Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Global Health Global Health Collaboration WorkshopCollaboration Workshop

Capacity building for Capacity building for (international) collaboration(international) collaboration

ทั�กษพล ธรรมร�งสี สี��นั�กง�นัพ�ฒนั�นัโยบ�ยสี�ขภ�พระหว่��งประเทัศ

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

MOU agenda tomorrow

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

4

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

5

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

6

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

7

Free coffee for one(s) who know who said this?

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

8

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

9

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

10

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

11

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

12

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

13

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

14

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

15

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Presentation outline

• Capacity & capacity building• Collaboration • GH collaborative capacity

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Competency-Capability-Capacity

• Competence is the quality or state of being functionally adequate or having sufficient knowledge, strength and skill. (core competency and functional competency)

• Capability is a feature, faculty or process that can be developed or improved

• Capacity is the power to hold, receive or accommodate

Vincent, L., (2008) Differentiating Competence, Capability and Capacity

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

18

Definition : Capacity

• Capacity: ability or power to do/understand something [Oxford U. Dictionary]

• The ability of people, organizations and society to manage their affairs successfully [OECD 2006]

• Skills, knowledge, resources needed to perform a function [http://mirror.undp.org/magnet/policy/glossary.htm]

• Resources, efficiency and effectiveness the societies deploy these resources to identify and pursue their development goals on a sustainable basis. [http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTCDRC/0]

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

19

Definition : Capacity development

• The process whereby people, organizations and society as a whole unleash, strengthen, create, adapt and maintain capacity over time .

• The process by which individuals, groups, organizations, institutions and countries develop their abilities, individually and collectively, to perform functions, solve problems and achieve objectives.

• Locally driven process of transformational learning by leaders, coalitions and other agents that leads to actions that support changes in institutional capacity areas.[http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTCDRC/0]

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

20

Long journey towards sustaining capacities

• Move from building, to sustaining and finally institutionalization

• Through INNE model – I: Individual capacity – N: Node or institutional capacity – N: Networking for herd immunity and

support – E: Enabling environment for continued

learning

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

2121

UNDP INNE model: Individual, Node (organization), Network and Enabling environment--

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

What do we mean by ‘collaboration’

• The action of working with someone to produce something (Oxford U. Dictionary)

• Individuals and organizations working together to address problem and deliver outcomes that are not easily or effectively achieved by working alone

• Why collaboration (complex social problem)

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Cooperation-Coordination-collaboration

Cooperation Coordination Collaboration

[nature] Information & experience sharing/ minor change

Work together (still self controlled)

Highly interdependency, system change

Trust low high

Communication adhoc More structured/project based

Frequent & regular

Goal independent Common

Power/resources

independent Shared

Commitment/accountability

To own organization

Broader

Risk/Reward Low High

Timeframe short longer

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Are we ready to collaborate?

1. Do we really need to do this? 2. Are we open and willing to change? 3. Do we have both the capability and

capacity to work collaboratively? 4. Are we able and willing to delegate

decision making? 5. Are we willing to have our organisation

exposed to the scrutiny of other participants?

6. Are we prepared to hold ourselves accountable to collaborative agreements?

Source: Keast , R (2013) Are we ready to collaborate?

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Collaborative capacities

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Core competencies for collaboration

• Ability to work across boundaries• To frame operating context, inc. prepare

members for joint working• Nimbleness to work with an emerging set

of norms, roles and values[source: Chrislip D (1994), Collaborative

leadership]

• Others: Mobilise/ Energise/ Facilitate others, Mediation, negotiation, resource management, read/analyse situation, politic sensitive, emotional intelligence, problem learning

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Others competencies for collaboration

• Others: Mobilise/ Energise/ Facilitate others, Mediation, negotiation, resource management, read/analyse situation, politic sensitive, emotional intelligence, problem learning, identify & resolve conflict, communication, network building, partnership formation, leverage partnership

• “Step in other shoes” [Mandell, MP (1994), Managing interdependencies through program structures]

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Quality of relationship1. Trust

– Commitment trust– Competency trust– Companion trust

2. Reciprocity– Give and take

3. Mutuality– From independent to collective

interestInterdependency Reputation: Complying with established/agreed actions, helping to identify shared problem&resolution, promoting mutual outcome

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

Network driver, process catalyst• Network driver(s)• Collaborative leadership = process catalyst• Required skills

– Initiative & nurture relationship– Be trustworthy– Build agreement around collaborative vision– Articulate & communicate – Networking within and across sectors– Influence others– Read & diagnose, seeing big picture– Take risk and encourage others to be

comfortable with taking risks

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

31

Situation and limitations of conventional capacity building (CB) programs

Common concern• Lack of all-around competent human resources • Aging society: our champions are getting old!

Drawbacks of conventional CB models• Take time to gain experience and competency• Individual-based: single enlightening, tacit

knowledge• High mobility in bureaucratic system, difficult to

generate ‘continuity of wisdom, leadership, and networks’.

• Easily burnout from working alone• Limited involvement to GO

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

32

What capacity do we need in GHC?

• Language proficiency• Knowledge in

– Technical content– System and process– Politic

• Convening power• Communication and Negotiation skills • Strategic alliance and partnership

Inte

rna

tio

na

l H

ea

lth

Po

lic

y P

rog

ram

-T

ha

ila

nd

Inte

rnati

onal H

ealt

h P

olic

y P

rogra

m -

Thaila

nd

33

Modes of capacity development

• Active learning from real life exposure to GH

• Reactive and proactive• Team interactions• Mentor & supervisor• Active self learning• Downlink and Uplink legs