Me Session 3 Context of Decision Making 1-31-11!4!14 11[1]

7/28/2019 Me Session 3 Context of Decision Making 1-31-11!4!14 11[1]

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CONTEXT OF DECISIONMAKING

S es s i o n 3


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Session Objectives

Explain the context of decision making

Define the concept of stakeholders

Explain the importance of involvingstakeholders throughout the data use indecision-making cycle

Introduce the Stakeholder Analysis andEngagement tools


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Session Overview

Context of decision makingStakeholders

Decisions

Data

Small Group Activity 3: Stakeholder Analysisand Engagement


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Group Participation

How can we ensure that informationis being used to make diagnoses

and inform decisions?


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Stake-

holdersDecisions

Context of Decision Making

Data


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Stake-

holdersDecisions


Data


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What Is a Stakeholder? Any person, group, or organization with aparticular interest in a policy or program

Government agenciesBeneficiariesPolicymakersFunding agenciesProviders / implementersCivil societyResearchersM&E specialists


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Stakeholders

Nongovernmental organizationsProfessional associations

Religious leaders

Journalists/media

Private sector/business


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Data Producers vs. Data UsersData producers think that decision makers: Value political considerations over evidence Are unprepared to measure or evaluate the

consequences of their decisions

Decision makers or data users think that healthresearchers and M&E specialists:Lack responsiveness to prioritiesFavor numbers / jargon over transparentcommunicationPrefer written reports to face-to-face conversation


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Importance of Knowing Your Stakeholders

View activities from different perspectives

Have different degrees of understanding

Need / want different information

Need information at different levels of complexity

Have different intensities of interest

Have different roles in the decision-making process


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Results of Involving Stakeholders inData Use Process

Relevance of data

Ownership of data

Appropriate dissemination of data

Use of data


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Stakeholder Analysis Matrix& Engagement Plan

Clarify who has interest in a program andwhat that interest is

Identify who can help a program andhow, and who can hurt it

Help you use this information for thesuccess of the planning effort


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Stakeholder Analysis Matrix

The Stakeholder Analysis Matrix is a frameworkand process for:

Identifying stakeholders

Defining their roles and resources

Identifying dynamics among stakeholders

Setting the optimum stakeholder group


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Stakeholder Analysis Matrix

Name of Stakeholder organization,group or individual

Stakeholder description Primary purpose,affiliation, funding

Potential role inthe issue or activity

Level of knowledge of the issue

Level of commitment Support or oppose theactivity, to whatextent, and why?

Availableresources Staff, money,technology,information,influence


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Name of stakeholder organization,group, or individual

Stakeholder description Primary purpose,affiliation, funding

Potential role inthe issue or activity

Level of knowledge of the issue

Level of commitment Support or opposethe activity, to whatextent, and why?

Availableresources Staff, money,technology,information,influence

National AIDSControlCommittee(NACC)

Involved inplanning,implementation,M&E of allHIV/AIDSprograms in thecountry;

approves donor and NGO-fundedHIV/AIDSprograms

Facilitates thestakeholder meeting,prepares for meeting byidentifyingdata sources

and preparingan agenda

High receivesreports onPMTCTactivitiesfrom MCHdivision at

MOH;Mediumlevel of knowledgeof intlguidelinesand studies

Stronglysupports activitybut hesitant touse internationaldata sources.NACC opposesuse of the DHS

and most recentinternationalestimates, as itconsiders thesesources tooverestimate HIVprevalence

Staff availableto facilitate;room andcomputersavailable for meetings atNACC

headquarters

Stakeholder Analysis MatrixProgram issue Develop plan (inc. M&E plan) to scale up PMTCT programs throughout system. Proposed activity Convene stakeholders to identify priorities based on available data and develop action plan.

Date November 2006


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How to Involve Stakeholders

Quarterly program management meetingsQuarterly meetings to interpret RHIS data

Involvement of facility staff to interpret program

dataM&E system improvement

Indicator planning and/or harmonization

Data quality review meetings


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Stakeholder Engagement Plan

Stakeholder organization, group,

or individual

Potential rolein the activity

Engagementstrategy

How will you engagethis stakeholder in the activity?

Follow-up strategyPlans for feedback

or continuedinvolvement

Program issue Proposed activity Date


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Stakeholder Engagement Plan

Stakeholder organization,group, or individual

Potential rolein the activity

Engagement strategy How will you engage this

stakeholder in theactivity?

Follow-up strategy Plans for feedback or

continuedinvolvement

National AIDSControl

Committee(NACC)

Facilitates thestakeholder meeting,

prepares for meetingby identifying datasources andpreparing an agendathat allows for thesources to bediscussed

The NACC is the leadin this activity. It will

be important for theNACC to involvemore specifically thePMTCT coordinator,clinical carecoordinator, andNational AIDSProgram Coordinator

The NACC isresponsible for

following up with theprioritizedstakeholders

Program issue Develop plan (inc. M&E plan) to scale up PMTCT programs throughout system. Proposed activity Convene stakeholders to identify priorities based on available data and develop action plan. Date November 2006


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Stake-

holdersDecisions


Data


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Decision Areas

Program design and evaluation

Program management and improvement

Strategic planning Advocacy and policy development


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Program Design and Evaluation

Design

Select messages for prevention campaigns

EvaluationDetermine if new program approaches areneeded to ensure that health impact

objectives are met


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Program Management andImprovement

Management

Determine if the program is meeting itsprocess objectives

Improvement

Develop new strategies to increasecoverage


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Strategic Planning

Identify geographic areas of highestneed

Determine human resource allocationDetermine which of offered services ismaking the greatest impact


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Advocacy and Policy Development

Identifying and quantifying underservedpopulations

Identifying focus areas for new policies


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Stake-

holdersDecisions


Data


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Data and Information

CensusVital events dataSurveillance data

Household surveysFacilities-level service statisticsFinancial and management informationModeling, estimates, and projectionsHealth research


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Stake-

holdersDecisions

Factors Other than Data thatInfluence Decisions

Data

Political Ideology

Competing

Priorities

Power Relationships

Public Opinion

Arbitrariness


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Stakeholders Involve new counterparts

Strengthening the Decision-making Process

Decisions Understand service delivery realities

Data May require additional data


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Key Messages

Every decision is made in the context of available data and stakeholders

Critically assessing and involving stakeholders

will facilitate data-informed decision making


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Small Group Activity 3: InstructionsBreak into small groups.

Each group should select a decision that they make intheir work settings and complete the Stakeholder

Analysis Matrix around that decision.

A minimum of 7 stakeholders should be identified.Complete the Matrix across the columns for 1 2stakeholders.

Select 1 stakeholder and complete the Stakeholder Engagement Plan for that stakeholder.Time for activity : 45 minutes


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Group Work Report Back

Have note taker transfer your final Stakeholder Analysis Matrix onto flip chart paper

Share the decision your group chose

Share the priority stakeholders selected

Choose 1 stakeholder and share the entire rowfrom the Matrix for that stakeholder

Share the Engagement Plan for the samestakeholder Time for report back: 10 15 min per group


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THANK YOU!

MEASURE Evaluation is a MEASURE project funded by the U.S.Agency for International Development and implemented by the

Carolina Population Center at the University of North Carolina atChapel Hill in partnership with Futures Group International, ICFMacro, John Snow, Inc., Management Sciences for Health, andTulane University. Views expressed in this presentation do notnecessarily reflect the views of USAID or the U.S. Government.

MEASURE Evaluation is the USAID Global Health Bureau's primaryvehicle for supporting improvements in monitoring and evaluation in

population, health and nutrition worldwide.

Visit us online at http://www.cpc.unc.edu/measure

Documents

Me Session 3 Context of Decision Making 1-31-11!4!14 11[1]