2011 lemmen pq santa fe new

PQD/PQE
Participatory Quality Development
A new Approach to HIV-Prevention

Karl Lemmen Prof. Dr. Michael Wright
German AIDS-Hilfe e.V. Catholic University of Applied Sciences Berlin |
Institute for Social Health

Aidsimpact 2011
10th International Conference Santa Fe
12th - 15th September 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

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

BZgA – Federal Center for Health Education:
Generally accepted Messages for Everybody

Stay strong!

Don’t’ give
AIDS a chance
Join in!


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


A
From achen to wickau: Z
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 frot
line 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
Stage 7 Partial decision-making power

Stage 6 Co-determination Participation
Stage 5 Inclusion
Stage 4 Hearing
Preliminary Stages of Participation
Stage 3 Information
Stage 2 Directive
Stage 1 Instrumentalization Non-Participation


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. Evaluation
How do we know what works?

Evaluation Data: PQ-Training 2009 & 2010

Benefit for work Overallscore Organization Context Skills of Trainers

1-2009 100 1.8 2.5 3.4 1.4
2-2009 92 1.1 1.3 2.2 1.1
3-2009 90 1.4 1.5 2.3 1.1
1-2010 100 1.3 1.8 1.6 1.0
2-2010 84 1.3 1.5 2.3 1.0
3-2010 100 1.4 1.9 2.0 1.2


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!

2011 lemmen pq santa fe new

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