2012 lemmen pq iq hiv-berlin-neu

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 |
Department Quality Assurance Institute for Social Health

Welcome!

1. HIV-Prevention in Germany
2. Why PQD? 6 Arguments!
3. Implementing
& Achieving Sustainability

Karl Lemmen, Michael T. Wright: Participatory Quality Development – IQ-HIV 2012

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


1. Why PQD?

1. Background:
History & Mission
Statement of Deutsche
AIDS-Hilfe - Participatory
Tradition: once upon a time
….
2. Background:
UNAIDS: GIPA
= International Standard


2. Why PQD ?

■ Central Role of Participation
Decision making power of key
groups and front line staff at all
stages in HIV-Prevention
Needs Assessment
Project-Planning
Implementation
Evaluation


3. Why PQD ?

■ Focus on Practice Based
Evidence
■ Complement to evidence based
practice
■ Evidence is generated form the
structures and the logic of the
practical work


4. Why PQD ?

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


5. Why PQD ?

■ Tailored processes
■ Adapted to local
conditions, values, capacity
& structure of involved
organization


6. Why PQD ?

■ Feasible methods
■ Proportional to service
provision practice
■ Limited time, integrated
into daily working routine


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

■ 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!

2012 lemmen pq iq hiv-berlin-neu

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