognized model…. A product « made in HI », developed and enriched by our experience, approaches, methodologies (from a wide scope of intervention)

A dogmatic or ideological approach

A common pair of glasses, a framework for analyzing situations, and a set of tools that can be adapted to each context

A « tool from the DAD » An analytical and reference framework that is adaptable to the entire scope of contexts and intervention modalities of HI

Something carved in marble A set of tools and principles which evolve, are enriched by our practices, and re-questioned each time we use them.

Access to services

Concrete use for a DP or CdM

Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International

Lyon – Juin 2013

Diagnosis / Data collection

Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International

Lyon – Juin 2013

1) Context 2) Actors

Data collection - CONTEXT

Page 37

• Geopolitical context of the intervention• Existing policies• Administrative context and systems • Existing services• Obstacles limiting access to services• Quality of services• Existing and past practices

Data collection / ACTORS

Page 41

• Types of services providers and their sectors of intervention• Trained professionnals• Authorities / decision makers• Users• International organisations (UN …) and INGOs• Donors

HOW TO OPERATIONNALIZE THE ACCESS TO SERVICES?

LEARNING FROM NORTH AFRICA AND CENTRAL ASIA RPF

GUIDING TOOLS:

CPF guidelines

Access to Services guidelines

DO Framing letter

PROCESS

from context and stackholder analysis …… to strategic orIentations

DECISION MAKERSOr authorities

at local, regional, national level

USERSPeople with disabilities, their families,

their representative organisations

SERVICES PROVIDERS(public, private, informal)

1. Existing of legal framework, National strategies

2. Existence of regulatory mechanisms for services

3. Existing services and types (mainstream, support, specific)

4. Existing professional profiles and formal training programs

5. Analysis of the overall quality of services (technical standards, key approaches: person centred)

6. General accessibility of existing services (physical,

geographical, financial…)

7. Existence of competent user organisations, extent to which they are active in decision-making

& advocacy

8. Existence of data on PwDs and vulnerable populations

9. Existence of multi-stakeholder consultation

mechanisms

Operational added valuefor DPs and CdMs

Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International

Lyon – Juin 2013

Operational added value at strategic level

• Ensures building on existing situations, services and established actors at each sectorial level and territorial level

• Ensures a more systematic practice s regarding project methodologies

• Builds up efficiency and impact of our actions

• Factor of resilience of communities and systems

Operational added value at managerial level

• Easy ownership by the team and partners

• Leads to sharing a common vision with teams and partners

• Convincing methodology for a donor

• Useful for field monitorings, project reviews and for evaluations

Territorial use

Journées de Formation des Directeurs de Programme et Chefs de Missions de la fédération Handicap International

Lyon – Juin 2013

Self-help groups

Community workers NRCS,

project CWs

Most vulnerable persons, persons with disabilitiesand their families

Village Development

Committee

District Development

Committee

Village level

District level

DPO advocacy sub-partner

Regional (sub-national)

level

National level

South Asia Regional

CoordinationSouth Asia

level

In x villages . Risk Analysis/VCA - community inclusive contingency plans . Awareness raising activities on rights and inclusion and inclusive DM. Community mitigation measures . Inclusive DRM planning and local budget mobilization. Trainings and drill on inclusive disaster preparedness . Pre-positioning of disability related equipment Identification, needs assessment, information and access to services. Assistive devices provision and home modification.Capacity building for self-preparedness

In x districts . Sensitize stakeholders on rights / inclusion and inclusive DM. Disseminate good practices to state/non state actors . Inclusive DRM planning

In 5 regions3 regional Coordination Working Groups / year in each region (NFDN/Advocacy team)

At national level. 3 National Coordination Working Groups / year (NFDN/Advocacy team). Documentation of best practices (NFDN) . Policy analysis within the country and national strategy to advocate for inclusive DRM policies (NFDN). Training / strategic collaboration with institutions to increase their knowledge and advocate for the inclusion of disability (NFDN) and . DRM issues in practices /curriculum (HI).. Technical support to make policy documents /communication material more disability friendly (partnership NFDN/Samarthyam ?). Sensitize stakeholders on rights / inclusion and inclusive DM. Disseminate good practices to state/non state actors (workshops, photographic missions, media coverage, exposure visits…)

NFDN/NDWA

Dipecho partners

Nepal Red Cross

SocietyHI

NFDN chapters

At South Asia level. Contribute to regional social study on disability in disasters. Contribute to regional toolkit. Contribute to development of innovative practices and guidelines. Contribute to regional working group on inclusive DRM

ESCI/Rehab partners

Dipecho partnersNepal Red Cross

Sociiety

Government

Lead NFDN

Lead ESCI/Rehab partners, Dipecho partners

Lead HI

Dipecho 6 – Regional project / Nepal component

Community level

Authorities

Users Service providers

Regional authorities

ESCI/Rehab partners

Activities