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!