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Designing Healthier Urban Environments for a Healthier Urban World January 7, 2013 Sandra Plaza © Design Impact 2013 SNEHA Project Overview

SNEHA Center Development: January 2013 Update

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Process journal from DI Fellow Sandra Plaza

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Page 1: SNEHA Center Development: January 2013 Update

Designing Healthier Urban Environments for a Healthier Urban World January 7, 2013 Sandra Plaza

© Design Impact 2013 SNEHA Project Overview

Page 2: SNEHA Center Development: January 2013 Update

• Our initial proposal was to look at developing a sustainable business model in which new

services would offset the costs to deliver existing SNEHA service • We soon realized the costs to deliver SNEHA services was high

• We decided to alter our focus on the improvement of the delivery of existing services • We conducted interviews with SNEHA staff and Program Directors to understand the

different processes and strategies used • We reviewed costs to deliver SNEHA services and examined SNEHA Centre business model

SNEHA Project Overview

Project Summary

© Design Impact 2013

Page 3: SNEHA Center Development: January 2013 Update

Percentage Breakup of SNEHA Centre

Case Study: SNEHA Centre Overview © Design Impact 2013

Page 4: SNEHA Center Development: January 2013 Update

Breakup of Cost per Centre (INR in lacs)

Cost Heads Amount Personnel cost for Program Staff 6.33 Personnel cost for Common Operations Staff 0.52 Training Cost 0.14 Monitoring & Evalaution cost(including data team) 0.38 Running Cost for Centre 2.10 Food, Medicines, Educational Materials for DCC kids 2.72 Other Program Cost 0.21 Set up Cost for Centre 0.30 Overhead Cost for Staff 0.51 Capital Cost 0.82 Administrative Cost 1.40

Total Cost 15.42

Case Study: Actual costs of SNEHA Centre © Design Impact 2013

Page 5: SNEHA Center Development: January 2013 Update

Centre Locations

1. Plot 29 2. Sanjay Nagar 3. Shastri Nagar 4. Guatam Nagar 5. Raman Mama Nagar 6. Ardash Nagar 7. Zakir Hussein Nagar 1 8. Zakir Hussein Nagar 2 9. Janta Nagar 10. Ekta Nagar 11. Sector C 12. Sector D

SNEHA Centre Business Model Selected four centres to review delivery of health services in the community Catchment Area

• 600-650 Households • 400-450 Families • 2250 Population

Per Centre

© Design Impact 2013 Case Study: SNEHA Centre locations

Page 6: SNEHA Center Development: January 2013 Update

SNEHA CENTRE STRUCTURE

1 PROGRAM DIRECTOR

OVERSEES

1 PROGRAM COORDINATOR

3 PROGRAM OFFICERS

2 COMMUNITY CENTRES EACH

3 COMMUNITY ORGANIZERS ASSIGNED PER CENTRE 23 STAFF TOTAL

Case Study: SNEHA Centre Organization Structure

MANAGES

RESPONSIBLE FOR

© Design Impact 2013

Page 7: SNEHA Center Development: January 2013 Update

Conducted interviews with SNEHA staff of Centres #1 & #2 Strong team support, good rapport with the community, residents asking for support for services, centre located on main street, highly visible

SNEHA Centre Overview: Shastri Nagar & Sanjay Nagar © Design Impact 2013

Page 8: SNEHA Center Development: January 2013 Update

Centre #1 located on main street, highly visible

View of inside lane

Street life

SNEHA Centre Overview: Shastri Nagar © Design Impact 2013

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Centre #2 located on main street, highly visible

View of centre space

View of community inside lane

SNEHA Centre Overview: Sanjay Nagar © Design Impact 2013

Page 10: SNEHA Center Development: January 2013 Update

Interviews with SNEHA Staff of Centre #3 Strong team, very well organized, good rapport with community and with community volunteers, space is smaller

SNEHA Centre Overview: Guatam Nagar © Design Impact 2013

Page 11: SNEHA Center Development: January 2013 Update

Center #3 located in inside lane of community

Entrance from main road to the centre

View of inside lane

SNEHA Centre Overview: Guatam Nagar © Design Impact 2013

Page 12: SNEHA Center Development: January 2013 Update

Interviews with SNEHA Staff of Centre #4 Strong team of experienced CO’s in the social sector, maximum visibility to street life and located on main street, close to playground, school and Municipal health post

SNEHA Centre Overview: Raman Mama Nagar © Design Impact 2013

Page 13: SNEHA Center Development: January 2013 Update

Located on a main street and highly visible

Entrance to nearby health post

Housing conditions in community

SNEHA Centre Overview: Raman Mama Nagar © Design Impact 2013

Page 14: SNEHA Center Development: January 2013 Update

• We reviewed all the strategies and processes used to deliver SNEHA services and created a

SNEHA strategy matrix per Program Director responses • Program Directors pointed out strategies they feel are most effective • Goal is identify the similar processes used to deliver health services in the community and

understand which strategies are most effective

• Currently conducting consumer end research to understand how beneficiaries perceive SNEHA services and the strategies they find most effective through a series of workshops

SNEHA Project Overview

Next

© Design Impact 2013

Page 15: SNEHA Center Development: January 2013 Update

SNEHA Strategy Overview Matrix © Design Impact 2013

Page 16: SNEHA Center Development: January 2013 Update

SNEHA Strategy Overview Matrix © Design Impact 2013

Page 17: SNEHA Center Development: January 2013 Update

SNEHA Strategy Overview Matrix © Design Impact 2013

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SNEHA Strategy Overview Matrix © Design Impact 2013

Page 19: SNEHA Center Development: January 2013 Update

Community Workshop Overview © Design Impact 2013

Workshop #1 Met with the beneficiaries of Prevention of Violence Against Women and Children to understand their aspirations for the future

Page 20: SNEHA Center Development: January 2013 Update

Desire to own her own home

Education is a must

Honest doctors

Community Workshop Overview: Women’s responses © Design Impact 2013

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© Design Impact 2013 Community Workshop Overview

Picture Exercise We asked beneficiaries to draw upon their own personal experiences per photographs shown representing health and community

Page 22: SNEHA Center Development: January 2013 Update

© Design Impact 2013

Workshop #2 Met with the beneficiaries of Sexual and Reproductive Health’s Adolescents Gaining Ground program

Community Workshop Overview

Page 23: SNEHA Center Development: January 2013 Update

© Design Impact 2013

Value Exercise Conducted a value exercise workshop with the adolescents to understand their aspirations for the future

Community Workshop Overview

Page 24: SNEHA Center Development: January 2013 Update

Reduce child labour

Education helps build a career

Doctors are important, villages have less doctors

Community Workshop: Adolescent’s responses © Design Impact 2013

Page 25: SNEHA Center Development: January 2013 Update

© Design Impact 2013 Community Workshop Overview

Page 26: SNEHA Center Development: January 2013 Update

© Design Impact 2013 Community Workshop Overview

Page 27: SNEHA Center Development: January 2013 Update

• We will continue to conduct workshops with the beneficiaries of SNEHA Programs and

document and record the information so we can identify patterns from consumer research

• Once the workshops have been completed, we will make sense of the collected data, define opportunities and deliver solutions

SNEHA Project Overview

Follow Up

© Design Impact 2013

Page 28: SNEHA Center Development: January 2013 Update

Thank You

Contact: Sandra Plaza [email protected] www.d-impact.org

© Design Impact 2012