Vancouver City Council |
Appendix 1
An Integrated, Inter-Governmental Approach to Community Health Improvements
___________________________________________Project Proposal
for the
Bangkok Metropolitan Administration
and the
City of VancouverDecember 2003
FEDERATION OF CANADIAN MUNICIPALITIES
Municipal Partnership Program
PREAMBLEThe Federation of Canadian Municipalities (FCM) Municipal Partnerships Program (MPP) is a human resources development program that links Canadian municipalities with local governments in developing countries. The program provides opportunities for municipal administrators, technicians and professionals to increase their capacity to deal with common municipal development issues by sharing experiences, working together, and applying their knowledge in practical situations.
Together the partner municipalities agree to implement a two-year Capacity Development Project that addresses municipal capacity building issues in one key area of co-operation. Canadian expertise is provided strategically to complement local expertise.
The City of Vancouver and the Bangkok Metropolitan Administration (BMA) are two new partners within the MPP. In June 2001, FCM proposed the partnership between the two municipalities given our mutual interest, work and expertise in the field of drug abuse and related social problems. The BMA was interested in the partnership as a way of learning the City of Vancouver's "best practices" on how to address drug abuse, addiction and related social problems with the intent of applying those learnings strategically toward enhancing existing prevention, treatment and harm reduction program services in Bangkok.
In preparation for a detailed project of co-operation, a diagnostic mission from the City of Vancouver to the City of Bangkok occurred in January 2002. The purpose of this mission was to meet Bangkok's representatives, to learn about the development issues and assess the situation. This was done with the perspective of assisting Bangkok in addressing the issues identified.
Subsequently, a confirmation mission was held in September 2002 during which time representatives from Bangkok attended Vancouver to witness and learn about Vancouver's unique approach to substance misuse and related social issues. Discussion was held on the content of a co-operative capacity building project to be submitted to FCM.
In April, 2003 Vancouver scheduled a confirmation mission to Bangkok with the intent of working with BMA departments to agree on a focus for the mission. A key element in planning the project was to be the attendance by both BMA and Vancouver delegates at the International Conference on the Reduction of Drug Related Harm that was held in Chiang Mai, April 6-10, 2003. Unfortunately this mission had to be cancelled due to the outbreak of SARS at that time. A representative from the BMA Public Health Department did attend the conference as part of the partnership program and reported learning to the project participants at the BMA and the City of Vancouver.
In September of 2003 representatives of the BMA undertook a second mission to Vancouver. The purpose of this mission was to finalize the project proposal and to secure the commitment of both the BMA and the City of Vancouver to carrying out the project.During a two (2)-week stay delegates from the BMA visited projects related to drug treatment, harm reduction, enforcement and community organization. They learned more about the Neighbourhood Integrated Services Team (NIST) an integrated interdepartmental approach to community problem solving and the Vancouver Agreement, an inter-governmental approach to strategic planning focusing on Social and Economic Development. The trip concluded with two days of discussions between the BMA delegation and the City of Vancouver representatives to debrief the visit and plan for the future partnership project. The enclosed proposal outlines the project that Vancouver and delegates from the BMA agreed to move forward with over the next two years.
An Integrated, Inter-Governmental Approach to Community Health Improvements
December 2003
RATIONALE
The BMA has recognized the need to improve the delivery of health and social services to the community. The preferred strategy is to involve the community in an integrated departmental and governmental approach that uses an interest based problem solving as a foundation for examination and resolution of issues, needs and concerns of all parties involved.
During the September, 2003, mission, BMA delegates learned of Vancouver's unique approach to addressing community problems via its Neighbourhood Integrated Services Team (NIST) approach. Bangkok officials were impressed with the integrated team approach, in which all Vancouver City departments work cohesively to solve problems arising in a given neighbourhood for the purpose of achieving improvements in community health. BMA delegates also spent time learning about the Vancouver Agreement process that brings an inter-governmental approach to addressing social issues within a municipal context.
Therefore, it was proposed that this Phase of co-operation between the City of Vancouver and Bangkok should focus primarily on capacity building for improvement of community health by initiating/improving both inter-departmental relationships within the BMA and looking at opportunities for inter-governmental linkages and cooperation where possible.
GOAL
The ultimate goal of the entire two-year project of co-operation is to achieve inter-departmental co-operation within BMA toward the improvement of social service delivery of community health in two communities within the Huay Khwang District of Bangkok.
PURPOSE
The specific purpose of this project is to build the internal capacity of the BMA by improving the inter-governmental and inter-departmental co-ordination and planning between multiple departments and jurisdictions toward the enhancement of service delivery to the residents of two communities within Bangkok. A comprehensive strategy is required involving multiple stakeholders and BMA departments which focuses on community health.
OBJECTIVES
There are five main objectives of this project:
1. Engage two communities within the district of Huay Khwang as a pilot project, with the possibility of expanding to other communities in the future, and ensure community member participation in the project.
2. Engage the community by working together to develop and implement a Community Study. The study will identify community health and social service needs and priorities in the district.
3. Improve communication and learning between BMA and other municipalities, BMA departments, and between BMA and the community.
4. Demonstrate an interest based problem-solving approach between BMA departments and the community to assist in the prioritization of the actions to be taken.
5. Create a continuum of services with linkages between a range of health and social services.Time frame: November 2003 - November 2005
ACTIVITIES
Objective 1
Engage two communities within the district of Huay Khwang as a pilot project with possibility of expanding to other communities & ensure community member participation.Activities
_ Invite the District Director and community leaders to a joint BMA/Community meeting to which all stakeholders are invited.
_ Develop and implement a data collection process using a community survey or questionnaire that will elicit information from community members on priority areas for action.
_ Conduct public relations activities about the process with community residents and other stakeholders, i.e. utilize broadcasts by radio and by loudspeaker.
_ Hold stakeholder/community volunteer meetings.Time Frame: December 2003 - January 2004
Objective 2
Develop and implement a Community Study, to determine with the community, agreed upon priorities for action (see appendix for Community Study funding proposal).Activities
_ Approach communities LadPrao #42-44 and LadPrao #45 with a questionnaire/ survey to determine priority issues.
_ Design the community study process, develop instruments and implement the study.
_ Analyze study data.
_ Hold departmental meetings with stakeholders to determine actions.
_ Conduct an internal (BMA) discussion on how to improve cooperation between all relevant departments and between the BMA departments and the communities.
_ Include analysis of learning from Chiang Mai municipality and the Chiang Mai conference on the reduction of drug related harm.Time Frame: March - June, 2004
Objective 3
Improve communication and learning between BMA and other municipalities, BMA departments, and between BMA and the community.Activities
_ Form a project steering committee that will meet every 3 months.
_ Create an interdepartmental committee that will meet every 2 months.
_ Form a working committee that will meet every month that will include all stakeholders.
_ Ensure reporting from the working committee to the interdepartmental committee, steering committee and the community on a monthly basis.
_ Utilize a range of methods to contact community members such as the BMA home visits by public health nurses, health volunteers, social workers and others.
_ Utilize community radio broadcasts.Time Frame: January - February 2004
Objective 4
Demonstrate an interest based problem-solving approach between BMA departments and the community to determine actions to be taken.Activities
_ Conduct analysis of results of the questionnaire/survey implemented in the community study.
_ Conduct outreach activities to the community to disseminate findings and proposed actions.
_ Hold community meetings to discuss service linkages and gaps.
_ Identify issues and priorities.
_ Work with BMA departments, NGOs in the community and community residents to identify components of the continuum and gaps that need to be addressed.Time frame: June - September, 2004
Objective 5
Create a continuum of services with linkages between a range of health and social services.Activities
_ Conduct facilitated workshops with BMA departments working in the two communities in order to determine what obstacles exist to increased cooperation and what processes and structures need to be put in place to maximize inter-departmental cooperation on this project.
_ The Steering Committee for the project will be responsible for holding a joint steering committee meeting with all participating departments to address the survey results and develop a coordinated response plan and the identification of the components of the continuum of health and social services.
_ Present coordinated response plan to the community.
_ Obtain approval from BMA to endorse the plan and commitment to implementationTime frame: October - December, 2005
Evaluation
The Evaluation of this project will take several forms including:
_ A formative evaluation process built into the project that will provide feedback to BMA departments and the community about the project as it is developed. Evaluation activities will take place in parallel to the project implementation.
_ An internal BMA inter-departmental process evaluation (summative evaluation) that will focus on inter-departmental working relationships and processes.
_ A participatory community process that will engage community residents and NGOs in the area and provide an opportunity for comment on the process and outcomes of the project (summative evaluation).
_ A comparative analysis between Vancouver and the BMA focusing on the Vancouver experience and transfer of knowledge from Vancouver to BMA on inter-departmental cooperation.
_ An analysis of the learnings from the Chiang Mai conference on the Reduction of Drug Related Harm.Evaluation Indicators
Evaluation indicators will include:
_ Perceptions of inclusion in problem solving by community members (names and numbers of persons involved)
_ Perceptions of interdepartmental cooperation by BMA staff and community members (names and numbers of persons involved)
_ Identifiable structures in place to facilitate interdepartmental communication and cooperation.
_ Documented communication strategies and outcomes between BMA departments and BMA and the community.
_ Numbers of participants involved in the project.
_ Length of involvement, etc.Time Frame:
_ June-September, 2005 - initial summative evaluation by project coordinators.
_ December 2005 - February 2006, 6 month follow up interviews.ISSUES TO BE CONSIDERED
FCM actively supports gender equality, diversity, poverty reduction and environmental protection as common themes in all its interventions. The BMA and the City of Vancouver agree to integrate and address these themes during the lifespan of the project.
RISK MANAGEMENT & ASSUMPTIONS
The BMA and the City of Vancouver agree that certain risks can influence the success of this project. The following assumptions will make this project successful.
_ Health Department officials endorse this proposal and agree to obtain support from local officials.
_ The Governor of Bangkok will endorse the proposal.
_ The Mayor of Vancouver and the Vancouver City Manager will endorse the proposal.
_ BMA, Vancouver and FCM will commit the necessary resources to realize the completion of the project.
_ Local co-ordinators will ensure a timely exchange of information and data will occur between municipalities.
_ Local co-ordinators will ensure a proper dissemination of information on the project.
_ The BMA and the City of Vancouver will ensure that staff has the time and ability to adjust to the increased responsibility and accountability demanded by this project.BUDGET & SCHEDULE OF TECHNICAL EXHANGES
- Year One -
Bangkok, Thailand
and
City of Vancouver, Canada
November, 2003 to November 2005Technical Exchange: Vancouver delegation to Bangkok
January 29 to February 11, 2004
BUDGET
Activities/Expenses
Contribution - Canadian $$$
FCM
Vancouver
BMA
Total
Accommodation
7,500
7,500
Airfare
10,000
10,000
Delegate per diem
6,000
6,000
Airport tax
150
150
Health Insurance and Vaccines
500
500
In Kind - Staff Time
(15,000)
(15,000)
Ground Transportation
1,000
1,000
Workshop (FCM and BMA)
1,000
1,000
2,000
Community Study
6,900
3,100
10,000
Miscellaneous
1,000
1,000
Totals
25,550
(15,000)
12,600
53,150
Technical Exchange: BMA delegates to Vancouver
June, 2004BUDGET
Activities/Expenses
Contribution - Canadian $$$
FCM
Vancouver
BMA
Total
Accommodation
3,400
3,400
Airfare
4,500
4,500
Delegate per diem
2,000
2,000
Airport tax
120
120
Health Insurance and Vaccines
150
150
In Kind - Staff Time
(10,000)
(10,000)
Ground Transportation
300
300
Workshop (FCM and BMA)
500
500
Miscellaneous
1,000
1,000
Interpreter
1,200
1,200
Totals
11,370
11,800
0
23,170
Technical Exchange: Vancouver delegates to BMA
November, 2004BUDGET
Activities/Expenses
Contribution - Canadian $$$
FCM
Vancouver
BMA
Total
Accommodation
4,500
4,500
Airfare
6,000
6,000
Delegateper diem
2,000
2,000
Airport tax
150
150
Health Insurance and Vaccines
300
300
In Kind - Staff Time
(10,000)
(10,000)
Ground Transportation
500
500
Workshop (FCM and BMA)
500
500
1,000
Miscellaneous
1,000
1,000
Totals
9,950
(10,000)
5,500
25,450
- Year Two -
Technical Exchange: Bangkok delegation to Vancouver
June, 2005
BUDGET
Activities/Expenses
Contribution - Canadian $$$
FCM
Vancouver
BMA
Total
Accommodation
3,400
3,400
Airfare
4,500
4,500
Delegate per diem
2,000
2,000
Airport tax
150
150
Health Insurance and Vaccines
150
150
In Kind - Staff Time
(10,000)
(10,000)
Ground Transportation
300
300
Workshop (FCM and BMA)
500
500
Miscellaneous
1,000
1,000
Interpreter
1,200
1,200
Totals
11,400
11,800
0
23,200
Evaluation Mission:Vancouver to Bangkok
November, 2005BUDGET
Activities/Expenses
Contribution - Canadian $$$
FCM
Vancouver
BMA
Total
Accommodation
4,500
4,500
Airfare
4,500
4,500
Delegate per diem
2,000
2,000
Airport tax
150
150
Health Insurance and Vaccines
300
300
In Kind - Staff Time
(10,000)
(10,000)
Ground Transportation
500
500
Workshop (FCM and BMA)
500
500
1,000
Miscellaneous
1,000
1,000
Totals
6,450
(10,000)
7,500
23,950
Appendix 2
MUNICIPAL PARTNERSHIPS PROGRAM
City of Vancouver & Bangkok Metropolitan AdministrationFUNDING PROPOSAL FOR COMMUNITY STUDY
Purpose
¬ To assist the BMA in the identification of the top three priority issues for the residents of two communities within the Huay Khwang District.
Objectives
¬ To contact each household with each of the two communities
¬ To collect information that will assess the needs of the communities
¬ To analyze the information obtained from the communitiesDesired Outcomes
¬ The identification of the three priority issues for the communities that will be addressed by the Municipal Partnerships Program
Scope of the Project
¬ Approximately 1,000 households per community
Target Audience
¬ Resident families within each household within each of the communities of LadPrao # 42-44, and LadPrao #45
Action Plan
¬ Establish Community Study Working Group (consisting of the Steering Committee and District Officer)
¬ Develop the survey instruments
¬ Develop the strategy to deliver the survey
¬ Conduct training workshops for the field workers to deliver the survey
¬ Deliver a pre-test to a sample of households
¬ Deliver the survey via personal interviews with each household
¬ Collect the survey for the data management process
¬ Conduct the necessary analysis of the survey (conducted through the use of an external resource)
¬ Produce the final report for the review of BMA officialsTime Frame
¬ Three month will be required to develop and implement the community survey (December 2003 - February 2004)
Resources Required
¬ 20 volunteers
¬ External Consultant to analyze the survey data
¬ Coordinator/Advisor to supervise/coordinate the volunteers
¬ BMA staff timeBudget Estimate / Funding Requested (Cdn)
¬ 20 volunteers x 22 days x $10.00 $ 4,400.00
¬ External Consultant (20 days @ $50/day) $ 1,000.00
¬ Coordinator/Advisor ( 4 persons x 24 days @ $ 20.00/day $ 1,920.00
¬ Stationary & Supplies $ 500.00
¬ Communication Equipment $ 380.00
¬ Ground Transportation $ 800.00
¬ Training Workshop for volunteers $ 1,000.00
TOTAL $ 10,000.00