Handicap International © Éric Martin / Le Figaro / Handicap International The Sustainability Analysis Process : the case of physical rehabilitation Introduction to the guide Nepal, January 2013 Dorothy Boggs, OT, MScPH Knowledge Management Unit

The Sustainability Analysis Process: The case of physical rehabilitation Overview of guide Principles and benchmarks Practical guide Toolbox Online content

SAP Guide summary Introduces the Sustainability analysis process (SAP), a practical approach that aims to build consensus on a common vision of sustainability among the actors of a health and social system Explains how to conduct the SAP with relevant actors within a country's health and social system

Target audience Relevant actors within a country's health and social system For example, in the rehabilitation sector this might include: –Persons with disabilities –Disabled people's organisations (DPOs) –Service providers –Authorities –International organisations

Part I: Principles and benchmarks (1) Outlines the key underlying concepts of the SAP –Sustainability –Context and actors –Monitoring and evaluation –SAP methodology summary Each section in Part I –Starts with a set of questions and issues that need to be considered by the reader –Ends with key points summarising the section

Part I: Principles and benchmarks (2) Sustainability –Background to the concept –4 definitions of sustainability –Sustainability Framework

Part I: Principles and benchmarks (3) Context and actors –Importance of Context –Identifying actors involved in a system –Social network analysis

Social Network Analysis - Somaliland

Social Network Analysis - Nepal

Part I: Principles and benchmarks (4) Monitoring and evaluation –Definition –Sustainability Indicators –Using monitoring and evaluation results

Part II: Practical guide Sustainability Analysis Process (SAP) SAP Introduction Eight SAP steps –Practical information provided for each step –Related Tools provided in part III Recommendations

Part II: Practical guide (2) SAP introduction – Combines the conceptual framework of the Sustainability Framework, and the step-by-step process of the Process Analysis Method – Combines multi-stakeholder perspectives through a participatory approach

Part II: Practical guide (3) SAP introduction cont… -SAP has three aims: 1.To combine a scientific approach with a participatory approach through public and professional engagement 2.To reach consensus on a common vision of sustainability among the key actors of a sector 3.To select and measure practical sustainability indicators focusing on six components -Country workshops

Part II: Practical guide (4) Eight SAP steps 1.Overview of context 2.System boundaries 3.Vision of sustainability 4.Selection of sustainability indicators (SI) 5.Measurement of SIs 6.Reference system for sustainability 7.Illustrating the indicators 8.Analysis of sustainability levels

Part II: Practical guide (5) SAP example from Somaliland

Part II: Practical guide (6)

Part II: Practical guide (7)

Part II: Practical guide (8)

Part II: Practical guide (9)

Part II: Practical guide (10) Recommendations SAP should be repeated every 12–24 months to capture the dynamics of the rehabilitation system and to measure progress made in the various components of sustainability

Part III: Toolbox Practical Guide Tools Detailed appendices - Reference bibliography -Further details about the definitions of sustainability -A Follow-up workshop guide -A glossary -A list of abbreviations and acronyms

Online content Practical guide tools Appendices Facilitator workshop guides Additional country reports and examples Available on Sustaining Ability website

The Sustainability Analysis Process: The case of physical rehabilitation Thank you! Questions and answers …