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Fostering Change to successfully introduce and scale up proven health policies and practices

Lourdes de la PezaBangkok, 2010

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Change is NOT Easy

Vitamin C and scurvy

Hand washing

Family planning

Vaccinations

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Change is NOT Easy

Change DOES NOT happen because….

Researchers say it is beneficial “Evidence” shows a practice can workNew guidelines are promulgated

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An effective process for change is a critical success factor for:

Adapting Implementing Scaling up Sustaining

best practices

The Science of the Diffusion of Innovation:

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The 3 Main “Clusters of Influence” in the Diffusion of Innovations by Everett Rogers

Perceptions of the Innovation Characteristics of

Adopters

Contextual factors

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First Cluster: Perceptions of the Innovation

Five most influential properties of an innovation

1. Perceived Benefit 2. Compatibility3. Complexity4. Trialability5. Observability

PERCEPTION is the key word

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Second Cluster: Characteristics of Adopter

Innovators 2.5% Early

Adopters

13.5%

Early

Majority 34%

Late Majori

ty 34% Laggar

ds 16%

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Third Cluster: Contextual Factors

Organizational culture

Incentives

Management and leadership practices

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A Proposal for Marriage…

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Phases: Guide to Fostering Change

Preliminary Phase: Forming the Change Coordination Team

Phase I: Defining the Need for Change– Identify the problem and the benefit

Phase II: Planning for Demonstration and Scale up– Select a change agent– Identify, analyze and choose relevant effective practices– Make a plan to implement and monitor change – Make preliminary choices for scale-up

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Phases (cont’d)

Phase III: Supporting the Demonstration– Create and maintain an environment to encourage

change– Use the plan to continually assess, monitor and modify

Phase IV: Going to Scale– Evaluate – Engage commitment of stakeholders– Select an implement strategy– Measure and communicate results

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Virtual Fostering Change Program

Part I: Create an action plan to introduce a best practice

Part II: Introduce a best practice

Part III: Create a plan to scale up

Part IV: Implement action plan

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