A Quote by Ruth Simmons
We wanted to see how access to care can be expanded and service quality can be improved when one uses a participatory approach to program development. We showed that major changes become possible if you work in a participatory manner, listen to local people, diagnose what the problems are, provide training and identify where there are opportunities for mobilizing local resources to take action. In time leaders from other municipalities expressed interest in replication and the project succeeded in expanding innovations to three other areas.
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Related Quotes
Major changes become possible if you work in a participatory manner, listen to local people, diagnose what the problems are, provide training and identify where there are opportunities for mobilizing local resources to take action.
We have emphasized the importance of applied action research because it allows evidence-based policy and program development and a focus on learning. We are also committed to using a participatory approach in which local people, local program managers and providers, local researchers, women's health activists, and national decision-makers play the leading role. International "experts" from technical assistance agencies or universities can make important contributions, but they certainly don't have all the answers.
High level policy makers and program managers do not normally listen to the voices of local people, local providers and local program managers when they make decisions about contraceptive introduction or other aspects of program development in reproductive health.
If instead policy makers and program managers participate in an interdisciplinary assessment team, make informal visits to local families and have in-depth conversations with local providers and health authorities, the real needs and complex challenges of organizing good reproductive health services become apparent.The first country that implemented this participatory program of assessment, research and policy development was Brazil. I was one of the outsiders who provided support to the initiative.
We need state government to work efficiently and keep open lines of communication with local governments. We should listen to local leaders about their opportunities and challenges and let their innovation guide the way.
During election time, I work over 21 hours. My day starts around 6 A.M., and I address meetings through the day. Between 10 P.M. and 2 A.M., I meet local leaders, where we discuss local issues and local problems.
In America, we need to develop communitywide structures of democratic ownership, we need to work out cooperative development, we need to work out participatory management, we need new ecological strategies developed at the local city, state, regional level.
Many people are alienated by faceless bureaucracy and what they see as an erosion of participatory democracy. Consequently, there has been a revival of interest in charitable service.
As more and more women, men and young people raise their voices and become active in local government, and more local leaders take action for the safety of women and girls, change happens.
When ownership is local and national, and various stakeholders work together, program innovations have a greater chance to take root and survive.
Some land surveyors delve into land development advocacy, working with local government on behalf of clients in order to facilitate progress on a project. Others stick to strictly surveying. The approach depends on the individual firm and the needs of the local area.
What is the manager's job? It is to direct the resources and the efforts of the business toward opportunities for economically significant results. This sounds trite - and it is. But every analysis of actual allocation of resources and efforts in business that I have ever seen or made showed clearly that the bulk of time, work, attention, and money first goes to problems rather than to opportunities, and, secondly, to areas where even extraordinarily successful performance will have minimal impact on results.
The strong point of American research universities is the manner in which trustees, presidents and other senior executives retain a considerable amount of decision-making authority while at the same time maintaining a culture of open exchange and participatory debate.
Entrepreneurs don’t do most of the work. Entrepreneurs identify the problems, discover the opportunities and then build processes to allow other people and other things to do the work.
No matter how you care to define it, I do not identify with the local group. Planet, species, race, nation, state, religion, party, union, club, association, neighborhood improvement committee; I have no interest in any of it. I love and treasure individuals as I meet them, I loathe and despise the groups they identify with and belong to.
International "experts" from technical assistance agencies or universities can make important contributions, but they certainly don't have all the answers. When ownership is local and national, and various stakeholders work together, program innovations have a greater chance to take root and survive.
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