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LDOE Round Table 3 District Team and NGO Executives – Report Page 1

Leadership Development and Organizational Effectiveness Programme

Third Round Table, Ranchi, 2021 and 2324 Nov 2009

REPORT

The Third Round Table (RT3) for the LDOE programme with District teams and NGO Executives was held in Ranchi, Jharkhand during 20-21 November and 23-24 November 2009 respectively. . It was attended by 17 participants from district health teams (Jharkhand) in first group and 7 NGO executives from Bihar and Jharkhand in second group.

The main purpose of the RT3 was to provide a refresher training to the LDOE program partners on leadership skills and strengthening organizational effectiveness and efficiency. RT3 was the 4th in a series of training under the LDOE, with two Round tables and one Advanced training in Malaysia. The training materials and PowerPoint presentations used during earlier training programmers (1st & 2nd Roundtables and Advance Training) were used for conducting the sessions. The sessions were facilitated by Prof. Jay Satia, Senior Consultant, Indian Institute of Public health, New Delhi and Former Executive Director, ICOMP and Dr. Anant Kumar, Associate Professor and LDOE Programme coordinator, XISS, Ranchi. The support and cooperation from the State NRHM Mission office and NGO Executives is highly appreciated. It paved the way for the enthusiastic participation of the district and block government health officials.

This report summarizes the details of the sessions for both District Health Teams and NGO Executives, experience sharing and verbal quotes, Training curriculum and list of participants with annexure.

Opening Session

Prof Jay Satia opened the session with a warm welcome to participants and a brief introduction to the LDOE program and an overview of the maternal health situation of Bihar and Jharkhand states and the NRHM goals and strategies of the Government of India. It followed an informal introduction of all participants. Ms. Neera Shreshtha Programme Officer, ICOMP introduced herself with participants. Dr Anant Kumar gave a warm welcome to participants and briefed on the objective of the round-table.


The LDOE programme is using three indicators that complements in achieving the NRHM goals and emphasizes on maternal health, quality of care for abortion, and contraceptive prevalence. In particular, with NRHM focus in the district, the LDOE programme is using the performance of the chosen district health teams as conduits for systemic change in the health system of the state. Similarly, with the focus on collaboration with NGOs, the LDOE is involving 12 NGOs in both states to work with district teams for better performance and improving organizational effectiveness and ensuring sustainability.

Details of the session:

Prof. Satia opened the session with review of detailed session plan for both the Round Table groups (Health Team and NGO Executives (see annexes 1 and 3). The sessions have been designed so as to focus more on review and revisiting of earlier training programmes and experience sharing and learning from each other. The topics covered at the Round-Table with District Health Teams included: review of leadership concepts, skills, practices, and experience sharing by participants on self leadership interventions; Review of District Health system excellence concepts, skills and experience sharing; Maternal Health issues and review of Janani Suraksha Yojana (JSY); quality of care concepts and practices; Strategic Planning concepts and review of Results-based Management (RBM) concepts, skills and practices; and review of concepts on implementation and preparation of implementation plan. The participants were requested to do an exercise on individual leadership challenges and commitments to leadership practices to meet the challenges. Each District Teams were also requested to fill in the Worksheets for JSY and individual FP methods in a process to develop action plans for improving the performance in delivery of maternal health/JSY and FP services in respective district health systems. The participants were also briefed on the Community Leadership Program (CLP) being implemented by XISS in collaboration with two NGO partners, IDF and NBJK in the LDOE districts of Bihar and Jharkhand with financial support from Jamsetji Tata Trust Fund, India and sought for cooperation and support from the District Health Teams for successful implementation of the program activities contributing towards improved FH and RH service delivery through leadership development at community level.

The Round-table with NGO partners covered topics on leadership concepts, sharing of experiences on self leadership journey, briefing on CLP program and CBO organizational leadership activities, review and revisiting of the of organisational excellence assessment, business planning concepts and building the leadership

Objectives of LDOE Program:

• Become better leaders

• Improve performance of NRHM, specifically maternal health, family Planning and safe abortion

• Progress towards excellence in district health systems


engine, development of action plans and review and discussion on OE support proposals to be submitted for grant support from the LDOE program.

The details on the Round-Table sessions are as follows:

First day started with the Review of the Round table 1.

Prof. Satia initiated the session with a revisit to the concept of ‘Leadership’ and a brainstorming among participants on their views about “leader” and “Leadership”,

Many different views and perceptions about “leader” came up. (Refer Box on right side)

He summarized that the goal of ‘Leadership” is - ‘To take people to a future they have not seen’ and a ‘vision’ is a key to leadership”.

Concepts on Strategic Leadership Framework, the differences and inter-linkages between leadership and management roles, Concept on shared vision and 4 ways of creating shared vision were re-visited and discussed in detail. During discussion Prof Satia repeated the quoted statement that:

“Vision speaks to heart and engages spirit, goals appeals to mind and shared vision always has positive effects”

At the Round-Table with health teams it was discussed that in a PHC, all staff members expect to have a shared vision, as they have to perform several activities in a team. In a PHC, Everyone should know what they have to do and how and why they have to do; every ANMs should know and ask how many mothers have died during child birth.

During discussion with NGO Executives, the importance of shared vision with subordinates and other staff working at the organization was discussed. It was further emphasized to ensure each member of the organization is able to articulate the same vision each time they are asked for because when there is a shared vision, everybody moves in the same direction.

Review of Roundtable -2

As a part of the Review of Round-Table 2 and Advance Training, Prof. Satia discussed the concept of areas where the health teams operate (Easy, Difficult, Impossible,

Leadership Views: “To bring the group together”,

“Guiding other people”, “Team spirit”,

“Vision for the team”, “Takes initiatives proactively and innovates to reach the

vision”, ” Take risks and challenges”,

“Leadership makes more leaders to move faster”


Beyond imagination), and shared examples from Path finders’ frame work and Prachar project to overcome the vision-reality gap through the public-private partnership (PPP), which is a good example of Govt. and NGO partnership for the best results.

The concept of Motivation and theories of Motivation, including Maslow’s theory of Hierarchy of needs, Mac Gregor’s theory of X, Y, and Herzberg’s Hygiene theory were discussed as a part of this review. Fundamentals of Inspirations and its related terms : Zone of control and Zone of influence, Concept of Power, Hygiene Theory along with its 8 point strategies; Conflict Management, Empowerment, Value system, Negotiation skills were also revisited and discussed in details.

During discussion it came out from NGO Executives that 30% time are spent by their employees in internet surfing – searching for better opportunities, (Ex devnetjobs.com, share markets etc.), funding sources – on the job/off the job. KGVK shared that their programs are process driven and have time bound plans, and with regularity brings to action. They plan along with indicators for performance management. They also clarify the expectations of the employees.

It also came out that 70% time need to be made more productive and should be given for the organization. 30% time may be personal development and may be appreciated as a motivational factor. Role of leaders is to clarify the commitments/ job descriptions of his/her employees at Individual & collective level and motivate to share what the individual is learning from surfing so a transparency can be developed about what is being done.

To sum up the discussion on vision, shared vision, motivation and inspiration, it came out from the house that path has to be developed through incentives as a strong motivating factor towards shared vision and inspiration to mobilize resources for achieving the shared vision.

‘The signpost of inspirational leadership is communicating a shared vision and being a role model.’

Other Key points of discussion with Govt. Health Teams were: Review of District Health System Excellence concepts, skills and practices, Improved performance of NRHM (esp. maternal health, Family Planning, safe abortion), Key health Indicators of Jharkhand, indicators where we are moving slowly, e.g. Institutional Delivery is not showing much progress, while IMR and MMR has shown some improvement in Jharkhand.

Session on maternal mortality and Safe Abortion Services was also done. Issues of MTP services, legal abortion, and MTP committee at district level which can accredit the health service unit for a MTP service were discussed.

It came out of discussion that MTP cases done in hospitals are safe. Most lady doctors also perform MTPs in private clinics but do not report. Discussion on JSY programme status and strategy was also held and there came up issues related to fund flow for


JSY payment. The health teams were reminded that most maternal health cases result in maternal death when those cases do not reach in right place at right time for right service. It was highlighted with cases from Tamil Nadu state where 94 % deliveries are institutional delivery and has the lowest maternal mortality rate. However, most maternal death cases are among the 4th referral cases due to delay in receiving essential obstetric care services. It followed a group exercise among district health teams to complete a worksheet on JSY to review performance during last one and a-half year (April 2008 – October 2009) and develop action plan for improving performance of JSY in institutional delivery. (Annex - - worksheet on JSY).

A Session on Quality of care talked about the concept of quality - Perfection, Consistency, Eliminating wastes, and why quality of services need to be assured. The quality of health services should be maintained to meet the changing customers demand, Changing customers’ quality system, address unacceptable variations in performances, practices and outcomes, Customer dissatisfaction, Unequal access to health care services and Public dissatisfaction. A concern was raised on inadequate quality control in district health systems. A case study on Quality management initiatives in Himachal Pradesh –the Quality Circle was shared with the participants. It discussed the concept of quality circle - Definition, Functions of Quality Circle, why quality circle and how to use the quality circle: assessment and identification of Problems – analyses – Report – Recommend interventions – Action and implementation. It also discussed about the Quality circle framework, principles of quality management, the quality management triangle and need for developing a checklist covering all the quality improvement issues. One of the District Health Team members, Dr. Kamendra Singh, Civil Surgeon, Sadar Hospital, Palamu shared the experience of introducing quality circle in management of health services in Palamu district.

On quality management, the district teams were suggested to use the checklist from Palamu as a basic sample, see what is there and what more needs to be covered and develop own checklist for quality improvement, assess the health system based on the checklist, identify priorities and see what can be improved with existing infrastructure and what support can be taken from external sources at district and state level. It was also recommended to develop an action plan at district level on quality management.

Sessions on 2nd day

Result based Management was the opening session. It tells about achieving different results by thinking differently and doing things differently which can give higher results. Review and discussion of MMR, Institutional delivery, family planning service delivery and safe delivery was main point of focus. Evolution of Management Thoughts was also discussed including scientific management concept by Taylor (1880 – 1900). Fundamentals of RBM were re-visited. Need for Result based Management, logical framework matrix, Goals and Objectives, Cause and Effect was also shared. The concept of Monitoring and Evaluation – definition, differences between ‘Monitoring’ and


‘Evaluation’ and its importance was also discussed. Important steps in RBM and Monitoring and Evaluation of a program were reminded as follows:

Start with the RESULT (GOAL) in mind Align actions and resources towards the achievement of the GOAL Motivate those involved so that they will stay focused on the results Constantly monitor and assess progress to detect deviation Compare actual and planned results and learn lessons from mistakes and

success.

Exercise on Worksheet on FP methods for SWOT analysis and developing action plans for improving performance was also done by District officials.

NGO Executives tried to link their work and achievements with Exemplary leadership practices and shared their experiences with leadership journey.

Sessions on leadership commitment Exercise and Building the Leadership Engine was taken by Dr. Anant there by session continued with Excellent Assessment Exercise and development of action plans by all NGOs. A session on Business Planning was also held for NGO executives. It discussed about why business planning is needed in the context of reduced donor funding and the business planning framework.

During the process of discussion Prof. Satia put up his thought and facilitated participants from state and district Teams to set some achievable targets so that they can jointly work and contribute towards growth of some indicators they set for themselves for NRHM.

Sharing Experiences and Verbal Quotes on leadership by Health Team and NGO Executives:

At the session on review of Excellences in Health Systems and exemplary leadership commitments and challenges, the Govt. Health Teams and NGO Executives tried to link their works and achievements with Exemplary leadership practices. The participants were requested to share their experiences on what they have done for

Declaration for JSY

Coverage/

Registration

85% in Palamu

80% in Deoghar

65% in Koderma

Ranchi Declaration for JSY

Institutional Deliveries

55% Coverage in Palamu

40% in Deoghar

45 % in Koderma

N

R

H

M


District Health Excellence and for Organizational effectiveness respectively and for improved Reproductive health services together to support NRHM. The experiences shared were as follows:

A. District Health Teams:

Civil Surgeon (CS), Palamu:

“I started to come to office in time, other staff also started coming on time”

“I stayed available to provide services in the hospital when the concerned health personnel were not available to provide the service. This inspired the health personnel to be on time.”

“I took initiatives and developed strategies and involved people and with Team work we were able to achieve more.”

“The reason for not replicating the Chainpur PHC module to other PHCs in Palamu is because all PHCs are improving their quality, at different rate under different capacities. Now we have started monthly meetings at PHCs on a rotational basis. More focus is on FP. Dates have been fixed for sterilizations/operations. 24x7 services being provided, quality of labour room is being improved and functioning. ANMs trained in testing BPs, and other skills on own initiatives. Increase in immunization. Referral transport has been provided. It has build trust in the services provided by health professionals”.

“We have also taken initiatives and formed Quality Control Committee in Sadar Hospital. Parameters were set for the assessment of quality, such as: inspect the infrastructure, services, sanitation, utilities, sitting arrangement for those who need to wait for services, etc. A check list/ format have been developed to fill in by each PHCs and points are given based on the assessment as motivating factor.”

Medical officer In Charge (MO/IC) PHC, Chainpur

“Ensuring the quality of services so that if one wants to use the service, he/she is willing to use it”

“LDOE empowered us to do something and with the support of community we were able to achieve that”

“We made quality control group to assess the quality. There was a remarkable improvement in the quality control.”

5 Practices of Exemplary leadership:

• Model the Way

• Inspire a Shared Vision

• Challenge the process

• Enable others to Act

• Encourage the Heart


“All new born are provided with immunization of zero polio and BCG vaccine. We felt need for more beds for delivery and arranged four additional beds so that maximum deliveries can be done”.

“In Chainpur PHC our quality improvement team constitutes: MOIC as chairperson, Nodal medical officer, ANM, cleaning staff, OT person, lab technician, and Account manager as members. The committee oversees the quality of services provided. Assess the Infrastructure available, running water supply and sanitation system in labour room, OT room. The PHC is inspected every 10 – 15 days by Sadar Hospital C.S. and Quality Control team and make necessary improvements. We have also completed SBA training for 50% of SBAs……………”

Quote from a Medical officer in- Charge

“Nurses taking interest in delivery, now from 80 deliveries per month, it has gone up to 200 -300 deliveries per month, competition among nurses and opportunity to undertake the deliveries have encouraged doing more deliveries…….”

DPM Deoghar says –

“JSY payments have been mobilized, programs like trainings were not happening. All training programmes have being conducted. ISO standard was given to hospital. Reviewed the payments made to JSYs and identified problems and solved them. Accounting system has been improved. There are only 2 accounting system – RCH account and General/Salary account. It is difficult to maintain record for different funds. JSY account needs to be separately maintained and for that leadership initiatives need to be taken………………….”

“Once there was Problems with accounting and there shows surplus of 1 crore. I took initiative and invited all concerned staff who prepare reports from each PHCs and reviewed individually with them and revised the report. Developed new format for reporting on accounts and improved reporting……………..”

MO/IC Madhupur PHC says –

“OPD has become well functional but it has only one doctor. Emergency duty roster has been restructured, we have added required staff including guard, fourth grade staff, male doctor, have put one incubator, made some changes in OT , for management of operations and autoclaving systems were improved.”

MO/IC Sarwan PHC says –

“We have also covered sub-centers and completed training of SBAs, till now 140 sub-centre deliveries have taken place. Deoghar Sadar hospital is ISO certified.”

MO/IC PHC, Palajori says –

“He has taken charge from earlier CS. He has reviewed the situation. Now this PHC is no 1 in malaria – slide collection and Palajori PHC has been selected among 15 PHCs


for slide collection. In JSY, since he has taken charge, record payment has been made. Immunization coverage has increased significantly. Labour room is best with running water. All work was well appreciated by district.”

Mr. Neel Ranjan, State consultant, Cold-chain system says –

“All PHCs are maintaining the Cold Chain system and it is the main responsibility is of CS and PHC in- charge. There is no more problem of fuel supply for maintaining the Cold Chain system. All PHCs are having the refrigerator mechanisms. Request to all PHC-in-charges has been made to take responsibility in maintaining cold chains at their level and from state level necessary action will be taken.”

CS, Koderma says:

“All JSY payments are being made. Only 3 A-grade nurses are posted. Due to lack of staff, no. of deliveries has not improved adequately. Institutional deliveries have increased in the hospital. Holy Family is also providing some incentives for institutional Deliveries. Outdoor services of the hospital have improved. Yet need to get more faith of the public. The CHC building will be handed over to PHC by March. Health staff is being improved. Specific actions have been taken to motivate staff.”

MO/IC, Markacho PHC says:

“Sterilization services - have improved the quality of service, but we need to focus on whole state rather than focus on specific PHCs. All to be equally treated otherwise the quality of service will be affected.”

MOIC, Deoghar PHC says:

‘There is a need for a standard health manual for providing quality services’.

It was suggested that District Health Teams need to think out-of-box, besides focusing on JSY and other general issues for excellence in the health systems. The Chainpur PHC can be used as a role model to follow on resource mobilization and improving quality of services.

B. NGO Executives:

President, DORD, Raja says:

“I took initiative to purchase the land for eye hospital.”

Chairman, Shantidoot, Abhijeet says:

“I took initiative for providing technical education in a different way”

“Earlier we used annual Report publication electronically only, but now printing and publishing the report and other organizations have also followed the same way of publishing annual report”


Secretary, Mahila sevak samaj, Sabiha says:

“I focus on community population. I had purchased some land out of community contribution and now planning to run a school for minority girls…………….”

“My vision is to educate all girls. (Especially minority class).”

Director, Chetna Vikas, Rani says:

In a village bridge linked to market and city got broken in rain. I took initiative and held a meeting in the village, with Community contribution collected some fund to pile silts and make a bridge. Next year government contributed money to build the bridge……….”

Director Health, KGVK, Shibaji says:

“I took initiative and revised our board composition……………”

Secretary KGVK, Jayant says:

“Took initiative on Low cost high quality school, a new way of teaching, which is field based. Collaborated with the government, developed health cards to record growth of children by nurses…………”

Project Officer NBJK, Dilshad says:

“I took initiative to launch micro-initiative, have been trying for several years but this year was successful – initially may be no shared vision, now shared a vision……..”

Secretary SSK, Chhedi ji says:

“I took initiative and received a land, splendor motorcycle and building materials, in cash and some in kind for building organizational building and training hall with a community contribution……………”

Introducing Community Leadership Programme (CLP):

A Brief introduction on “Community leadership Programme” was made by Mr. Sant kumar Prasad, Coordinator, Development Resource Center and team leader at XISS for the CLP programme, together with Mr. Bhaskar Chakraborty, Programme officer where they detailed about project outcome, objectives and expected results, the project coverage, implementation and monitoring framework, and expectation of support from Govt. Officials.

Few Expected results are mentioned below:

1. 800 leaders developed with improved leadership capability having vision for improvement on NRHM parameters.

2. Improved health service seeking behavior


3. Accelerated health service delivery by govt. Health service providers 4. Shared vision created among community stakeholders 5. Enhanced community based institutional capacity in health program monitoring 6. Quality and coverage of services improved

Program implementation and monitoring Framework:

1. Concept sharing at district level 2. Block level convention – identify advocacy issue 3. Develop a micro plan at community level 4. Individual level at Anganwadi level – a form being developed to be completed at

household level – individual service counseling.

Suggestions came out from the District officials are mentioned below:

1. To develop an IEC material which gives information on all activities run by Govt. or any other sector that are being undertaken at the block level from a single window. The single window concept of information flow has been conceived under the program as a best practice. (Palamu CS)

2. Involvement of CDPO (child development program officer, a female officer) is essential at block level.

3. Success of LDOE depends on strengthened community leadership program.

Way Forward for LDOE:

It was discussed on how to maximize the LDOE programme performance with Govt. and NGO partners as well as LDOE staff.

1. Action Plan to be developed on how to improve performance in the remaining project period (9 months period).

2. Assessment of the impact of the LDOE program. 3. Information collection on Leadership journey. Develop a diary of the LDOE

participants with individual leadership journey – what skill have been learned and what has been utilized or can be utilized in future. Publication of the journey.

4. Evaluation of the program – An end-of-program evaluation will be conducted by interviewing some of the district health team members and visit to the sub-centers and NGO partners. The LDOE team expects support and candid response from all partners.

5. Action Plans are generally developed only when requested by the program. It should be made a norm to develop action plan on regular basis and assess how the NRHM performance can be improved

6. How should we develop leadership if leadership needs to be developed? CLP is also an experimental leadership development program at community level, it is a learning process –, wants to see if leadership makes a difference in the health sector.

7. If we can show something can be done, money can be provided through NRHM. If the Govt. is convinced that community is the main soul for development, then funds can be mobilized for programs at community level.


Participants:

There was a total of 17 participants (2 from state and rest from district and Block team) at the Roundtable with District Health Teams and a total of 7 participants for the Round Table with NGO Executives from Bihar and Jharkhand. They were trained in two separate batches on the above said dates respectively. (Refer list of Participants from Govt. and NGO in Annex. 2 and 4)

Personnel:

Many people contributed to the RT3, in various capacities.

Course Facilitators:

Prof. Jay Satia, Consultant to ICOMP Dr. Anant Kumar, XISS Mrs. Neera Shreshtha, ICOMP

Round Table Coordinator/Secretariat:

Mr. Prakash Kumar, XISS


Annex 1

Programme Schedule for District Team (20-21 Nov. 2009)

Topic Session Plan Facilitator 20 November 2009, Friday 9.00 – 9:30

Opening Introduction to the Roundtable Jay Satia

9:30 – 11:00

Review leadership concepts

Review of leadership concepts, skills and practices covered in training

Jay Satia

Share experiences on self leadership

Experience sharing by participants Jay Satia

11:30 – 1:00 PM

District health system excellence

Review of District Health System Excellence concepts, skills and practices covered in training

Jay Satia

Share experiences ondistrict health system

Experience sharing by participants Jay Satia

1::00 – 2:00 PM

Lunch

2:00 – 3:30 PM

Maternal health Review Janani Suraksha Yojna (JSY)

Anant

Action plan preparation by participants

Anant

3:30 – 5:00 PM

Quality of care Review quality of care concepts Anant

Actions to be taken to improve quality of care by participants

Anant

21 November 2009, Saturday

9.00 – 9:30

Recap of previous day

9:30 – 11:00

Strategy planning Review Results‐Based Management (RBM) concepts, skills and practices

Jay Satia


Jay Satia

11:30 – 1:00 PM

Implementation of action plan

Review of concepts on implementation

Jay Satia

Preparation of implementation plan

Jay Satia

1::00 – 2:00 PM

Lunch

2:00 – 3:00 PM

Finalization of action plan

Finalization of action plan by participants Conclusion

Jay Satia


Annex 2

Participants from District Health Team (20-21 Nov. 2009)

District Position Block Name Registered STATE

State NRHM Mission Director Mr.Nitin Madam Kulkarni No State RCH Officer Dr. Praveen Chandra No

Partially for 1 hrs

SPM Mr. Rajan Kumar No HR Consultant Mr. Varun Kumar Yes Cold Chain Officer Mr. Neel Ranjan Singh Yes

No of participants – 2 DEOGHAR

Civil surgeon ACMO DPM Nazish faheem Akhtar Yes DRCHO ‐ vacant ‐ ‐‐ MOIC Madhupur Dr Arun Gupta Yes MOIC Palajori Dr Sunil Kumar Sinha Yes MOIC Sadar Dr Deepak Kumar Sinha Yes MOIC

No of participants – 4 KODERMA

Civil surgeon Dr Balkeshwar Singh Yes ACMO Dr S GM Asarafi Yes DPM Mr Raj Vardhan Prasad Yes DRCHO ‐ vacant ‐ ‐‐ MOIC Koderma MOIC Jainagar Dr. S.P.Singh Yes MOIC Satgawan Dr Satyendra Kumar Sinha Yes MOIC Markacho Dr Subodh Kumar Singh Yes

No of participants – 6 PALAMAU

Civil surgeon Dr Kamendra Singh Yes ACMO DPM Mr. Praveen Singh Yes DRCHO Dr Awadhesh Kumar No MOIC Patan Dr Krishna Vallash Prasad No MOIC Chainpur Dr S K P Yadav Yes MOIC Daltonganj Dr Mathura Prasad Singh Yes MOIC Hariharganj Dr Anil Kumar Singh Yes

No of participants –5 Abbreviations: NRHM = National Rural Health Mission; ACMO = Additional Chief Medical Officer; DPM = District

Programme Manager; DRCHO = District Reproductive Child Health Officer; MOIC = Medical Officer in Charge


Annex 3

Programme Schedule for NGO Executives

(23-24 Nov. 2009)

Topic Session Plan Method Facilitator23 November 2009, Monday 9.00 – 9:30

Opening Introduction to the Roundtable Powerpoint Jay Satia

9:30 – 11:00

Review leadership concepts

Review of leadership concepts covered in training

Powerpoint Jay Satia

Share experiences on self leadership

Experience sharing by participants

Guidelines for experience sharing

Jay Satia

11:30 – 1:00 PM

NGO Review of excellence concepts covered in training

Powerpoint Anant

Share experiences on NGO Excellence

Experience sharing by participants

Guidelines for experience sharing

1::00 – 2:00 PM

Lunch

2:00 – 2:30

CLP and CBOs Brief on CLP and CBO Organizational effectiveness activities

Powerpoint Anant

2:30 – 3:30 PM

Excellence assessment

Excellence assessment revisited Blank assessment form

3:30 – 5:00 PM

Business planning Review business planning concepts

Powerpoint Jay

Actions to be taken on business planning Review and comments on action plans proposed by NGOs

Guidelines and formats Action plan outline

24 November 2009, Tuesday 9.00 – 9:30

Recap of previous day

9:30 – 11:00

Preparing future leaders in the organization

Review of concepts on Building the Leadership Engine

PowerpointReading

Anant


Guidelines and formats

11:30 – 1:00 PM

Continue development of action plans

Review excellence assessment results Continuous improvement in performance Preparation of implementation plan

Guidelines and formats Powerpoint Guidelines and formats

1::00 – 2:00 PM

Lunch

2:00 – 3:00 PM

Finalization of action plan

Finalization of action plan by participants Conclusion


Annex 4

Participants List from NGO Executives

(23-24 Nov. 2009)

Organisation District Name Position Registered1 Chetna Vikas Deoghar Mrs Rani Kumari Director Yes

2 NEEDS Deoghar Mrs Urmi Ray Deputy

Director Yes

3 Jeevodaya (Holy Family Hospital)

Koderma Sister Jyoti Soren Coordinator No

4 IDF Palamau Mr Manish Ranjan Unit in‐charge No

5 DORD Aurangabad Dr M M Raja President Yes

6 KGVK Ranchi Mr Shibaji Mandal Prgm Mgr Yes

7 SSK Gaya Mr Chhedi Prasad Secretary Yes

8 OSERD Gaya Mrs Kumari Anamika Director No

9 MSS Sheikhpura Ms Sabiha Naaz Director Yes

10 Shantidoot Sheikhpura Mr Avijeet Kumar Chairman Yes

11 Agragami Patna Mr Brijendra N Chowdhury Prgm Dev Mgr No

12 Lok Prerna Deoghar Mr Madhav Das Secretary No

No of participants – 7


Annex 5

Details of the session plan

(Date: 2021 Nov 2009)

1st Day:

1) Leadership Concepts

2) Review of Round Table 1 and 2.

3) Revisit of Action plan developed

4) Improve performance of NRHM, specifically maternal health, family Planning and safe abortion

2nd Day:

1. Review of FP Worksheet – Actions taken

2. Action Plan for future

3. RH area –

4. NRHM goals/objective

5. Results-Based Management

6. Briefing on Community Leadership Program (CLP) and Linkage of LDOE and CLP


Annex‐6

Details of the session plan

(Date: 2324 Nov 2009)

1st Day:

1) Leadership Concepts.

2) Review of Round Table 1 and 2.

3) Progress towards excellence

4) Improve performance of NRHM, specifically maternal health, family Planning and safe abortion

5) Review and re-do of excellence assessment

6) Review of Business Planning

2nd Day:

1. 2nd line leadership/ future leaders – Leadership engine

2. Action Plan for future.

3. Linkage of LDOE & CLP.

4. RH area – NRHM goals/objective.


Annex ‐ 7

Worksheet JSY 1

for developing action plan to improve performance in Institutional Deliveries

Last year performance (April 2008 to March 2009) ______________________Deliveries

Performance To date (April to October 2009) __________________________ Deliveries

Output

Desired performance this year (April 2009 to March 2010)_________________ Deliveries

Activities

(Please complete analysis of barriers in worksheet JSY 2. Then list the activities here)

1._____________________________________________________________________

2._________________________________________________________________________

3.____________________________________________________________________________

Now complete JSY worksheet 3

Worksheet JSY 2

for SWOT analysis to improve performance in Institutional Deliveries

Barriers

Financial

Infrastructural (Facilities, Transport etc.)

Human resource

Client related

Please select which barriers you wish to address in the above table

1. ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐, 2. ……………………………3. …………………………………….4. ………………………………………


Worksheet JSY 3

for Action plan to improve performance in Institutional Deliveries

Activity Who will do it and how How will you monitor implementation


Performance Review format: District___________________________PHC__________________________Name____________________________

We wish to review our performance in JSY and Family Planning (FP) and develop action plan to increase it. The following table will help us review the performance.

Item Performance in last year (April 2008 to March 2009)

Cumulative performance to date (April 2009 to October 2009

Barriers to improve performance

Actions planned to improve performance

Achievement Target Achievement as % of target

Achievement Target for the year

Achievement as % of target

Maternal health

Institutional deliveries, numbers

Family planning

Female sterilization (number)

Male sterilization (NSV), Number

IUD insertions, number

Oral pills, cycle distributed

Condoms, pieces distributed

Prepared by XISS for discussion at the Roundtable in Ranchi on 20‐21 November 2009


Documents

Leadership Development and Organizational Effectiveness … · 2015. 5. 11. · teams (Jharkhand) in first group and 7 NGO executives from Bihar and Jharkhand in ... KGVK shared that