HelpAge International in Vietnam

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1 HelpAge International in Vietnam Innovative and sustainable community approach that enable poor and disadvantaged people to have dignify, active, healthy and secure lives

2 1) Intergenerational Self-help Club (ISHC) Development model

3 HelpAge s Community Development Model ( ) HelpAge provides technical support and funding to local partners to initiate various development activities Research and Capacity building Networking and Advocacy Right and Entitlement Livelihood & social pension Health living and healthcare Gender, ageing Homecare & HIV/AIDs DRR activities In 2006 (Country programme evaluation) 1. Were We were there very synergy proud between of our the comprehensive groups??? 2. What programme happen in after Vietnam. the project (any lasting benefit)???

4 Main findings from the evaluation of the HelpAge s programme (development model) in Vietnam in 2006: Before 2006 Vertical focused (focus only on 1-2 areas no synergies) Mostly led by non beneficiaries Beneficiaries were separated Weak in local ownership, selfhelp and sustainability Expensive (not affordable) Require long term supported (no exit strategy) Small (only meant to be pilot) Not able to replicate nationally (lack replication tools) Consultation: 1) Training us to do it ourselves ( We learn better by doing ) 2) The new development model should be able to help us to meet our own needs (multi-functional) 3) Increased our capacity to generated our own regular income during and after the project 4) Cost effective and affordable

5 1) ISHC development model: HelpAge s Community Development Model Before 2006 Vertical focused (focus only on 1-2 areas no synergies) Mostly led by non beneficiaries Beneficiaries are separated Weak in local ownership, selfhelp and sustainability Expensive (not affordable) Require long term supported (no exit strategy) Small (only meant to be pilot) Not able to replicate nationally (lack simple replication tools) 2006 and onward Multi-functional improved synergies Beneficiaries led (communities) Inclusive approach Strong local ownership and sustainability Affordable for Vietnam Require only 2-3 years support (clear exit strategy) Can move beyond the pilot to replication stage Can be replicable national (has standardized tools and strategy)

6 The ISHC development model is innovative: I) Promote equitable & inclusive development CBOs: based at village level to enable active participations of the poor as well as promote local ownership Membership : members per ISHC Inclusive approach: Young and old Men and Women Poor, Non poor and other DGs Membership fee: paid membership fee and no money is given to members to attend the ISHC regular activities Volunteers: 7-10 volunteers/ishc Approaches: transparent, democratic, inclusive, self-help, self-managed Activity focus: Both direct intervention and policy advocacy

7 2) Self-managed and self-help Self-managed: All ISHC s activities are directly managed/led by the ISHCs and it s members: Planning, implementation and M&E Club management board: 5 people (are members of the ISHC) CMB selection: are elected by the ISHC members Plan & Report: has monthly activity and financial plans and reports Financial management: Manage their own budget & fund raising Have their own bookkeeping and filing system Governance & development Self-help: Monthly self-help activities (needy members or the community) Help community to help themselves

8 3) The ISHCs are multi-functional: Synergies Self-help & resource mobilization Gender & ageing Social & cultural Healthy & active living Mutual Support Right & entitlement Intergenerational Self-help Clubs (ISHC) Health care & insurance DRR & CCA Governance & development Dynamic Income security Homecare & disability Improve image Enable community to meet their own needs

9 4) The ISHC model is financially sustainable: HelpAge & local partners support the ISHCs to increase its capacity to generate their own regular income: 5,000 USD per club (in cash or in kind) ISHC s income (Club Fund) Income sources 1. Credit (interest) 2. Membership fee 3. Local Fund raising 4. Small ISHCs IGA The ISHC s incomes are used to support the ISHC activities Usage of income Capacity building Gender, ageing, and right Health living & healthcare Homecare & HIV/AIDs awareness Income security CBDRR, relief and rehab Social, cultural and community Self-help activities, disability

10 Benefits from having regular self-generated income for poor households and the ISHCs ISHCs are poor people led able to design, implement and monitor its own activities Able to response to multiple needs of members and their communities Are financially sustainable and able to generate increasing income to cover it own running costs and activities will continue even after the project funding has ended Are dynamic and able to change & grow The ISHC model is based on the people know, the people decide, the people do, the people monitor and the people manage

11 5) The ISHC model is affordable: If the government of Vietnam invest just 0.5% of its 2012 GDP (just 1 time), the funding will be enough to establish 100,000 multifunctional self-managed and sustainable ISHCs in the country. Note: One ISHC in every village or urban community in the country

12 6) Inclusion of the ISHC model in National Policy: National Program on Ageing for o At least 15% of the commune in the country will have at least 1 ISHCs by 2015 o At least 50% of the commune in the country will have at least 1 ISHCs by 2050 o ISHCs by 2020 National Proposal for the replication of the ISHC nationally have been submitted to the GoV for consideration (MoLISA and VAE) Replication of the ISHC development model by others: Oxfam, UNFPA, KOICA, UNFPA & others

13 Number of ISHC 7) Rapid growth of the ISHC model in VN Number of ISHC in Vietnam By 2012, replicated in 13 provinces: Coastal Rural Urban Mountainous ISHCs are in ethnic minority areas (14.0%) ISHC

14 2) Lessons Learned

15 2) Lessons Learned Ensuring the ISHCs have regular selfgenerated income is critical to promote local empowerment, ownership and sustainability Comprehensive support for poor families and communities is important to ensure long lasting healthy and active living. Empowering communities and their selfhelp groups/clubs to care for themselves is effective in promoting inclusive, sustainable and equitable development The ISHC approach is very cost effective and affordable: require total cost of around 10,000 USD/ISHC Would need around 2 years to help them to be self-managed and sustainable The ISHC model is an appropriate and sustainable development model for Vietnam (by Oct 2013, have successfully replicated in more than 650 urban, rural, coastal, remote and ethnic minority communities throughout VN).

16 3) Standardization: To make it easier and faster for HelpAge and local partners to replicate To ensure quality

17 3) Standardization & replication of the ISHC model Project management Club management PLA Handbook Livelihood Policy Ageing & Gender Project Summary

18 3) Standardization & replication of the ISHC model Capacity building: Publication & training materials on Health Self-care Homecare Quarterly publication Non-communicable Disease

19 Health: IEC materials (18 topics) on CDs & NCDs)

20 Health: IEC materials (18 topics on CDs & NCDs) How to left and move frail or PwD From bed to chair (single person)

21 3) Monthly health monitoring booklets Monthly Monitoring Health Status Weight Reading and Recording Blood Pressure reading and recording Health Monitoring Booklet

22 3) Standardization & replication of the ISHC model Physical Exercise Training Posters (8 posters)

23 3) Standardization & replication of the ISHC model Physical Exercise Training Posters (8 posters) Training Posters (for Older Old)

24 3) Standardization & replication of the ISHC model Age Friendly and Resilience livelihoods: 110 topics

25 3) Standardization & replication of the ISHC model Age Friendly and Resilience livelihoods: 110 topics

26 Livelihood component 1. Self-managed micro credit: Owned by the ISHCs 100 million VND (in-cash or in-kind) Interest: 1.0% per month Monthly repayment for both increased and principle Loans belong to the clubs Saving: Not recommended IGAs experience sharing 2. IGA activities: Provision of IGA credits or inputs Visit good IGA models Training on good IGA model Technique transfer

27 Social & mental health Social & Culture performance (Monthly and during holidays) Exchanges and sharing between ISHCs (At least once every 6 months)

28 Self-care (healthy living) Awareness: appropriate nutrition, healthy lifestyle, information on prevention of non-communicable diseases and simple self care skills (20-30 minutes per month during monthly club meeting )

29 Self-care (healthy living) Dầu, muối, ngọt Nutrition (Awareness) Physical Exercise (15-30 minutes daily)

30 Health Checkup, health insurance & access Health checkup (health booklet) (Every 6 months) Health Insurance and access (On going)

31 Ongoing learning and exchanges Awareness: appropriate nutrition, healthy lifestyle, information on prevention of non-communicable diseases and simple self care skills (20-30 minutes per month)

32 3) Standardization of the ISHC activities/focus: Under the health component: Self-care (healthy living) Nutrition (Awareness) Physical Exercise (15-20 minutes daily or regular)

33 Homecare (community based - volunteer) Volunteer based Homecare (At least 2 visits per week) Family Care (Monthly awareness)

34 Monthly Self-help Initiative Monthly the ISHC will select one needy case/cause in their community to support. Which could be: In-cash donations In-kind donations Labour contribution Technical support

35 CBDRR: IEC materials

36 Water and Sanitation

37 Heart of Gold Sponsorship Booklet (Local fund raising)

38 3) Standardization of the ISHC activities/focus: Training Videos

39 1) Piloting the model: to gather lessons learned and impact evident 4. Franchising: to support others to replicate 2) Standardizing: to make it easy for HelpAge and local partners to replicate 3) Branding: increased the awareness of the ISHC model to policy makers and donors

40 Remaining challenges: the replication of the ISHC model nationally 1. Vietnam still is a very low income country: per capita income is only around 1,300 USD/person 2. Vietnam is facing many economic difficulties: rapid slow down in growth, high inflation, large deficit, currency devaluation and others 3. Dramatic reduction in international funding support 4. Ageing is still very much excluded from most local and national development strategy 5. Approved policies on Ageing lack priority and funding 6. Policy implementation is often slow and poorly implemented

41 Thank you!

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