Improving Services for Vulnerable Populations through Better Leadership, Management, and Governance

November 2012Leadership, Management, Governance Project (LMG)

Management Sciences for Health

Overview of LMG and USAID’s Programs for Vulnerable Populations

Snapshots: 5 LMG Programs with Vulnerable Populations

Closer Look: Women with Disabilities

Guest Speaker: Kristi Rendahl from CVT

Agenda

LMG Overview

Advance and validate the knowledge and understanding of sustainable leadership, management and governance tools, models, and approaches

Strengthen global support, commitment, and use of state of the art leadership, management and governance tools, models, and approaches for priority health programs.

Implement and scale up innovative, effective, and sustainable leadership, management, and governance programs

Global Support & Utilization

Advance & Validate

Implement & Scale-up

Key Result Area 1: Key Result Area 2: Key Result Area 3:

Mission:

The LMG Project improves leadership, management, and governance practices to strengthen health systems and improve health for all, including vulnerable populations worldwide.

USAID/DCHA/DRG and Programs for Vulnerable Populations

USAID

DCHA Bureau

Center of Excellence on Democracy, Human

Rights, And Governance

Human Rights Team

Programs for Vulnerable Populations

LMG’s work with Programs for Vulnerable Populations

Over 20 countries:• Latin America• Africa • South and Southeast Asia • Middle East• Eastern Europe

Vulnerable populations:• Victims of torture and

trauma• Civilian victims of conflict• Children at risk• People with disabilities

Working in Partnership

SNAPSHOT: International Committee of the Red CrossSpecial Fund for the Disabled and Physical Rehabilitation Program

• What: – Standard operational

package for center-level – Senior Leadership Program

for policy-level• Where: 23+ local rehab

centers in Africa • KRA: Implement and Scale Up• Brownbag: October 10

Why: Improve physical rehabilitation services to help people walk and work again

SNAPSHOT: Ponseti International Association

• What: Identify intervention package to establish, institutionalize, and sustain clubfoot screening and treatment

• Where: Nigeria, Pakistan, Peru

• KRA: Advance and Validate, Implement and Scale Up

Why: Scale up use of proven practice to eliminate neglected clubfoot

Professionalizing Wheelchair Service Provision

• What: – Global sector coordination– Strategic rollout and

institutionalization of WHO training package

– Professional recognition of trained providers

• Where: LMICs globally• KRA: Global Support and

Utilization, Implement and Scale Up

Why: Move from wheelchair distribution to appropriate, high-quality, wheelchair service provision

SNAPSHOT:

SNAPSHOT: Mobility International USA (MIUSA)Women’s Institute on Leadership Development (WILD)

• What: – Document and make the case

for the value of WILD– Make recommendations for

strengthening WILD• Where: Eugene OR with

women from 27 countries• KRA: Advance and Validate,

Implement and Scale Up• Brownbag: November

Why: Strengthen leadership skills and build international networks of women with disabilities and increase support for inclusive development programming

Women and Disability

Disability is a

human rights issue & a

development issue

Women and Girls with Disabilities: “The Double Whammy”

• Two-fold discrimination: as women and as persons with disabilities

• Vulnerable and marginalized • Often invisible

Women with Disabilities: The Facts• 75% of disabled people in low-

and middle-income countries are women (World Bank)

• 1% of disabled women in the global south are literate (UNDP)

• Men with disabilities are almost twice as likely to have jobs than women with disabilities (ILO)

Challenges for Women with Disabilities• Inadequate policies

• Stigma & discrimination

• Lack of access to services, employment

• Inadequate funding for programs

• Lack of participation

Sexual and Reproductive Health Issues for Women with Disabilities

• At higher risk of exposure to HIV & unplanned pregnancy

• Especially vulnerable to sexual assault or abuse

• RH providers often lack knowledge about disability issues

• Lack of access due to stigma that women with disabilities are not sexually active

• Existing programs generally fail to meet specific needs

How are the lives of women living with

disabilities affected?

• Poor health outcomes

• Lower educational achievement

• Less economically active

• Higher rates of poverty

• Many cannot live independently & participate fully in the community

What can women leaders living with disabilities do to face the

challenges?

Advocate for access to

mainstream programs &

services

Advocate for specific programs and services for

people living with disabilities

Advocate for implementation

of the UNCRPD, & national disability

strategies and plans of action

Involve people with disabilities in development

programs

Increase access to employment and means for earning

a livelihood

Inform women living with

disabilities about their rights

Assure that women and girls with disabilities

receive SRH information and

services

Improve capacity of

service providers

Increase public awareness and

understanding of disability

Conclusion

Women leaders with disabilities have a strong

role to play in strengthening the capacity of

organizations to advocate for and deliver services for women and girls with and

without disabilities.

SNAPSHOT: Centers for Victims of Torture (CVT)Partners in Trauma Healing Project (PATH)

• What: – Provide targeted TA to

individual centers– OD/M&E workshop

• Where: 10 local centers in 10 countries

• KRA: Advance and Validate, Implement

Why: Promote long-term organizational viability so PATH partners can strengthen and sustain their missions

Thank you!