Partnerships for innovation in access to basic services. Five case studies

Partnerships for innovation in access to basic services. Five case studies.

Partnerships for innovation in access to basic services

Latin America• 80% of the population live in urban

areas

• 40% of the population are “vulnerable” and earn US$4-10 a day

• 125 million people lack access to health services

• 30 million people without access to safe drinking water

• 100 million people without improved sanitation

• 40 million lack modern electricity services

Beyond the MDGs • The time limit for achieving the

Millennium Development Goals (MDGs) is 2015

• Results have been unequal

• Effort s are needed to ensure delivery of basic services to the “last mile” of the population

There are initiatives that prove that the provision of basic services can reach the “last mile” of the population in a sustainable manner .

• Research carried out for the Multilateral Investment Fund/Inter-American Development Bank by the Innovation and Technology for Development Centre/Technical University of Madrid, in collaboration with BPD), EHAS and ONGAWA.

• Five case studies that showcase partnership-based models that have successfully expanded access to basic services for marginalized populations and groups.

The project


• Selection of the five studies. Criteria such as geographical and sectoral diversity; length of time in operation; actors; innovations; and results to date.

• Multi-disciplinary team of five senior consultants (one for each study)

• Initial research of documentation on each service model

• Fieldwork (Interviews, meetings and focus groups…)

• Consolidation of the five studies and production of infographics. Careful revision by the promoters of each model

• Final publication. Summary of the case studies and overarching conclusions (emphasis on innovation)

Methodology


Case studies

Inclusive Sanitation Markets Water For People

Comprehensive solid waste management

Ciudad Saludable

“Luz en casa” sustainable energy

AMPAccess to water and

sanitation eThekwini

e-Health in rural areasTulaSalud



Publications

Dry Ecological Toilet as a market opportunity


Tele-training +

Tele-medicine+

Health promotion


Solar Home Systems via a pay-for-service model


Inclusive businesses+

Social inclusion of recyclers

+Environmental impact


Public sector promoted multi-stakeholder partnerships based on incentives


What kind of innovation?

Product Process

Position Paradigm


Product Do it more appropriately

Blending existing technologies


• Products form part of programs or solutions but the focus is always on more than just the product




Local personnel use cell phones, portable ultrasounds and videoconferencing to provide services in remote rural areas

Tula Salud in Guatemala



The transport of waste in motofurgones reduces time and assists the work of the recyclers

Ciudad Saludable (Peru)


• The final product goes beyond provision of a basic need by incorporating user demands



89.1% of the population of District 9 want a toilet, sink and shower in their bathroom. These three elements have been integrated in the Dry Ecological Toilets.

Inclusive Sanitation Markets in Bolivia



• The quality of the product or service goes hand-in-hand with maintenance, capacity-building of local personnel and ongoing research




Solar Home Systems

7 days: Average time for addressing problems in 2013

0.28%: Payment default rate 2013

Luz en Casa Program


Process Do it more simply

Innovations in the way that services are created and delivered


• Adopting flexible collaborative processes



• Knowing the context and local dynamics (not designing from an office)

• Identifying and mobilizing local capacities

• Working with existing local organizations and systems



En 2011, Water For People, in collaboration with the company Casa del Ceramista, reduced the price of the Dry Ecological Toilet by 34%

Mercados inclusivos de saneamiento en Bolivia

Process Do it together


Users are trained in the use of Solar Home Systems and local technicians in their installation and maintenance

Luz en Casa Program



• The services are centered on the user: social marketing and simplicity of use



• Leadership of individuals or organizations that connect the local with the global (rooted cosmopolitans)



• Accepting and learning from mistakes

• Focusing on continuous learning

• Not working in the short-term

• Flexibility to integrate changes



Short-term (tele-consultation), mid-term (tele-training) and long-term programs (health promotion) among the young - ensure that important changes are made in rural health services

Tula Salud Porgram



Changes in the way services are presented to the user and reframed with governments

Position Do it together


• Users assume an active role in the service chain

• Services are adapted to the needs of the user



Community participation is promoted through Photovoltaic Electrification Committees

Luz en Casa Program



• Understanding the diversity of “last mile” communities and working with diverse collectives to address their specific needs



“The toilets have brought big changes to women’s lives. Before they used to have to go to the toilet in the neighboring cane field where they were sometimesattacked or even raped.”

Tandi Sukazi (Municipality of eThekwini)



• Working closely with the public sector to advocate for regulation of the service and the integration of changes within the system



The Ministry of Energy and Mines in Peru has certified the Solar Home Systems as an option for rural electrification

Luz en Casa Program



• Seeking economic sustainability and reduction of costs to the user by combining alternative sources of finance



Paradigm Do it differently

Changes in the mental models that shape what the service offers


“The aim is to support processes that change the vision. I do it, we do it together and then you do it.”

Paloma Román (Ciudad Saludable)



• Producing changes in the perceptions and attitudes of all the participating actors



• Centering on a comprehensive vision of the service while innovating at any part of the value chain (not just at the end)



• Managing to attract a mix of different resources from the public and private sectors as well as civil society



• Introducing lasting changes in institutional practices within organizations, particularly in the public sector



By the end of 2013, the community tele-facilitators were integrated in the public health system in Guatemala

Programa de Tula Salud



What kind of innovation?

ProductDo it more

appropriately

ProcessDo it more simply

PositionDo it together

ParadigmDo it differently


Pilots

Perseverance

Passion

Other 4P at the BoP (BIF, 2014)

Partnering

CONCLUSIONS

Encompassing the whole value chain

New forms of working in partnership

Assigning a new role to users

Generating inclusive businesses and social entrepreneurship

Institutionalizing the models

Exploring, experimenting, learning …

Adopting flexible models

REFLECTIONS

Oriented projects

Oriented services

ReplicabilIty

Re-aplicabilityIslands of change

Systemic

change Making mistakes

Learning

Beneficiaries

Users

1. Finding change agents in place2. Counting on capital and resources to enable experimentation3. Positioning the initiative on the map

The challenges

At the start …

Consolidation…

Maturity and scale-up…

1. Addressing large increases in demand2. Dealing with organizational challenges3. Attracting expert knowledge and specific recourses

1. Sharing the knowledge generated2. Ensuring decentralization 3. Promoting adequate strategies for expansion

¿?How can our institutions support this kind of initiative?

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Partnerships for innovation in access to basic services. Five case studies