Civil Society Engagement Towards Health For All (CSE4HFA)

Civil Society Engagement
Towards Health For All
(CSE4HFA)
Notes on PHM project with
IDRC
July Planning Workshop
Cape Town, July 2014
PHM’s problems
• Resource mobilisation
• Being more effective in contributing to building a
global social movement for health for all, in
particular, in five key program areas:
– campaigning and advocacy (locally, globally,
thematically)
– movement building at country level
– knowledge generation and dissemination
– capacity building and training
– engaging with global health governance
The research problem
• How civil society engagement (CSE) (around access to
health care and action on the social determination of
health) contributes to achieving ‘health for all’?
• How community members, organisations and
networks might approach such engagement for HFA
more effectively?
• How policy makers and funders might support CSE for
HFA more effectively?
• Need for research capacity building, particularly within
civil society, as part of organisational learning
Background
• Defining ‘Health for All’ in terms of
– access to decent health care
– action on social determination of health
• Recognising the failure to deliver HFA
– much evidence and commentary
– epitomised by the shortfalls in the health MDGs
– also GHW and the PCH
• About the role of social movements in the
dynamics of historical change
– labour, women’s, environment movements
– treatment access campaigning
Theory
• Social change dynamics through
which social movements can shape
health development
– relations between social movements
and political movements
• Elements of practice
• Strategic principles
• Role of policy and funding support
Research considerations
• Beware reifying CSE (social movement activism) as a
singular form of practice: it is always contingent
• Research questions
– Not: does CSE influence social change?
– But:
• what are the dynamics of social change that it
can influence?
• what are the elements of practice?
• what principles?
– But not to abstract these dynamics, elements of
practice and strategic principles from their context
Research strategy
• Focus on five themes (including but not limited to
PHM’s work in the five areas): campaigning and advocacy;
movement building; knowledge generation and dissemination;
capacity building and training; engaging with global health
governance
• Explicit 'program logic' as the basis for data collection
and data analysis
• Undertaking both evaluation and research
– evaluating PHM’s programs in terms of inputs, process,
outputs, outcomes (program logic)
– researching putative causal relations (in the pathways from
CSE to HFA) through a multiple case studies approach
• Participatory action research: doing differently and
better through systematic participatory reflection on
practice (at the global and at the country level)
Jul 2014-Feb 2015
March-Sept 2015
Oct 2015
Nov 2015-Aug 2016
Sept-Nov 2016
The five themes
1. Campaigning and advocacy (including PHM’s
HFA campaign platform)
2. Movement building (including PHM's country
circle support activities)
3. Capacity building and training (including IPHU)
4. Knowledge generation and dissemination
(including GHW)
5. Policy dialogue and engagement with global
health governance (including WHO Watch)
Five themes must not fragment the integrity and coherence
of PHM’s programmatic work, or more broadly of social
movements strategies for change.
Program logic and Phase 1
data collection and analysis
• Preview program logics
• Preview accompanying paper
• Discuss/adapt to country level context
(by country circle)
• Data collection, at country level and
globally (July 2014-Feb 2015)
• Data analysis both at country level and
globally (March-Sept 2015)
Undertaking both evaluation
and research
– evaluating PHM’s programs in terms of
inputs, process, outputs, outcomes
(program logic)
– researching putative causal relations (in
the pathways from CSE to HFA) through
a multiple case studies approach
Country level work
•
•
•
•
Research capacity
PHM country circle activity
Country priorities
Questions
– coordination
– capacity building
– specific issues
Work at the global level
• Project coordination
• 'Comparative' country data analysis
• Coordination + research on PHM
global programmes
Theme 1. Campaigning and
advocacy
• Progress towards HFA is driven by more effective
campaigning which depends on building a
stronger global movement and both in turn
depend on stronger networking (local, vertical,
global and intersectoral).
• Stronger networking (and campaign
collaboration) includes building relationships and
collaboration with existing community
organisations and networks and with researchers,
officials and practitioners.
Theme 1. Campaigning and
advocacy
• Descriptive data about campaigns (including
those in which PHM was involved but not limited
to them)
• Include campaign ideas which did not emerge
into campaigns
• Data collection through a combination of:
preliminary questionnaire based surveys,
interviews with key informants, document
analysis, etc.
• Campaign stories produced will constitute a set of
case studies for 'comparative' analysis
Theme 2. Movement
building
Community mobilisation / campaigning, network
strengthening, stronger social movement depend on
infrastructure and process including:
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regional (and global) coordination
community level activists participating in international
activities (such as PHM’s global programs)
community level activists making links with various networks
with a more specialist focus (nutrition, health system, access
to medicines, mining, etc)
resources for interpreting and translation
relationship building (personal contact, lists, communication,
conferences, visits, collaboration)
Theme 2. Movement
building
• Data on the progressive health movement
nationally (using the broader understanding of
'health'), including PHM as a subset of that
movement
• Document a structured history of the HFA
movement in countries based on interviews,
focus groups and document analysis
• Structured histories will form as series of case
studies of country level movement building
Theme 3. Knowledge
generation and dissemination
Role of knowledge generation and dissemination in
mobilisation around HFA. Progress towards HFA is
driven by:
●
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stronger civil society engagement
more effective movement building and campaign
collaboration
(as a consequence of better informed civil society)
The input and process pathways include:
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priority setting with respect to information needs
content development
product and media development
publicity, marketing and dissemination.
Theme 3. Knowledge
generation and dissemination
• Document knowledge development and
dissemination activities of selected CSOs in the
form of structured narratives (based on
questionnaires, interviews and document
analysis)
• Review campaigns and reflect upon the role of
knowledge in those campaigns
• Identify priority health issues and explore whether
lack of information/knowledge is a barrier to
effective civil society engagement
Theme 4. Capacity building
and training
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Excellent learning opportunities for priority
audiences contribute to both strengthening
progressive health movements generally and
strengthening PHM
Excellent learning opportunities for priority
audiences depend upon:
– quality of training needs analysis and curriculum planning
– availability and quality of training opportunities and
resource persons and materials
– effectiveness of publicity and recruitment.
●
These three success factors depend on:
– educational design
– resource development
– course organisation and coordination, presentations and
teaching
Theme 4. Capacity building
and training
• Capacity building programmes of CSOs involved
in health activism (including IPHUs as both a local
activity and a PHM global programme)
• Data collection on inputs (educational design,
resource development, resource persons, etc),
process (learning opportunities), outcomes
(health activism, movement building, mobilisation
towards HFA)
• Template for IPHU evaluation/research; need for
in-country adaptation related to type of training
programmes included
Theme 5. Policy dalogue
and engagement with GHG
• Engagements between civil society and the
structures and dynamics of global health
governance (World Bank, WTO, Global Fund...),
including PHM's WHO Watch project
• Data collected at both the global and the
in-country level
• need for in-country adaptation related to type of
activities included
Participatory action research
(Phase 2)
• Doing differently and better through
systematic participatory reflection on practice
• Regional analysis and planning workshops
(Month 18: October 2015) back to back with
regional IPHUs
• Detailed protocols for further data gathering
(Months 19-29)
• Data analysis (Months 29-31)
• Final analysis and conclusion workshop
(Month 32)
• Dissemination (Months 33-36)

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