SNEHA Center Development: January 2013 Update

Designing Healthier Urban Environments for a Healthier Urban World January 7, 2013 Sandra Plaza

SNEHA Project Overview

Š Design Impact 2013

Project Summary •

Our initial proposal was to look at developing a sustainable business model in which new services would offset the costs to deliver existing SNEHA service

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We soon realized the costs to deliver SNEHA services was high

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We decided to alter our focus on the improvement of the delivery of existing services

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We conducted interviews with SNEHA staff and Program Directors to understand the different processes and strategies used

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We reviewed costs to deliver SNEHA services and examined SNEHA Centre business model

SNEHA Project Overview

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Percentage Breakup of SNEHA Centre

Case Study: SNEHA Centre Overview

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Breakup of Cost per Centre (INR in lacs) Cost Heads Personnel cost for Program Staff Personnel cost for Common Operations Staff Training Cost Monitoring & Evalaution cost(including data team) Running Cost for Centre Food, Medicines, Educational Materials for DCC kids Other Program Cost Set up Cost for Centre Overhead Cost for Staff Capital Cost Administrative Cost Total Cost Case Study: Actual costs of SNEHA Centre

Amount 6.33 0.52 0.14 0.38 2.10 2.72 0.21 0.30 0.51 0.82 1.40 15.42 Š Design Impact 2013

SNEHA Centre Business Model Selected four centres to review delivery of health services in the community Catchment Area Per Centre • 600-650 Households • 400-450 Families • 2250 Population

Case Study: SNEHA Centre locations

Centre Locations 1. Plot 29 2. Sanjay Nagar 3. Shastri Nagar 4. Guatam Nagar 5. Raman Mama Nagar 6. Ardash Nagar 7. Zakir Hussein Nagar 1 8. Zakir Hussein Nagar 2 9. Janta Nagar 10. Ekta Nagar 11. Sector C 12. Sector D

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SNEHA CENTRE STRUCTURE 1 PROGRAM DIRECTOR OVERSEES

1 PROGRAM COORDINATOR MANAGES

3 PROGRAM OFFICERS RESPONSIBLE FOR

2 COMMUNITY CENTRES EACH

3 COMMUNITY ORGANIZERS ASSIGNED PER CENTRE

Case Study: SNEHA Centre Organization Structure

23 STAFF TOTAL

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Conducted interviews with SNEHA staff of Centres #1 & #2 Strong team support, good rapport with the community, residents asking for support for services, centre located on main street, highly visible

SNEHA Centre Overview: Shastri Nagar & Sanjay Nagar

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Centre #1 located on main street, highly visible

View of inside lane

SNEHA Centre Overview: Shastri Nagar

Street life

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Centre #2 located on main street, highly visible

View of centre space

SNEHA Centre Overview: Sanjay Nagar

View of community inside lane

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Interviews with SNEHA Staff of Centre #3 Strong team, very well organized, good rapport with community and with community volunteers, space is smaller

SNEHA Centre Overview: Guatam Nagar

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Center #3 located in inside lane of community

Entrance from main road to the centre

SNEHA Centre Overview: Guatam Nagar

View of inside lane

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Interviews with SNEHA Staff of Centre #4 Strong team of experienced CO’s in the social sector, maximum visibility to street life and located on main street, close to playground, school and Municipal health post

SNEHA Centre Overview: Raman Mama Nagar

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Located on a main street and highly visible

Entrance to nearby health post

SNEHA Centre Overview: Raman Mama Nagar

Housing conditions in community

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Next •

We reviewed all the strategies and processes used to deliver SNEHA services and created a SNEHA strategy matrix per Program Director responses

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Program Directors pointed out strategies they feel are most effective

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Goal is identify the similar processes used to deliver health services in the community and understand which strategies are most effective

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Currently conducting consumer end research to understand how beneficiaries perceive SNEHA services and the strategies they find most effective through a series of workshops

SNEHA Project Overview

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SNEHA Strategy Overview Matrix

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SNEHA Strategy Overview Matrix

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SNEHA Strategy Overview Matrix

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SNEHA Strategy Overview Matrix

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Workshop #1 Met with the beneficiaries of Prevention of Violence Against Women and Children to understand their aspirations for the future

Community Workshop Overview

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Desire to own her own home

Education is a must

Community Workshop Overview: Women’s responses

Honest doctors

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Picture Exercise We asked beneficiaries to draw upon their own personal experiences per photographs shown representing health and community

Community Workshop Overview

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Workshop #2 Met with the beneficiaries of Sexual and Reproductive Health’s Adolescents Gaining Ground program

Community Workshop Overview

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Value Exercise Conducted a value exercise workshop with the adolescents to understand their aspirations for the future

Community Workshop Overview

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Reduce child labour

Education helps build a career

Community Workshop: Adolescent’s responses

Doctors are important, villages have less doctors

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Community Workshop Overview

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Community Workshop Overview

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Follow Up •

We will continue to conduct workshops with the beneficiaries of SNEHA Programs and document and record the information so we can identify patterns from consumer research

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Once the workshops have been completed, we will make sense of the collected data, define opportunities and deliver solutions

SNEHA Project Overview

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Thank You Contact: Sandra Plaza sandra.plaza@d-impact.org www.d-impact.org

Š Design Impact 2012