strategic plan overview - massachusetts institute of...

26
1/23/2009 1 Strategic Plan Overview Kyetume Community-Based Health Care Programme Strategic Plan for 2009-2014 23-Jan-09 2 Prepared by: MIT Sloan Global Entrepreneurship Lab Global Health Delivery 2008-2009 Kyetume CBHCP Team o Deborah Schapira (Team Leader) o Lisa Griffiths o Catharina Lavers o Jon Potter Presented January 23, 2009 CONFIDENTIAL

Upload: others

Post on 07-Jul-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

1

Strategic Plan Overview

Kyetume Community-Based Health Care Programme

Strategic Plan for 2009-2014

23-Jan-09 2

� Prepared by:

MIT Sloan Global Entrepreneurship Lab

Global Health Delivery 2008-2009

Kyetume CBHCP Team

o Deborah Schapira (Team Leader)

o Lisa Griffiths

o Catharina Lavers

o Jon Potter

� Presented January 23, 2009

CONFIDENTIAL

Page 2: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

2

Process Overview

23-Jan-09 4

KCBHCP Strategic Planning 2009-2014

Strategic Planning Process

2. Determine

Desired Future

State

1. Assess

Current State

Current

Programmes

Current

Financial

Support

Where we

are...

Vision,

Mission,

Goals

External

influences

Where

we want

to be...

Determine

organizational

changes

3. Identify Gaps and

Recommend Strategies

4. Plan

Implementation

Programme

Plan

Funding

Plan

2009-

2014

Strategic

Options

Risk and

Reward

Benefits

& Risks

Interviews and

Larger

Meetings

Interviews and

Document

Review

Analysis of Interview

Data

Brainstorming Strategies

Develop Metrics

Progress to Plan

Programme

Decisions

Fundraising

Decisions

To develop KCBHCP’s strategic plan, the team undertook an abbreviated version of the below process.

CONFIDENTIAL

Page 3: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

3

23-Jan-09 5

Strategic Planning Framework

Time

Goal

Actions driven by strategy

Where arewe now?

Mission: Why are we in

business?

Values: What are our

enduring principles

and beliefs? Vision: Where do we

want to be in 2014?

Strategy: How do we get

there?

KCBHCP’s values, mission and 5-year vision guided the process for determining a strategy to reach these goals.

CONFIDENTIAL

Organizational Overview

Page 4: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

4

Strategic Plan Terminology

Values

Vision

Mission

Guiding Principles

Goals

Strategies

Programme Tactics

23-Jan-09 7

Distinctions were made regarding KCBHCP’s values, vision, mission, guiding principles, goals, strategies and tactics.

What KCBHCP believes in

How KCBHCP envisions the result of their work

What KCBHCP aims to serve, be and do

Beliefs that inform KCBHCP decisions and priorities 2009-14

Big picture goals for 2009-14

Specific strategies to achieve organizational & programme goals

Specific tasks and plans for how to accomplish the goals

Terminology Explanation

CONFIDENTIAL

23-Jan-09 823-Jan-09 8

Statement of Values

� KCBHCP believes in human rights and equal treatment of all individuals,

regardless of religion, race, creed, health, economic or social status

� KCBHCP is a participatory, community-based organization that values the

contributions of all stakeholders including staff members, volunteers, beneficiaries,

government leadership and the community at large

� KCBHCP respects and values the multiple religious denominations within

Mukono South and their role in mobilizing the community

� KCBHCP develops and revises programmes and activities in response to the needs

of the community

� KCBHCP believes in providing holistic, wide-reaching care to the community,

especially those who are underserved

� KCBHCP attempts to implement change by influencing the behavior of the

members of the community

Source: KCBHCP Executive Board meeting

CONFIDENTIAL

Page 5: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

5

23-Jan-09 923-Jan-09 9

KCBHCP’s Vision

KCBHCP exists to see a productive healthy society responsive to its

fundamental human rights and obligations.

Kyetume’s organizational vision for 2014 is one of financial

strength and demonstrated impact through quality, holistic support

services for the residents of Mukono South.

CONFIDENTIAL

23-Jan-09 1023-Jan-09 10

KCBHCP Mission Statement

Kyetume CBHC Programme strives to improve the

general health standards of underserved rural people

within Mukono District and Uganda at large by

influencing socio-economic and spiritual behavior of

rural communities using a community based

involvement/participatory and human rights

approach.

CONFIDENTIAL

Page 6: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

6

23-Jan-09 1123-Jan-09 11

Guiding Objectives for KCBHCP

� To advocate for recognition, protection and provision of quality health care as a fundamental human right

� To reduce maternal and infant mortalities and morbidity rates among the rural population� To promote family planning and reproductive health among our target populations to avoid

unplanned pregnancies resulting in unmanageable family sizes� To reduce further transmission of HIV/AIDS and to enhance the psychological and social

adjustment of those already infected and affected

� To establish, support and improve the existing income generating activities for poverty reduction, nutrition, and food security

� To facilitate the increase of community support programmes aimed at uplifting community standards through preventative health, nutrition, environmental sanitation and access to safe water sources

� To build and enhance the capacity of the target community to be able to identify and prioritize their needs and problems to make appropriate interventions in a participatory manner

� To promote strategies geared toward environmental protection including wetlands� To support functional adult literacy as an approach to sustainable development

CONFIDENTIAL

23-Jan-09 1223-Jan-09 12

Core Strengths of KCBHCP

� Community trust and involvement

� Committed leadership and volunteers

� Involved and visionary Executive Board

� Sound physical infrastructure at Kyetume Health Center and

Kyetume CBHCP Emma & Greg Resource Center

� Expertise in both programmes and clinical care

� Integrated approach to health services, education, socio-

economic empowerment and spiritual development

Source: Stakeholder interviews

CONFIDENTIAL

Page 7: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

7

23-Jan-09 1323-Jan-09 13

External Perceptions of KCBHCP

Source: Stakeholder interviews

• Thankful for free or low-cost health services, programmes and training

• Disappointed when programmes are discontinued (ex. home visits in Katosi)

BeneficiariesBeneficiaries

• Perceive KCBHCP as a stable and transparent organization; an important part of the community

• Considers the role of KCBHCP when creating county’s strategic plans

Government Leaders

Government Leaders

• Value KCBHCP’s holistic approach, particularly clinical facilities, community involvement and participatory approach to health care

• Have mixed opinions on KCBHCP’s grant reporting

DonorsDonors

CONFIDENTIAL

Strategic Overview &

Five-Year Vision

Page 8: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

8

23-Jan-09 1523-Jan-09 15

Overarching Goals 2009-14 (1)

� Goal 1: Increase and diversify revenue portfolio in order to secure stable funding and improve KCBHCP’s long-term financial position.

� Goal 2: Improve the recruitment, retention and development of KCBHCP human resources, including personnel, volunteers and partners, resulting in a transparent, client-friendly, professional organization.

� Goal 3: Define and develop programme focus by balancing the portfolio of activities and investing in programme development in order to more fully meet the mission of holistic, community based care.

CONFIDENTIAL

23-Jan-09 1623-Jan-09 16

Overarching Goals 2009-14 (2)

� Goal 4: Improve KCBHCP’s ability to measure programme

impact and client health outcomes in order to implement

continuous improvement strategies and increase

organizational learning.

� Goal 5: Grow KCBHCP programmes at an appropriate and

sustainable pace in order to maximize the organization’s

impact in the community and continue expanding its reach.

CONFIDENTIAL

Page 9: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

9

23-Jan-09 1723-Jan-09 17

Goal 1: Increase and diversify revenue portfolio

in order to secure stable funding and improve

KCBHCP’s long-term financial position.

� Strategy: Increase earned income

� Implement a sliding-scale fee structure in the health

centre that is fair to clients and enforceable by Kyetume

staff.

� Pursue earned income opportunities across all

interventions as a foundational source of revenue for the

organization.

CONFIDENTIAL

23-Jan-09 1823-Jan-09 18

Goal 1: Increase and diversify revenue portfolio

in order to secure stable funding and improve

KCBHCP’s long-term financial position.

� Strategy: Diversify funding sources

� Increase fundraising capacity through additional

administrative staff devoted to fundraising and ongoing

training in fundraising programme implementation.

� Develop stable revenue base through the patient

implementation of a fundraising programme that

emphasizes consistent, long-term funding from a variety

of sources in multiple categories.

CONFIDENTIAL

Page 10: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

10

23-Jan-09 1923-Jan-09 19

Goal 2: Improve the recruitment, retention and

development of KCBHCP human resources.

� Strategy: Focus on staff development and retention activities that incentivize long-term employment and professional growth of employees within the organization.� Improve operational effectiveness by increasing leadership capacity within the organization, focusing on developing the management team and beginning to plan for succession of key leaders.

� Invest in staff by offering continued training and recurrent vocational education opportunities, or by enabling staff to take short-term leaves in order to enroll in training programmes related to their work.

CONFIDENTIAL

23-Jan-09 2023-Jan-09 20

Goal 2: Improve the recruitment, retention and

development of KCBHCP human resources.

� Strategy: Increase ability to reward and retain

volunteers.

� Improve volunteer recognition programmes by hosting

events, providing small supplies to support their work

and presenting annual awards. Focus on reinforcing their

role as key stakeholders in the organization.

� Develop systems for managing the work of visitors and

foreign volunteers, defining possible projects and

appointing a member of the management team to serve

as a lead liaison.

CONFIDENTIAL

Page 11: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

11

23-Jan-09 2123-Jan-09 21

Goal 3: Define and develop programme focus

by balancing the portfolio of activities and

investing in programme development.

� Strategy: Balance KCBHCP’s programme portfolio so that non-HIV specific programmes are as effective as HIV-related care programmes. � Increase investment in maternal and child health and economic support programmes. Develop a range of activities within this portfolio, including Orphans & Vulnerable Children, School-based health education, women’s health, tuition assistance and food security programmes.

� Increase operational effectiveness at the management level so that all programmes are adequately staffed, supported and supervised.

CONFIDENTIAL

23-Jan-09 2223-Jan-09 22

Goal 3: Define and develop programme focus

by balancing the portfolio of activities and

investing in programme development.

� Strategy: Increase disease-prevention activities to decrease the incidence of our most-commonly treated infectious diseases.� Identify key factors contributing to the most prevalent infectious diseases and define strategies for preventing the continued proliferation within Mukono County South.

� Increase education and other prevention activities, including community outreach and sensitization through churches, theater activities, workshops, and school-based health care services and programmes.

CONFIDENTIAL

Page 12: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

12

23-Jan-09 2323-Jan-09 23

Goal 4: Improve KCBHCP’s ability to measure

programme impact and client health

outcomes.

� Strategy: Assess the effectiveness of current and desired future measures of programme and treatment outcomes and strengthen ongoing monitoring.� Begin a targeted impact assessment process focused on analyzing success-rates for key programmes, with a goal of continuous reassessment for the programme portfolio, determining programme strengths and areas of need.

� Continue investment in Data Management Information Systems (DMIS) and scope a comprehensive data project to define additional data needs and improved tracking and use guidelines for staff users.

CONFIDENTIAL

23-Jan-09 2423-Jan-09 24

Goal 4: Develop KCBHCP’s ability to measure

programme impact and client health

outcomes.

� Strategy: Strengthen KCBHCP’s reputation by increasing communications and marketing presence in order to convey impact and further develop local support for KCBHCP programmes.� Promote KCBHCP’s vision and mission, emphasizing KCBHCP’s role as a source of community health care and services.

� Conduct outreach to donors, churches, staff, volunteers, community-members and beneficiaries to reinforce KCBHCP mission and solicit input on programme effectiveness.

CONFIDENTIAL

Page 13: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

13

23-Jan-09 2523-Jan-09 25

Goal 5: Grow KCBHCP programmes at a

sustainable pace in order to maximize the

organization’s impact.

� Strategy: Improve quality of care and strengthen our

ability to impact behaviors and client outcomes

among our existing programmes.

� Ensure new and existing programmes are sustainable by

developing long-term funding, staff succession and cross-

training plans.

� Communicate programme expectations and manage

community perception of new programmes when

introduced.

CONFIDENTIAL

23-Jan-09 2623-Jan-09 26

Goal 5: Grow KCBHCP programmes at a

sustainable pace in order to maximize the

organization’s impact.

� Strategy: Clarify resource allocation between

existing programmes and health centers and set

targets for growth.

� Communicate resource allocation decisions to staff at all

centers and between programmes.

� Set clear annual priorities for programme funding and

clinic operations so that staff and community

stakeholders are aware of growth objectives and decision

criteria.

CONFIDENTIAL

Page 14: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

14

Programme Plan

23-Jan-09 28

KCBHCP runs 6 Interventions consisting

of 24 Activities

CONFIDENTIAL

Kyetume Community-

Based Health Care

Programme

Domestic Violence

PreventionHIV/AIDS Control

Sexual & Repro.

Health & Rights

Promotion

Secondary School

Education

Water & SanitationMaternal & Child

Health

Orphans &

Vulnerable Children

Community Events

Police Meetings

Voluntary

Counseling &

Testing

CD4 Testing

TB Testing &

Treatment

PLWHA Care

ART Treatment &

Counseling

Youth Center

Testing

Health Clubs

Primary School

Education

Fuel Efficient

Stoves

Kyetume –Lufunve

Water Project

Bukasa Water

Project

Namaiba Water

Project

Health Education

Antenatal care

Dentistry

Clinical Services

Animal Husbandry

& Organic Farming

Keyhole Gardens

Vocational Training

(Computer,

Tailoring,

Hairdressing, etc)

Microfinance

Child Counseling

Health Centre

Testing & Counseling

Page 15: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

15

23-Jan-09 29

Programmatic Best Practices

1. Strength precedes growth – ensure programmes are robust before expanding to new client markets

2. Funding precedes launch – secure funding for a project before dedicating expensive time and resources

3. Rigorously track programme metrics – regularly collect information on the impact and scale of interventions in order to show progress

4. Centralize some programmatic functions – reduce duplication of efforts across each intervention and maximize resource sharing

5. Improve impact by providing access to multiple interventions for existing clients – focus on providing an appropriate level of care to core constituency of clients

6. Encourage transparency – when communicating with clients, make only reasonable commitments that can be met; ensure that selection criteria for programmes are clear to all

Utilizing best practices recognized by other for-profit and not-for-profit organizations will enable KCBHCP to

successfully run, manage and track their programmes, and effectively service its beneficiaries.

CONFIDENTIAL

23-Jan-09 3023-Jan-09 30

Programmatic Considerations

1. Alignment with Mission – Programme or service is consistent with KCBHCP mission and priorities

2. Appropriate to Community – Services provided are relevant to the specific needs of the community

3. Value to Community – Services provided are those that are of greatest use to the community

4. Quality of Service – Service can consistently be delivered at the desired level of quality

5. Client Access – Services are consistently available to the targeted community

6. Fundability – Programmes are structured and defined in a way that meets relevant funding requirements

Each intervention and activity should be periodically reviewed for goal alignment

CONFIDENTIAL

Page 16: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

16

23-Jan-09 31

Overall Portfolio AssessmentThe following assessments were made of the current KCBHCP programmes:

STRENGTHS

KCBHCP programmes have contributed greatly to the

quality of life of many individuals and communities

Programmes are developed specifically around needs in the

community

Staff believe in the mission and work of the organization

Volunteers are extensively utilized to deliver needed

services and outreach in widely dispersed areas

Volunteers are respected in communities, and see great

value in their work

Greatest programmatic strengths are in area of

HIV/AIDS and palliative care

Current interventions cover a significant portion of client

needs

WEAKNESSES

Many interventions lack depth in services

Cessation of programmes (i.e. outreaches) has

compromised KCBHCP’s reputation in some areas

When developing new activities, need to do more to

ensure fundability, long-term viability, and alignment with

KCBHCP objectives

Must continue to improve data management analysis tools

to reduce staff burden and improve impact assessment

Staff are dedicated, but need ongoing encouragement and

incentive (monetary and non-monetary)

Delays in orders and supplies may be exacerbated by

bottlenecks in decision-making authority

Disparity exists between services and infrastructure at the

Kyetume vs. Katosi facilities

CONFIDENTIAL

23-Jan-09 32

Observations & Recommendations:

Domestic Violence Prevention

Suggested areas of focus:

� Seek partnership with local authorities to develop resources for abused women: go beyond “sensitization” to “action”

� Work closely with Oxfam to ensure common priorities for continued growth

Suggested metrics:� # Community Sensitisation Events (and # new/repeat attendees per event)

� Change (+/-) in reported cases of domestic violence

Note: care must be used in the interpretation of this metric, as an increase in reported incidents

may be considered a positive result and a reflection of changes in local mores.

CONFIDENTIAL

Page 17: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

17

23-Jan-09 33

Observations & Recommendations:

HIV/AIDS Control ProjectSuggested areas of focus:� Develop regular schedule of drug deliveries to Katosi; inconsistent drug availability is causing damage to reputation

� Enhance opportunities for collection of user fees

� Seek funding for sustained expansion of home kit and home visit programme

Suggested metrics:� # clients on ART treatment (Nakisunga & Ntenjeru as % of population)

� # home care visits/ # visits per client

� # home care kits provided

� % population tested (with/without symptoms)

CONFIDENTIAL

23-Jan-09 34

Observations & Recommendations:

Orphan Support Programme

Suggested areas of focus:� Establish criteria for award of OVC benefits to improve perception of fairness and transparency

� Review successful MFI programmes and best practices in order to strengthen programme and prepare for additional funding opportunities

� Set schedules and skill levels for vocational training programmes; increase percentage of paying students

CONFIDENTIAL

Page 18: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

18

23-Jan-09 35

Observations & Recommendations:

Orphan Support Programme (continued)

Heifer Programme� # of animals distributed� # applications received� % increase in family income� % increase in school attendance for

orphansKeyhole Gardens� # gardens created� % gardens in continued use� Weight or other measure of nutrition of

children in homes with gardensChild Counselling� # children counselled/ frequency of

counselling

Vocational Training� # matriculated/graduates of training

programmes (M/F) � Grades/academic records of degree

candidates� # businesses started by graduates� % graduates employed within the field of

training 1 year after graduation� % of students paying full/subsidized rates� % change in application rates for each

training course� # vocational training schedulesMicrofinance� % default rate at periodic intervals

(month/quarter/ year)� Total size of loan pool (UShs)� # loans issued/ % applications approved� Average size of each loan

Suggested metrics:

CONFIDENTIAL

23-Jan-09 36

Observations & Recommendations:

Sexual & Reproductive HealthSuggested areas of focus:

� Develop regular curricula for use in schools

� Determine target adolescent populations (i.e. OVCs, particular primary

schools, etc)

� Involve older students in education programmes for younger students

Suggested metrics:

� # of schools and students reached/ # of sessions per year

� Pre and post-education session attitudes/perception evaluations

� # youth seeking testing and counselling for STIs

� % of youth testing positive for STIs

� % decrease in unplanned adolescent pregnancy

CONFIDENTIAL

Page 19: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

19

23-Jan-09 37

Observations & Recommendations:

Water & Sanitation

Suggested areas of focus:� Secure funding for Lufunve Water Project

� Begin work on new projects only when funding is secured

Suggested metrics:� # fuel efficient stoves built

� % of fuel efficient stoves in use

� A measure of relative health of women using these stoves

� % of community with access to clean water

� Revenue generated from community water sources

CONFIDENTIAL

23-Jan-09 38

Observations & Recommendations:

Maternal & Child HealthSuggested areas of focus:� Rename programme to properly represent breadth of services rendered: “Clinical Health Services”

� Sell lab services to partner organizations to leverage excess capacity (e.g. CD4)

� Seek additional transportation options (ambulance) for patient care and client access

� Consider services to underserved groups such as elderly, disabled, pediatric

� Consider layout of clinics to maximize patient privacy and minimize risk of infection transmission

Suggested metrics:� % of lab capacity utilized

� % of children immunized

� # mothers seeking & receiving antenatal care

� # of infant deliveries

� # clients served, # of interactions with each client

� # of clients served, by service type

CONFIDENTIAL

Page 20: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

20

23-Jan-09 39- 39 -

Programme Portfolio –

Impact and Viability Assessment Tool

Program Impact

Low

High

Programme Viability

Low High

KCBHCP should conduct a more complete evaluation of each program. Try to move programmes away from (?) toward

$?

Keep but contain costs Invest in growth

Discontinue or give away Enhance impact

Impact criteria:

-Tangible, substantial results

-Visible progress toward KCBHCP objectives & mission

- High potential for growth Viability criteria:

-Demonstrated interest from funders

- Sustainable funding (earned or otherwise)

CONFIDENTIAL

23-Jan-09 40

Immediate Recommendations

� Expand authority delegated to key individuals to reduce

administrative bottlenecks

� Designate an education coordinator to organize all the

education-based activities to reduce redundancy and

streamline the calendar

� Coordinate data-processing efforts between health and

resource centers to limit duplication of work

� Develop a wish-list or schedule of projects for volunteers to

continue leveraging international relationships

While tactical recommendations are beyond the scope of the strategic plan, the team has a

few specific recommendations for immediate programmatic improvement:

CONFIDENTIAL

Page 21: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

31

Appendices

23-Jan-09 62

Interviews

23-Jan-09 62

INTERVIEWEE TITLE DESIGNATION INTERVIEW

AISU, ESTHER PROJECT OFFICER STAFF 8-Jan-09

BUKENYA, ISAAC PROJECT ACCOUNTANT STAFF 9-Jan-09

GUTTABINJI, KANVIN COUNSELOR STAFF 16-Jan-09

KABANDA, JOHN CLINICAL OFFICER STAFF 9-Jan-09

KIYIMBA, MUKASA JOHN PROGRAMMES DIRECTOR,

BOARD MEMBER, FOUNDER

STAFF,

EXECUTIVE BOARD

15-Jan-09

MUBIRU, REUBEN KAGGWA PROGRAMMES MANAGER STAFF 12-Jan-09

MWASA, GEORGE WILLIAM LAB TECHNICIAN STAFF 8-Jan-09

NAGAWA, BETTY COUNSELOR STAFF 8-Jan-09

MAKIBWE, DENIS (DANIEL) COMMUNITY NURSE STAFF 16-Jan-09

NAMUKASA, DOROTHY DATA OFFICER STAFF 9-Jan-09

NAMUTEBI, JOLLY COMMUNITY NURSE STAFF 14-Jan-09

NANGABANE, MARGRET TAILORING INSTRUCTOR STAFF 8-Jan-09

CONFIDENTIAL

Page 22: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

32

23-Jan-09 63

Interviews (continued)

23-Jan-09 63

INTERVIEWEE TITLE DESIGNATION INTERVIEW

NANSUBUGA, REBECCA COMPUTER INSTRUCTOR STAFF 8-Jan-09

SSERUNKUUMA, GODFREY MOBILIZER STAFF 12-Jan-09

WASWA, J. ZAAKE (Julius) PROJECT OFFICER STAFF 9-Jan-09

MATILDA, ALICE CASHIER STAFF 19-Jan-09

KASALIRWE, DAVID VETERINARY OFFICER STAFF 19-Jan-09

CONFIDENTIAL

23-Jan-09 64

Interviews (continued)

23-Jan-09 64

INTERVIEWEE TITLE DESIGNATION INTERVIEW

MUTYABA, G. FRED CHAIRPERSON EXECUTIVE BOARD 15-Jan-09

NSUBUYA, HARRIET BOARD MEMEBER EXECUTIVE BOARD 15-Jan-09

DR. KUTESA, ANNET BOARD MEMEBER EXECUTIVE BOARD 15-Jan-09

HAJJI TWAHA BOARD MEMEBER EXECUTIVE BOARD 15-Jan-09

REV. KIBALAMA, FREDERICK BOARD MEMEBER EXECUTIVE BOARD 15-Jan-09

MAWANDA, DICK CHAIRPERSON, NAKISUNGA SUB-COUNTY LEADER 16-Jan-09

HEALTH INSTRUCTOR,

NAKISUNGA

SUB-COUNTY LEADER 16-Jan-09

BAKANANSA, CISSY CDO, NTENJERU SUB-COUNTY LEADER 14-Jan-09

SSENTOMGO, RICHARD INTERN, NTENJERU SUB-COUNTY LEADER 14-Jan-09

CONFIDENTIAL

Page 23: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

33

23-Jan-09 65

Interviews (continued)

23-Jan-09 65

INTERVIEWEE TITLE DESIGNATION INTERVIEW

GODFREY CCA*, NAKISUNGA VOLUNTEER 14-Jan-09

MOSES CCA*, NAKISUNGA and BOARD

MEMBER

VOLUNTEER,

EXECUTIVE BOARD

14-Jan-09

DAVID CCA*, NAKISUNGA VOLUNTEER 14-Jan-09

VIAN CCA*, NAKISUNGA VOLUNTEER 14-Jan-09

GEORGE CCA*, NAKISUNGA VOLUNTEER 14-Jan-09

JOYCE CCA*, NAKISUNGA VOLUNTEER 14-Jan-09

HABYAMBERE, PASSY CCA*, NAKISUNGA VOLUNTEER 16-Jan-09

BUDDE, MILLY CCA*, NAKISUNGA VOLUNTEER 16-Jan-09

LUKEERA, MALIYA CCA*, NAKISUNGA VOLUNTEER 16-Jan-09

VIVIAN CCA*, NAKISUNGA VOLUNTEER 16-Jan-09

* CCA = Community Counseling Aid

CONFIDENTIAL

23-Jan-09 66

Interviews (continued)

23-Jan-09 66

INTERVIEWEE TITLE DESIGNATION INTERVIEW

BENEFICIARY #1 BENEFICIARY CLIENT, NAKISUNGA 14-Jan-09

BENEFICIARY #2 BENEFICIARY CLIENT, NAKISUNGA 14-Jan-09

BENEFICIARY #3 BENEFICIARY CLIENT, NTENJERU 16-Jan-09

BENEFICIARY #4 BENEFICIARY CLIENT, NTENJERU 16-Jan-09

BOSCO HIV/AIDS TECHNICAL

ADVISOR, IRCU*

DONOR 20-Jan-09

DR. IMAN PROGRAMME OFFICER, ART &

PALLIATIVE CARE, IRCU*

DONOR 20-Jan-09

MR. KITAKULE ACTING SECRETARY

GENERAL, IRCU*

DONOR 20-Jan-09

BALILUNDA, JOSEPH HIV/AIDS FOCAL PERSON,

OXFAM

DONOR 20-Jan-09

OREGEDE, SUSAN GBV PREVENTION MANAGER,

OXFAM

DONOR 20-Jan-09

* IRCU = Inter-Religious Council of Uganda

TOTAL # INTERVIEWEES: 45

CONFIDENTIAL

Page 24: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

34

23-Jan-09 67

Objectives from 2003-07 Strategic Plan

� To advocate for recognition, protection and provision of quality health care as a fundamental human right

� To reduce maternal and infant mortalities and morbidity rates among the rural population

� To promote family planning and reproductive health among our target populations to avoid unplanned pregnancies which result in unmanageable family sizes

� To reduce further transmission of HIV/AIDS and to enhance the psychological and social adjustment of those already infected and affected

� To establish, support and improve the existing income generating activities for poverty reduction, nutrition, and food security

� To facilitate the increase of community support programmes aimed at uplifting community standards through preventative health, nutrition, environmental sanitation and access to safe water sources

� To build and enhance the capacity of the target community to be able to identify and prioritize their needs and problems to make appropriate interventions in a participatory manner

� To promote strategies geared toward environmental protection including wetlands

� To support functional adult literacy as an approach to sustainable development

CONFIDENTIAL

23-Jan-09 68

Staff Organizational Chart (as of Jan 2009)

CONFIDENTIAL

Programmes Manager:

Reuben

Domestic Violence Prevention:

Waswa Julius

HIV/AIDS Control

Sexual & Reproductive Health & Rights Promotion:

Kiyimba David

Water & Sanitation:

Aisu Esther

Maternal & Child Health

Orphans & Vulnerable Children:

Kasalirwe David

Static Health Centers Resource Center

Administrative:

Accountant:

Bukenya Isaac

Namuli Sarah

Counseling (Kyetume):

Nagawa Betty Nalwoga Ruth

Nalweyiso Sarah

Computer Instructor:

Nansubuga Rebecca

Tailoring Instructor:

Bukirwa Rovincer Nangabane Margret

Doctor:

Kwagala Mary

Lab Technician:

Mwasa George

Dentist:

Kabanda Richard

Community Nurse:

Agwang Susan Nakanwagi Jennifer

Kyaterekera Paul Namutebi Jolly

Child Counseling:

Bulya Gladys

Lab Assistant:

Kamegga Bonny Namiiro Joseline

Nakanjakko Angela

Programmes Coordinator

Kibirige Dorothy

Driver:

Lubega Joseph

Nkolo David

Security Officer:

Mafaabi Fedrick

Cashier:

Matilda Alice

Psychiatric Nurse:

Nakiwala Elizabeth

Midwife:

Nalugonda Winie

Immunizer:

Namande Cissy

Acc/ Admin:

Nambi Jolly

Cook:

Namuwanga Joseline

Mobilizer:

Sserunkuuma Godfrey

Counseling (Katosi):

Guttabinji Kanvin Kizito KennyNabuule Deborah

Nurse (Katosi):

Nambuya Stella

Ssendijja Moses

Kyetume Health Center:

Kabanda John

Katosi Health Center:

Makibwe Denis

Data Officer:

Namukasa Dorothy

CCAs

Page 25: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

35

23-Jan-09 69

Management Structure (as of Jan 2009)

General

Assembly (225)

Board of Trustees (5)

Executive Board (11)

Programmes Manager

(Mubiru Reuben Kaggwa)

Project Officers (6)

Advisory Council

CONFIDENTIAL

23-Jan-09 70

Organizational History & Accomplishments

KCBHCP Founded

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 20051994 2006

Funding & Assets

Katosi Health Centre

Programmes

2007 2008

Maternal & Child Health

HIV/AIDS Control

Water & Sanitation

Domestic Violence Prevention

CD4 TestingTailoring Training

Computer Training

Vocational

World AIDS Day Participation

Sexual & Reproductive Health

& Rights

Emma & Greg Resource Center

Outpatient Centre

Gaia Medical & Counseling Centre

Orphan Support (Heifers & Goats)

First Motorcycle for Mobilization

CONFIDENTIAL

Page 26: Strategic Plan Overview - Massachusetts Institute of ...globalhealth.mit.edu/.../uploads/...14_Deck_FINAL-without-fundraisin… · Strategic Plan Overview Kyetume Community-Based

1/23/2009

36

23-Jan-09 71

Birth Primary

School

Secondary

School

Married &

Working Life

Old Age

&

Death

KCBHCP affects clients throughout their lives

Orphans & Vulnerable Children (OVC)

Maternal & Child Health (MCH)

HIV/AIDS Control (HIV)

Sexual Reproductive Health (SRH)

Water & Sanitation (WS)

Domestic Violence Prevention (DV)

KCBHCP Interventions

Birthing

DV Action Days

Tailoring Training

Heifer

Programme

Keyhole G

ardens

Microfinance

SRH Educatio

n

Youth Center

Testin

g

Health

Clubs

Family P

lanning

Water S

afety

Educatio

n

Fuel E

fficient Stoves

HIV Counselin

g &

Testin

g

TB Care

CD4 Testin

g

PLWHA Care

ART Services

Clinical S

ervices

Antenatal C

are

Health

Educatio

n

Computer T

raining

CONFIDENTIAL