dr. wynette redington dr. mark mantey dick keely padre … · dr. wynette redington dr. mark mantey...
TRANSCRIPT
10/26/2014
1
Dr. Wynette Redington
Dr. Mark Mantey
Dick Keely
Padre Pio Rehabilitation Centre (PPRC)
2014-Oct-20th
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 1
… is Enyinndakurom?
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 2★
Padre-Pio Rehabilitation Centre (PPRC) Ahotokurom
★
Enyinndakurom
★
Cape Coast
★
10/26/2014
2
� Started as a Leprosy sufferers’ squatter “Camp”
� Near Ankaful Leprosarium – in 1950’s
� Funding obtained for proper housing
� British National Lotteries Charity Board (1998)
� ‘Friends of Ahotokurom’ -- UK based charity
� Renamed to “Enyinndakurom”
� Meaning “a place beyond our dreams”
� Now: ~190 residents in 80 houses with a
community-centre, shops and paved roads
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 3
/
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 4
Community Centre
★
10/26/2014
3
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 5
� 60 years as a diverse multi-cultural community
� The profile of the village has changed a lot
� Many of the original ‘squatters’ (leprosy-
survivors) have died, or are old and infirm
� Serious concerns – for the long term future
� Need to move beyond ‘acquired dependency’
� Need to plan for a sustainable future
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 6
10/26/2014
4
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 7
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 8
10/26/2014
5
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 9
� Serious issues & concerns surfaced relative to
Enyinndakurom (Table 1)
� Identified during a Strategic Planning exercise
with the PPRC, in Ahotokurom, Aug-2013
� Part of an on-going development project
� Part-funded by Misean-Cara
� Decided to ‘investigate’ these issues with a
view to mitigating them – where possible
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 10
10/26/2014
6
# Issues / Concerns
1 Excessive dependency on allowances and hand-outs
2 Antisocial behaviour – especially the young males
3 Lack of a functioning leadership structure in the village
4 Low education attainment
5 Low self-esteem
6 High unemployment
7 A sense of hopelessness & stigma
8 Lack of ability to address these issues
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 11
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 12
Age-Group Male Female Total Male Female Total
0-20 56 38 94 30.1% 20.4% 50.5%
21-40 16 24 40 9% 13% 22%
41-60 11 14 25 6% 8% 13%
60+ 10 17 27 5% 9% 15%
Total 93 93 186 50% 50% 100%
10/26/2014
7
1. The residents have a (self acknowledged)
reputation for being ‘quarrelsome’
2. Wanted to help them solve some of their main
issues, but not get caught in the crossfire
3. Took a data-driven, problem-focused approach
– using the DMAICR framework (Six-Sigma)
4. The main tools used are outlined in Table 3
and the main activities completed in Table 4
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 13
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 14
10/26/2014
8
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 15
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 16
10/26/2014
9
1. In general the villagers were very cooperative
2. They participated actively and willingly
3. Consultation was key – every step of the way
4. Greatly assisted in that one of the authors (Dr.
Mantey) grew up in the village
5. Respected and trusted by the villagers
6. All interactions conducted in English and the
local (Akan) language
7. Dr. Mantey acting as translator2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 17
10/26/2014
10
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 19
1. Must start by addressing the ‘Critical-Few’
2. The top ~20% of issues (prioritised)
3. Typically causing ~80% of the problems
4. Otherwise – waste a lot of time and effort
5. Delphi Technique is a critical tool
6. It helps people to efficiently & democratically
prioritise their top 20% of issues
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 20
10/26/2014
11
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 21
1. Modern Management Methods can be usedsuccessfully to help very poor and under-developedcommunities
2. How you approach the situation and apply thesemethods is the key to success
3. Positive engagement & trust from the mainstakeholders is essential
4. A top-down (quick-fix / cash-rich) solution-ledapproach is unlikely to be successful – it may makethinks worse
5. A patient, collaborative, bottom-up, problem-focusedapproach is much more likely to succeed
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 22
10/26/2014
12
6. The villagers were always willing and happy to
receive ‘free-gifts’ (cash)
7. But, they actually needed significant non-financial
help – things that they couldn't buy with money
8. They needed sustainable solutions to their core
problems – decision-making, strategic-planning,
leadership, job-seeking, career-advice, etc.
9. This is in keeping with Amartya Sen’s assertion that
“poverty must be seen as the deprivation of basic
capabilities rather than merely a lowness of
incomes…”
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 23
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 24
10/26/2014
13
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 25
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 26
10/26/2014
14
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 27
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 28
13.
Improvement
Initiatives
6. Strengths
7. Weaknesses
8. Threats
9. Opportunities
10. STOP
11. START
12. CONTINUE
4. Mission
2. Stakeholders
1. Scope
3. Vision
Strategic Elements
Tactical Elements
5. Values
10/26/2014
15
4.Vote for
Best Ideas[Silent]
2.Generate
Ideas[Silent]
3.Capture Ideas
[Silent]
1. Define
the Question
5. Collect Votes
6. Review Results
Confidential - PPRC, Ahotokurom & Future Perfect Ltd 292014-Oct
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 30
1. Def
ine
/ Disco
ver
2. Mea
sure
3. Anal
yse
4. Im
prove
5. Con
trol
/ S
ustai
n
6. Rep
ort
Time
Eff
ort
10/26/2014
16
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 31
# Age-Group Male Female
1 0-20 56 38
2 21-40 16 24
3 41-60 11 14
4 60+ 10 17
93 93
Total 186
Enyinnda. 2013 Residents
Total
Male Female
3 3
3 3
2 2
2 2
10 10
20
Representatives
Male Female
19 13
5 8
6 7
5 9
9.3 9.3
9.3
Ratio
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 32
10/26/2014
17
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 33
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 34
# Opportunities
1 utilise the village land for projects e.g. grow vegetables2 the relationship between Ahotokurom (DMJ) & Eyinndakurom3 build on the past while we have the elders (wisdom) with us4 education and development across the board5 for people to set up their own business6 presence of the DMJ in supporting the education program7 the information technology lab located in Enyinndakurom
8develop the leadership of the community through the strategic planning program
9 care at Saint Clare's when the need arises10 availability of free public toilets11 benefactors support in developing income generating projects12 develop unity amongst the community13 availability of friends internal and external to Eyindakurom14 do communal work and care for our environment
Votes % Cum %21 12.7% 12.7%
17 10.3% 23.0%
17 10.3% 33.3%
13 7.9% 41.2%
10 6.1% 47.3%
9 5.5% 52.7%
8 4.8% 57.6%
8 4.8% 62.4%
7 4.2% 66.7%
6 3.6% 70.3%
6 3.6% 73.9%
5 3.0% 77.0%
5 3.0% 80.0%
5 3.0% 83.0%
10/26/2014
18
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 35
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90
Residents
Age-Group
Enyinndakurom
Census 2013 Male
Female
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 36
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
Job / Income Situa on Family
Life
Village
Life
Overall Happiness/
Sa sfac on
Housing Situa on
Enyinndakurom Head-of-Household
Sa sfac on Survey 2014 Posi ve
Neutral
Nega ve
10/26/2014
19
2014-Oct Confidential - PPRC, Ahotokurom & Future Perfect Ltd 37
Age F M Total F M Total F M Total
child 0-5 3 12 15 5 12 17 2 0 2
student 6-20+ 33 42 75 34 43 77 1 1 2
employed 6 10 16 4 11 15 -2 1 -1
self-employed 16 8 24 20 7 27 4 -1 3
unemployed 23 14 37 16 16 32 -7 2 -5
retired 60+ 10 7 17 8 9 17 -2 2 0
91 93 184 87 98 185 -4 5 1Total
2013 2014 CHANGEPopulation & Employment
21-60+