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    Case Study of UHRC

    SupervisorProf. Debiprasad Mishra

    Presented By: Rajesh Kumar (F063)

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    Objective of Study

    To understand the purpose, structure,

    strategies and the following Processes of the

    organisation

    To understand the future direction of theorganisation and to identify the challenges

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    Methodology

    Informal chats with employees of UHRC

    Semi-structured interviews and discussions with the

    Ex. Director, Operations Director, Account Head andUnit heads

    Analysis of Annual report

    Analysis of Annual plans

    Record of Activities

    Information from website of UHRC

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    The Organization

    Name Urban Health Resource Centre

    Head Office New Delhi

    Field Offices Indore, Agra, Meerut

    Main Objective

    strengthen Urban Health programming

    approaches and capacities at different levels

    among the government and non-governmentlevels.

    To ensure this demonstration models are built

    at different places so as to be replicated by

    others.

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    Profile of the Organization

    Executive Director Dr. Siddharth Agarwal

    Board Members 5

    Advisory Board Member 3

    Number of Staff 51 (Staff30;Consultants21) Head Office New Delhi

    Branch Offices 3 (Indore, Agra, Meerut)

    Presence in Ranchi, Jaipur and Lucknow

    Demonstration sites Indore, Agra, New Delhi, Meerut

    Area of work Urban Health

    Issues working on RCH

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    The Outreach

    Providing Technical Assistance to

    Govt. of India &

    6 States (including Delhi)

    No. of NGO partners 10

    City Models 3 cities

    Direct intervention in :

    No. of Slums

    97 / 393 (Agra) + 184 / 539 (Indore) = 281 / 932

    No. of Population served 5 lakh

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    Biggest Contribution

    Have established urban health as an issue to

    be worked upon by the government and other

    agencies

    Have successfully listed and got officiallyrecognized the unlisted slums and their

    existence

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    Vision

    An urban India where every resident enjoys

    optimal health and well-being, realises his/herfull potential and contributes to the nations

    growth and development

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    Mission

    To bring about sustainable improvement in

    the health condition of the poor by influencingpolicies and programmes and empowering

    the community.

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    Why Urban

    Urban population - 328 million (Projections for 2007 by TechnicalGroup on Population Projections)

    India is expected to be approximately 40% (550

    million) urban by 2026(Census, 2001 population, Projections, 2001-26)

    2-3-4-5 phenomenon of population growth (2% - growth ofIndias population; 3% - of urban population; 4% - of Metros; and 5% - of Slums)

    Urban poor estimated at 80.74 -100 million;

    projected to increase to 202 million by 2020(Planning

    Commission, Poverty Estimates for 2004-05 and National Population Policy, 2000; State of Worlds Cities,

    2006/07)

    Estimated annual births among urban poor: 2

    million (Based on CBR 19.1 for urban population and 100 million urban poor population)

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    Background

    UHRC has been institutionalized from theEnvironmental Health Project (EHP / USAID)India project office, which has been functionalsince 2002.

    UHRC is a charitable non-profit companyregistered under Section 25 of the Companies

    Act, 1956.

    UHRC was incorporated in August 2005 andstarted operations on October 31, 2005.

    The organization is registered under 12A and80G of Income Tax Act. 1961.

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    Growth over time

    ModelBuilding

    Need of KMand Research

    TA & Platform forAdvocacy

    With the evolution of time and experience and interaction with the

    environment the organization gradually realized the importance of

    different processed to be evolved and with these experiences

    evolved different units of the organization

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    Organogram

    Executive Director

    Director Operations

    Regional Program

    Coordinator cum TS (2)

    Director Program

    HR

    Officer

    Any Other

    City Urban

    Health PO

    GOI

    Consultants

    Regional Coordinator

    cum UH Planning

    Specialist

    Prog Res/

    CB Officer

    Social Mob

    OfficerData Entry &

    IT Support

    Support

    Service

    Cons. Tech

    Associate

    InternsInterns

    Sec. Cun

    Admin Assist

    UH PlanningAssociate

    State LevelConsultants

    Interns

    Administrati

    ve OfficerFinance

    Officer

    IT & Admin

    Cor (2)

    Support

    Service

    Accountant

    Accounts

    Asso

    Secretary Program

    Associate

    Team Leader

    RKMA Unit

    Res. Doc.Associate

    Lib. WebSpl

    Adv

    Spl

    Res & Doc.

    Spl (3)

    Interns

    Board of Directors

    *Note: Still evolving structure

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    Governance

    Governing Board,

    Advisory Board

    Core Team

    Programme Team

    Strategic level

    Tactical or

    Managerial Level

    Operational level

    * Ex. Director + Unit heads + Finance head

    Forms

    Core Team

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    Governance

    A five member board of directors

    Main functions:

    Strategic guidance

    Statutory responsibilities

    Institutional support

    Term 3 years

    Quorum 50% member, Min - 2

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    Advisory Board

    3 member advisory board

    They are specialists from their own field

    They are kept to advise the organization on

    issues of technical assistance

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    Environment

    UHRC

    Donor

    Govt.

    Central / State

    South Asian

    Condition

    Community

    Other NGOs -

    Collaborators vs

    Competitors

    Academia

    Media

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    Cont

    Economic Majority of funds come from single donor;

    however organization is in the process of diversifying it

    Political Govt. policies are not adverse

    Almost no Competition or threat Technical Assistance is anew field very few other organizations are working on this

    issue

    Other organizations are present at the implementation level

    which have been turned into collaborators (By providing

    them technical assistance) so risk has already been

    mitigated

    But there is no guarantee that in future no strong contender

    emerges because organizations are there which are working

    on urban issues

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    Ambience

    Mixed Culture some sections are very

    dedicated to the organization and its work

    While all the employees are highly educated

    so potential of the organization is very high Work pressure is high as UHRC is Growing

    Organization working late in night and on

    holidays are common

    Learning culture is fostered those serious,

    can learn a lot

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    Dimensions of Organization

    It is a fast growing organization

    Organization is flat with minor element of levels of

    hierarchy

    Organization Structure is largely Matrix

    Why Matrix

    The main purpose of the matrix structure is job

    enrichment especially for the new-comers Creating versatility among the employees

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    Institution Building

    Organization

    Formalization of rules within organization to the extent of

    acceptance of these rules into as organizational norms and Culture

    Establishing and spreading its learning and values through Linkages

    with Media, Academia, CBO and Government for replication

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    Entropy

    Besides these the organization pursues an active policy of

    open communication so that the information flow or the lack

    of communication should not add to the problem

    Ex. Director

    Very strong and loyal Core

    Team (Forms backbone of

    the Org.)

    A second layer forinternal management

    needs to be created

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    Systems

    Centralization Decision making Centralized

    Highest decision making body Core Group

    This leads to high work pressure on core group and ExDirector

    Communication lateral

    Feedback System reports and reviews done

    regular meetings with staff

    through written method as well as verbal during trainingand workshops

    Span of Control 4-5 person (Exception 13 in KM)

    MIS not yet evolved

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    Degree of Formalization

    It is a Formal organization

    Core team forms the actual planning and

    managerial platform

    Once planning is done then implementationand communication are informal

    Written plan provides every staff the work

    and target they have to achieve

    Written along with verbal is communication isin vogue

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    Differentiation and Integration

    Differentiation

    Horizontal differentiation is based uponstrategic departments and locations. Vertical

    differentiation is very less as organization doesnthave many levels. Spatial differentiation are in theform of different branches located in different citylocations

    Integration

    Planning integrates the entire work ofall the staff. Monthly meetings and annual retreat

    provides platform for integration

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    Planning Process

    USAID

    UHRC

    City Team

    Team Team

    Team

    Core Team plans and

    formulates the annualplan

    Sends tentative plan

    Implementation

    at team level

    Planning at city teams

    separately

    Two way planning

    A Top Down Planning process

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    Monitoring and Evaluation

    Internal

    Weekly reports

    Monthly reports

    Annual reports

    Field visit

    External

    Once two years by the funding agency

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    Human Resource Management

    Recruitment process through advertising on web-sightetc.

    Staffhighly educated (have both professional and Ph.Ddegrees holders)

    Working Hour 8 hrs (bet 8:30 AM to 8:30 PM) Remuneration According to the Experience &

    Educational qualification

    Staff are reasonably compensated

    Acknowledgement are given for any work if writtensome article authorship is provided

    Annual Performance Appraisal

    Process of conformation written rules are their but rarelyused

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    Cont

    Employee turnover 25%

    Due to environmental factor of cropping up of

    a lot of organization in the same domain

    Demand of employees of this caliberincreased

    A quantum jump in salary has suddenly

    brought a spurt in the turnover of the staff

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    Human Resource System- HR System

    Prepared by Ernst & Young

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    Capacity Building

    On job training is the main pattern

    Internship is also taken as CB exercise

    Study Tour or Exposure Visit

    Attending workshops

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    Grievance Redressal & Conflict

    Management

    Core Team

    Programme Director

    Employee

    Team Head

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    Career Chart

    Intern Consultant Team Member

    Coordinator

    Highly stable and

    strong so no one can

    reach here

    No hierarchy

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    The Strategy

    Research,

    Knowledge

    Management

    and Advocacy

    City Models

    TechnicalAssistance to

    Govt. and other

    NGOs

    Improvement in

    Health of the masses

    Influencing National and State

    Policy and Program

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    Strategy

    Three Pronged Strategy:

    To build City Demonstration Programme:

    Transforming Communities and HealthSystem

    Research, Knowledge Management and

    Advocacy

    Technical Assistance to Government and

    other NGOs

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    Knowledge Management & Advocacy

    Organize, facilitate and support national, state and city

    level advocacy efforts aimed at enhancing attention to

    health of the urban poor.

    Generate, compile, analyze and strategically transfer

    knowledge and experience for better informed urbanhealth policies and programming

    Publishing articles in journals

    Reanalysis of already done research like NFHS data to

    take out relevant information related to urban health

    Doing advocacy through media and workshops to form a

    platform or create favourable environment for urban

    health as a subject in need of attention

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    City Demonstration Programme

    To create a model to experiment with the

    methods of providing access to health

    services to the urban poor

    Providing a demonstration site to the govt.and other agencies of a successful ways to

    solve the problems

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    Program Approachesevolved over aperiod of time, using a consultative approach.

    Approach 1:(April, 2003)

    Demand-Supply improvement and linkage

    approach through NGO-CBO partnership

    Approach 2: (November, 2003)

    Public sector driven, service delivery approach

    (Ward Coordination Approach)

    Approach 3: (September, 2006)

    Public Private Partnership (PPP)

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    Technical Assistance

    Organizing Workshops

    Documentation for sharing with larger audience

    Providing data and other resource material for

    key meetings Exposure Visits and Study tours

    If demanded provide technical support to form or

    design projects for effective implementation of

    health project for urban poors

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    SWOT

    Strength

    Presence of a visionary leader

    Environment is friendly

    Leader in its own domain No significant rival yet visible

    Highly strong and dedicated core team

    Highly qualifies staff Good remuneration

    Acknowledgement of contributions

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    Cont

    Weakness

    High turnover

    Single donor

    Opportunity Domain is new and wide open

    Lack of strong competitor

    The domain itself is expanding

    Threat Can come from if any strong competitor

    emerges

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    Future Plans

    Urban Health Networks at National, Regional (South

    Asia) level and Asia level so as to promote urban

    health issues at every level

    Sharing of information and experiences across states

    and nations

    Technical support to other organizations in

    formulation, documentations and implementation of

    the projects

    Diversifying field of operation to collateral areas ofwell being of the urban poor viz, livelihood

    Diversifying risk by having more donors working with

    the organization

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    Future Challenges

    Formation of corpus fund

    High turnover

    To maintain the smoothness of Policy level

    programme going in face of the changing govt.officials

    Future may generate strong rivals in the same

    domain

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    Suggestions

    Responsibilities and decision making process needs tobe decentralized

    This will provide Ex Director more time to devote to thestrategic or environmental management and for themanagement of the organization

    Especially in the face of the fast growing organization

    One more layer below core team needs to be identifiedand created

    This will provide more time to the core team to devote to

    strategic matter This will expand the core group to the second level

    This will bring ownership among more employee and willcontain dissatisfaction among loyal employees of theorganization

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    Cont

    This make organization more efficient

    All these would help contain the entropy

    More formal levels should be created

    This will provide more career ladder to theemployee and will improve their career chartcontaining their dissatisfaction

    Employees (Consultants) sitting alone in some

    states should have frequent meeting and havesome participatory process with the organization

    This will not create alienation among them

    This will also help organization evolve proper

    future expansion strategy

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