Welcome to Freedonia

Bringing the Real World of

Health Care Planning to Life through Scenario-based Learning and Assessment

Lorraine Dardis, ICH, UCL

23 Feb 2012

MSc ModuleHealth District Management:

Planning and Programme Design

Learning that transports

participants in London

to the Semisand District

of Freedonia

NB: An Example of Global Cooperation in Learning

• Developed by the Australian Centre for International and Tropical Health and Nutrition, (CITHN) University of Queensland

• 1998 - 2000 “joined mutual improvement” by CITHN and the Swiss Public Health and Tropical Institute, (SPHTI) Basel, then run independently by SPHTI

• Run at UCL Centre for International Health and Development (CIHD) in 2007 jointly with SPHTI, then independently at CIHD in 2008

Course Rationale and Overview

• Why? Expertise in management of health programmes increasingly important

• How? Through facilitated scenario-based learning, participants learn key programme design concepts and develop insights and knowledge applicable in the field

• What? Plan a district-level health programme in a simulated country, using a logical framework approach.

What Participants Set Out to Accomplish

Design a health programme and write a project proposal to assist the Semisand District of The Republic of Freedonia to

• reduce, eliminate, eradicate or address a specific health problem and associated morbidity & mortality

• improve the health of the population of the district

The Team Scenario

• Specialist roles in a team of 6 national and international experts who have been recruited to make a brief visit to Semisand to assist in the design of a project

• The IDAA (funder) has committed 2 weeks funding for the design mission

• Up to $ 2,350,000 over 5 years may be available for the project itself

Participants’ Specialist Roles in Health Project Design Team

By working in a team

• Apply inter-professional teamwork, key in public health and management practice

• Approach problems holistically in order to achievea broader and more complete design with the

limited time and resources available

Underlying Principles

By taking a specialist role in team and using new “lenses” • See things in different ways• Learn others’ perspectives • Broaden one’s knowledge and skills base

By applying a strategic health management tool • Practice real-life tools and acquire transferable

professional skills

Underlying Principles

Individual Assessment: Situation Analysis from Specialist Role Perspective

Written evaluation of:•Political and economic environment•Social environment and the community•Health status and trends•The health system•Freedonia Health Policy•IDAA (donor) Guiding Principles•Guiding Principles of proposed approach

Learning Objectives for Situation Analysis Assessment

• Appraise the importance of situation analysis in planning health programmes

• Analyze the Freedonia / Semisand situation according the specialist role taken

• Identify strengths, weaknesses, opportunities and threats (SWOT) from the given situation

• Write up the situation analysis according to provided framework

Group Assessment: Presentation to Funding Body and National/District Leaders

• 15-20 minute oral presentation on– Situation analysis– Rationale and Approach– Project description – Expected benefits– Management and Financing– Monitoring and Evaluation– Assumptions, risks, feasibility, sustainability

Group Assessment: Written Project Proposal

• Project Proposal: 18,000-20,000 words, including Annexes

• Main text: 9 - 10,000 words• Annexes:

Logframe Matrix; Activity log; Budget; Timelines; Job descriptions; Project Organogram

Group Project Learning Objectives

• Define target population & formulate project objectives in context of national development goals and international “good practices”

• Define outputs (results) that will enable satisfactory achievement of objectives

• Identify verifiable/performance indicators which will identify performance in terms of output and objectives

Group Project Learning Objectives

• Outline strategies and indicate activities required to produce proposed outputs

• Determine inputs necessary for completing proposed activities (staff, supplies, equipment, financial means, etc.)

• Identify most significant assumptions and risks underlying implementation of proposed activities at each level

• Prepare complete project proposal • Present and defend design and rationale

Thank you for visiting Freedonia