1. 1 Fostering Change to successfully introduce and scale up proven health policies and practices Lourdes de la Peza Bangkok, 2010

2. 2 Change is NOT Easy Vitamin C and scurvy Hand washing Family planning Vaccinations

3. 3 Change is NOT Easy Change DOES NOT happen because…. Researchers say it is beneficial “Evidence” shows a practice can work New guidelines are promulgated

4. 4 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:

5. 5 The 3 Main “Clusters of Influence” in the Diffusion of Innovations by Everett Rogers Perceptions of the Innovation Characteristics of Adopters Contextual factors

6. 6 First Cluster: Perceptions of the Innovation Five most influential properties of an innovation 1.Perceived Benefit 2. Compatibility 3.Complexity 4.Trialability 5.Observability PERCEPTION is the key word

7. 7 Second Cluster: Characteristics of Adopter Innovators 2.5% Early Adopters 13.5% Early Majority 34% Late Majority 34% Laggards 16%

8. 8 Third Cluster: Contextual Factors Organizational culture Incentives Management and leadership practices

9. 9 A Proposal for Marriage…

10. 10 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

11. 11 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

12. 12 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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