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Five case studies that showcase partnership-based models that have successfully expanded access to basic services for marginalized populations and groups. Research carried out for the Multilateral Investment Fund/Inter-American Development Bank by the Innovation and Technology for Development Centre/Technical University of Madrid. Download the report at www.itd.upm.es
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Partnerships for innovation in access to basic services. Five case studies.
Partnerships for innovation in access to basic services
Latin America• 80% of the population live in urban
areas
• 40% of the population are “vulnerable” and earn US$4-10 a day
• 125 million people lack access to health services
• 30 million people without access to safe drinking water
• 100 million people without improved sanitation
• 40 million lack modern electricity services
Beyond the MDGs • The time limit for achieving the
Millennium Development Goals (MDGs) is 2015
• Results have been unequal
• Effort s are needed to ensure delivery of basic services to the “last mile” of the population
There are initiatives that prove that the provision of basic services can reach the “last mile” of the population in a sustainable manner .
• Research carried out for the Multilateral Investment Fund/Inter-American Development Bank by the Innovation and Technology for Development Centre/Technical University of Madrid, in collaboration with BPD), EHAS and ONGAWA.
• Five case studies that showcase partnership-based models that have successfully expanded access to basic services for marginalized populations and groups.
The project
Partnerships for innovation in access to basic services
• Selection of the five studies. Criteria such as geographical and sectoral diversity; length of time in operation; actors; innovations; and results to date.
• Multi-disciplinary team of five senior consultants (one for each study)
• Initial research of documentation on each service model
• Fieldwork (Interviews, meetings and focus groups…)
• Consolidation of the five studies and production of infographics. Careful revision by the promoters of each model
• Final publication. Summary of the case studies and overarching conclusions (emphasis on innovation)
Methodology
Partnerships for innovation in access to basic services
Case studies
Inclusive Sanitation Markets Water For People
Comprehensive solid waste management
Ciudad Saludable
“Luz en casa” sustainable energy
AMPAccess to water and
sanitation eThekwini
e-Health in rural areasTulaSalud
Partnerships for innovation in access to basic services
Partnerships for innovation in access to basic services
Publications
Dry Ecological Toilet as a market opportunity
Partnerships for innovation in access to basic services
Tele-training +
Tele-medicine+
Health promotion
Partnerships for innovation in access to basic services
Solar Home Systems via a pay-for-service model
Partnerships for innovation in access to basic services
Inclusive businesses+
Social inclusion of recyclers
+Environmental impact
Partnerships for innovation in access to basic services
Public sector promoted multi-stakeholder partnerships based on incentives
Partnerships for innovation in access to basic services
What kind of innovation?
Product Process
Position Paradigm
Partnerships for innovation in access to basic services
Product Do it more appropriately
Blending existing technologies
Partnerships for innovation in access to basic services
• Products form part of programs or solutions but the focus is always on more than just the product
Product Do it more appropriately
Partnerships for innovation in access to basic services
Product Do it more appropriately
Local personnel use cell phones, portable ultrasounds and videoconferencing to provide services in remote rural areas
Tula Salud in Guatemala
Partnerships for innovation in access to basic services
Product Do it more appropriately
The transport of waste in motofurgones reduces time and assists the work of the recyclers
Ciudad Saludable (Peru)
Partnerships for innovation in access to basic services
• The final product goes beyond provision of a basic need by incorporating user demands
Product Do it more appropriately
Partnerships for innovation in access to basic services
89.1% of the population of District 9 want a toilet, sink and shower in their bathroom. These three elements have been integrated in the Dry Ecological Toilets.
Inclusive Sanitation Markets in Bolivia
Product Do it more appropriately
Partnerships for innovation in access to basic services
• The quality of the product or service goes hand-in-hand with maintenance, capacity-building of local personnel and ongoing research
Product Do it more appropriately
Partnerships for innovation in access to basic services
Product Do it more appropriately
Solar Home Systems
7 days: Average time for addressing problems in 2013
0.28%: Payment default rate 2013
Luz en Casa Program
Partnerships for innovation in access to basic services
Process Do it more simply
Innovations in the way that services are created and delivered
Partnerships for innovation in access to basic services
• Adopting flexible collaborative processes
Process Do it more simply
Partnerships for innovation in access to basic services
• Knowing the context and local dynamics (not designing from an office)
• Identifying and mobilizing local capacities
• Working with existing local organizations and systems
Process Do it more simply
Partnerships for innovation in access to basic services
En 2011, Water For People, in collaboration with the company Casa del Ceramista, reduced the price of the Dry Ecological Toilet by 34%
Mercados inclusivos de saneamiento en Bolivia
Process Do it together
Partnerships for innovation in access to basic services
Users are trained in the use of Solar Home Systems and local technicians in their installation and maintenance
Luz en Casa Program
Process Do it more simply
Partnerships for innovation in access to basic services
• The services are centered on the user: social marketing and simplicity of use
Process Do it more simply
Partnerships for innovation in access to basic services
• Leadership of individuals or organizations that connect the local with the global (rooted cosmopolitans)
Process Do it more simply
Partnerships for innovation in access to basic services
• Accepting and learning from mistakes
• Focusing on continuous learning
• Not working in the short-term
• Flexibility to integrate changes
Process Do it more simply
Partnerships for innovation in access to basic services
Short-term (tele-consultation), mid-term (tele-training) and long-term programs (health promotion) among the young - ensure that important changes are made in rural health services
Tula Salud Porgram
Process Do it more simply
Partnerships for innovation in access to basic services
Changes in the way services are presented to the user and reframed with governments
Position Do it together
Partnerships for innovation in access to basic services
• Users assume an active role in the service chain
• Services are adapted to the needs of the user
Position Do it together
Partnerships for innovation in access to basic services
Community participation is promoted through Photovoltaic Electrification Committees
Luz en Casa Program
Position Do it together
Partnerships for innovation in access to basic services
• Understanding the diversity of “last mile” communities and working with diverse collectives to address their specific needs
Position Do it together
Partnerships for innovation in access to basic services
“The toilets have brought big changes to women’s lives. Before they used to have to go to the toilet in the neighboring cane field where they were sometimesattacked or even raped.”
Tandi Sukazi (Municipality of eThekwini)
Position Do it together
Partnerships for innovation in access to basic services
• Working closely with the public sector to advocate for regulation of the service and the integration of changes within the system
Position Do it together
Partnerships for innovation in access to basic services
The Ministry of Energy and Mines in Peru has certified the Solar Home Systems as an option for rural electrification
Luz en Casa Program
Position Do it together
Partnerships for innovation in access to basic services
• Seeking economic sustainability and reduction of costs to the user by combining alternative sources of finance
Position Do it together
Partnerships for innovation in access to basic services
Paradigm Do it differently
Changes in the mental models that shape what the service offers
Partnerships for innovation in access to basic services
“The aim is to support processes that change the vision. I do it, we do it together and then you do it.”
Paloma Román (Ciudad Saludable)
Paradigm Do it differently
Partnerships for innovation in access to basic services
• Producing changes in the perceptions and attitudes of all the participating actors
Paradigm Do it differently
Partnerships for innovation in access to basic services
• Centering on a comprehensive vision of the service while innovating at any part of the value chain (not just at the end)
Paradigm Do it differently
Partnerships for innovation in access to basic services
• Managing to attract a mix of different resources from the public and private sectors as well as civil society
Paradigm Do it differently
Partnerships for innovation in access to basic services
• Introducing lasting changes in institutional practices within organizations, particularly in the public sector
Paradigm Do it differently
Partnerships for innovation in access to basic services
By the end of 2013, the community tele-facilitators were integrated in the public health system in Guatemala
Programa de Tula Salud
Paradigm Do it differently
Partnerships for innovation in access to basic services
What kind of innovation?
ProductDo it more
appropriately
ProcessDo it more simply
PositionDo it together
ParadigmDo it differently
Partnerships for innovation in access to basic services
Pilots
Perseverance
Passion
Other 4P at the BoP (BIF, 2014)
Partnering
CONCLUSIONS
Encompassing the whole value chain
New forms of working in partnership
Assigning a new role to users
Generating inclusive businesses and social entrepreneurship
Institutionalizing the models
Exploring, experimenting, learning …
Adopting flexible models
REFLECTIONS
Oriented projects
Oriented services
ReplicabilIty
Re-aplicabilityIslands of change
Systemic
change Making mistakes
Learning
Beneficiaries
Users
1. Finding change agents in place2. Counting on capital and resources to enable experimentation3. Positioning the initiative on the map
The challenges
At the start …
Consolidation…
Maturity and scale-up…
1. Addressing large increases in demand2. Dealing with organizational challenges3. Attracting expert knowledge and specific recourses
1. Sharing the knowledge generated2. Ensuring decentralization 3. Promoting adequate strategies for expansion
¿?How can our institutions support this kind of initiative?
Download the publication in www.itd.upm.es
Descarga la publicación en www.itd.upm.es
www.itd.upm.es
itd@upm.es
@itdupm
itdupm
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