Needs Assessment Part 1: Situational Analysis STOP 53 Training Kampala, Uganda May 2019 Learning Objectives 1. Understand the possible components and why it is important to conduct a needs assessment 2. Recognize & map identified needs/gaps as well as opportunities and barriers to those needs/gaps in an environment Session Outline • What is a need? • What is a needs assessment? o o o Step 1 – Situational Analysis Step 2 – Problem Analysis & Prioritization (presentation 25) Step 3 – Create A Work Plan & Schedule of Activities (presentation 45) • Why do a needs assessment? • How to do a situational analysis • Table Exercise • Why does this matter to STOP Participants? What Is a Need? • A need is a gap between what is and what should be Desired Result (what should be) – Current Result (what is) = Need Should be 5 staff members at a health facility There are currently only 2 Need 3 staff members What Is a Needs Assessment? • A needs assessment is a systematic approach used to determine… o o • What needs/gaps or deficiencies exist What strengths or resources already exist Three step process o o o Step 1 – Situational Analysis Step 2 – Problem Analysis & Prioritization (presentation 25) Step 3 – Create A Work Plan & Schedule of Activities (presentation 45) • Continual process – should be done on a regular basis o Must re-evaluate needs on a regular basis and update action plan Why Do A Needs Assessment? • To determine what already has been don • To determine what needs to be done • To determine what can be done o Not all needs have solutions or can be fulfilled o There are never enough resources to meet all needs, due to available… Finances/$$ Time Human Resources Priorities How to Do a Situational Analysis • Must ensure you understand the environment and local context (political, religious, ethnic, cultural, etc.) before assessing any needs • Follow the steps (ABCs): A. Determine what information already exists B. Gather missing data or information C. Analyze and interpret gathered data • Always work with a local counterpart • DO NO HARM! A. Determine What Information Already Exists • Know the history – what has worked and what has not? • What has been done recently (KAP study, assessments, trainings, etc.)? • Who can be a resource for you? o Staff o Local Leaders o Local Institutions o Local Groups o Maps B. Gather Missing Data or Information • Gather data through… o Interviews (formal and informal) What types of questions should you ask? o o o Surveys Assessments Mapping • Gather background data/information on… o Population Example: Targets, religious/ethnic breakdowns, language, indigenous vs. nomadic, etc. o Geography Example: Population dispersion, location of settlements, key man-made and geographic landmarks, etc. Mapping • What do we mean by mapping? A way to understand the complexities and details of a given context o Method for asking questions and gathering information about the situation o • How can mapping be used? For planning of other activities/projects (i.e.: SIAs, community outreach, etc.) o As a team building exercise with colleagues Can learn more about your counterparts, stakeholders and partners Can start to understand the priorities of different groups based on what they emphasize o As a training exercise for local counterparts/stakeholders o • Three types of mapping – process, organizational, and physical Process Mapping • Utilize flowchart approach • Example: flow of surveillance data reporting, vaccine logistics, vaccination session procedure • Things to include: starting point in process (circle), activities (square), decision points (diamond), feedback loops Mother & Child arrive at clinic Health provider requests vaccination card Yes Vaccination card? Register child and check records No Check immunization status Organizational Mapping • Utilize organization chart structure • Example: WHO organizational chart, health facility staff chart • Things to include: roles, responsibilities, needed skill sets, available vs. needed staff, etc. Note: We have already practiced mapping out roles and responsibilities during our Team Building activity – now you are going to practice mapping that team using an actual structure Physical Mapping • Use location/geographic map • Example: catchment area maps, daily SIA vaccination routes, etc. • Things to include: seasonal accessibility, distances between settlements, demographics, target populations, etc. C. Analyze and Interpret Gathered Data • Gather all the data you have collected and identify: o Potential resources and needs/gaps o Potential opportunities and barriers • Analyze data with your counterparts o Never analyze and interpret data on your own – you may come to the wrong conclusion o Remember Do No Harm! • Do you have enough information to proceed? • Should never stop gathering data and updating your needs assessment when new information is available Table Exercise (45 min) • Now we are going to practice mapping out a process, a team and a place 1. Tables 1-7 will map out their morning (process flow chart – starting from when you woke up until you arrived at the training center) 2. Tables 8-14 will map out the STOP Team from CDC (organizational chart – Including names, roles and responsibilities) 3. Tables 15-21 will map out the Speke Resort grounds (physical map – including points of interest for STOP training) • Draw your maps on your flip chart paper as a team • One person from each of the three groups will present their maps to the entire group Mapping Exercise Discussion 1. Process Map o o We do not routinely think about our actions as a process (decision tree) Can’t improve a process until you know what it is Knowing all of the steps in a process (both when they happen and when they don’t) is important for identifying gaps in that process 2.Organizational Map o o Cannot just passively understand how a team works together Need to ask critical questions to understand the structure, hierarchy, and strengths and weaknesses of a given team 3. Physical Map o Don’t map out an area by yourself or only take one perspective into account Every person will add different elements to a map (based on memory, priorities, experience) o The more detail the better *What is an example of a process, organizational or physical map you would create in the field? Why Does This Matter to STOPers? • Should not be making plans until you understand the context/local situation o Do No Harm! • It can be overwhelming when you first arrive in your country of assignment o o The steps to conduct a needs assessment can give you a roadmap for where to start, and specific tasks to do with local staff when you arrive Can and should be done at all levels Thank You!!