2011 lemmen pq santa fe new

PQD/PQE Participatory Quality Development

A new Approach to HIV-Prevention

Karl Lemmen

German AIDS-Hilfe e.V.Prof. Dr. Michael Wright

Catholic University of Applied Sciences Berlin |

Institute for Social Health

Aidsimpact 201110th International Conference Santa Fe

12th - 15th September 2011

Karl Lemmen, Michael T. Wright: Participatory Quality Development - Aidsimpact 2011

Welcome!

1. HIV-Prevention in Germany

2. PQD: a new Approach to HIV-Prevention

3. Achieving Sustainability with PQD

4. International Perspectives: IQ HIV


BZgA – Federal Center for Health Education:

Generally accepted Messages for Everybody

Stay strong!

Join in!

Don’t’ give

AIDS a chance


Deutsche AIDS-Hilfe e.V. - Focussing key

groups: MSM, IVDU, Sexworkers, Migrants


Umbrella Organization: Leadership &

Lobbying for Vulnerable Groups

■ 1 National Office

■ 122 Local & Regional ASOs

■ 9 Peer Networks of PWA/Target

Groups

Bottom up Organization with high

Participatory Tradition


From Aachen to Zwickau:

Quality Assurance = Work in Progress


A – Z: National Demonstration Project

12 local ASOs


New Approach to QA: PQD is based on

■ Practice based evidence■ Complement to evidence based practice

■ Evidence is generated form the structures and the logic of the practical work (PDA-Cycle!)

� Participation

� Decision making power of target groups and frotline staff at all stages

� Not either/or: but a developmental process, dependant on local charactersistics


New Approach to QA: PQD is based on

■ Central role of local experts■ Structuring and testing local theories

■ Expanding local knowledge

■ Tailored processes■ Adapted to local conditions, values, capacity &

structure of involved organization

■ Feasible methods■ Proportional to service provision practice

■ Limited time, integrated into daily working routine


PQD Applications

■ Project planning, stakeholder consultations and decision-making

■ Long-term commitment to participatory quality improvement

■ To increase stakeholder participation


Tools to support implementation of PQD

■Homepage = Handbook

■Workshops

■Consulting: call an expert


www.pq-hiv.de

■ Handbook

■ Theory & Concepts

■Methods

■Good practice

examples

■ Links & Literature

■ English Translation in

preparation !


Handbook Theory: Stages of Participation

Stage 9 Self-Organization Goes beyond participation

Stage 8 Decision-making power

ParticipationStage 7 Partial decision-making power

Stage 6 Co-determination

Stage 5 Inclusion

Preliminary Stages of ParticipationStage 4 Hearing

Stage 3 Information

Stage 2 Directive

Non-ParticipationStage 1 Instrumentalization


Handbook: Methods More participatory

Service User Advisory Committee

Guided Working Group Open

Space

Focus Group

Rapid Assessment

Enquiries and Concerns Register

Observation

Less participatory


Methods: Pdf for easy download

■ Circles of Influence

■ Reflect on participatory

decision making process


Good Practice Examples

■ Evaluation of onsite MSM-

prevention

■ Thank you for Safer Sex!

■ Sittenstrolche Munich


Skill Building: 3 Workshops

1. Epidemiology

& Needs Assessment

■ Who is most at risk at the local level?

■ How do we know what our target

groups need?

2. Project Planning &

Implementation

■ What do we want to achieve at the

local level?

3. EvaluationHow do we know what works?


Evaluation Data: PQ-Training 2009 & 2010

1.12.31.51.490 3-2009

1.02.31.51.3842-2010

1.22.01.91.41003-2010

1.01.61.81.31001-2010

1.12.21.31.192 2-2009

1.43.42.51.81001-2009

Skills of TrainersContextOrganizationOverallscoreBenefit for work


Consulting: call an expert

■ External support to solve a

local question/problem

■ e.g. Sittenstrolche Munic:

Evaluation of onsite

prevention

■ Stimulus for local

organisational development

■ e.g. to enhance local

collaboration


Lessons Learnt 2006 - 2011

■ There’s a need…

■ for useful tools and ongoing support

■ to connect skill building with organizational development

■ You’ve got to understand the importance…

■ of a local focus & national collaboration

■ of creating a culture of critical discourse on quality

■ It’s crucial to gain a deeper insight into…

■ How frightening Quality Assurance can be

■ How you can respect the fear of incompetence


International Perspective

■ European Initiative followed the "How Do We Know What

Works?" conference in 2010

■ Convened by BZgA, WHO Europe and AIDS Action Europe

■ Information, Practical Tools, Capacity Building, Technical

Assistance

■ Website, Downloads, Workshops, Advice

■ PQD is one of the first three practical QI tools adapted and

promoted by IQhiv


International Perspective

■www.iqhiv.org


Conclusion

■ Advantages: ■ strong philosophical base to support change

management

■ wide range of methods to suit many contexts

■ Disadvantages: ■ need to engage with the theory first

■ may require organizational development, training or technical assistance


Thank you

for your attention!

Health & Medicine

2011 lemmen pq santa fe new