Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20

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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
Opening
Doors
Stewarding
Change
Pakistan
Country Programme Strategy
2016-20

   WAP Country Programme Strategy
   2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
Our vision is of a world where everyone has access to
safe water and sanitation.

Our Mission is to transform lives by improving access to
safe water, hygiene and sanitation in the world’s poorest
communities. We work with partners and influence decision
makers to maximise our impact.

Contents
 Introduction.............................................................................................. 3
 Getting to Everyone Everywhere ............................................................ 5
 Redefining the Challenge ........................................................................ 9
 Road to Change .................................................................................... 12
 Delivering Change ................................................................................. 15
 Approaching Change ............................................................................ 17
 Sustaining Change ................................................................................ 19
 Measuring Change ................................................................................ 20

 Bibliography............................................. Error! Bookmark not defined.

    WAP Country Programme Strategy
    2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
WAP Country Programme Strategy
2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
Introduction
Lack of access to WASH services and awareness directly
             affects the health and well-being
         of a country’s most vulnerable citizens.

WaterAid in Pakistan (WAP) carries         WASH service delivery, for hygiene
forward global organisational mission      education and for coordinating inter-
of ensuring universal access to safe       sectoral coordination.
water; sanitation and hygiene (WASH)
to “everyone everywhere by 2030”.          Our strategic aims will be realised by
                                           creating informed opinion,
The availability of WASH as a human        knowledge-sharing, and
right is an essential determinant of       demonstrating viable WASH models
quality of life in a population. It is a   in partnership with community-based
measure of a nation’s priorities. It       counterparts, augmented by strategic
reflects social equity and good            investments in technical assistance
governance; policy direction and           and inter-disciplinary collaboration with
resource allocation.                       government and other stakeholders.

In Pakistan’s fast-changing and            Grounded in WaterAid’s Rights-based
sometimes challenging work                 approach, our five strategic aims will
environment, we are positioning to         deliver lasting change that we
open doors for stewarding change.          believe, will bring universal WASH
Our envisioned change will strengthen      access to Pakistan’s most vulnerable
existing state systems including           groups

WAP Country Programme Strategy
2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
WAP Country Programme Strategy
2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
Getting to Everyone Everywhere

              WAP’s work environment in Pakistan is dynamic
              and often challenging, but remains predictable
                for the purpose of our five-year strategy.

Ensuring WASH rights to the 50              have transitioned to cities in 2030,
percent Pakistanis living on less           further stretching water and sanitation
than 2 US dollars a day, is an              systems.
important step towards pulling them
out of poverty, and enabling them to        Inadequate public investments in the
enjoy an acceptable standard of well-       maintenance and renewal of public
being.                                      infrastructure in mushrooming urban
                                            settlements particularly affect water
Pakistan loses 343 billion Rupees to        and sanitation services. Patronage-
healthcare costs and lost income            driven alternatives are available only to
because of water-borne disease. This        the rich.
money is better spent on social
services that add to the quality of         Every year 3 million Pakistanis suffer
life for citizens.                          from             Human Development
                                            waterborne      Pakistan is currently ranked
Pakistan is culturally and linguistically   diseases out      146th out of 187 countries in
                                                              human development.
diverse, with an equally varied set of      of which 1
                                                            Half the population lives in
political viewpoints. A third of its 186    million die.      poverty, with 30% more being
million inhabitants, are classified as      25-30             vulnerable.
                                                            Access to opportunities for
‘desperately poor’, and despite their       percent of
                                                               women imperceptibly
agrarian heritage, comprise the most        the country’s      increasing
rapidly urbanising population in            hospital         30%   of education targets
                                                              have been achieved.
South Asia. Half the population will        beds are        Half the people in Pakistan
                                                                 have transitioned to urban
                                                                 areas.

WAP Country Programme Strategy
2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
occupied by patients suffering from                                     But perhaps the most serious issues in
water-borne disease. Overall 53,000                                     Pakistan that stand in the way of
children die each year due to diarrhoea                                 change are related to its socio-political
and 60 percent of all infant deaths                                     milieu. Any improvements to apex-
occur due to unsafe water.                                              level accountability, policy
                                                                        consistency, resource-allocation
The economy is edging back up from                                      and civic participation would
the strains of internal strife, buoyed by                               transform the political landscape for
major foreign investments. Long-                                        the better.
stagnating human development
indicators show revival but still lag in                                A major proportion of national
comparison to neighbours. Pakistan                                      resources goes to non-development
appears 146th on the Human                                              uses at the expense of much-needed
Development Index.                                                      investments in human development
                                                                        and social services infrastructure.
The steadily emerging climate change                                    Allocations often remain under-
factors are adversely affecting                                         utilised.
geographic landscape and seasonal
cycles. Natural calamities, such as the                                 Meanwhile, the access gap continues
2005 Kashmir earthquake, take their                                     to widen, leaving more and more
toll. Pakistan’s sizeable flood plains                                  people without essential WASH
remain at a high risk of flooding. The                                  services. This exacerbates inequality
2010 mega-flood inundated one fifth of                                  and discrimination that has led to
the country, and uprooted 20 million                                    violent reactions over recent years.
people. Smaller floods returning
every year, continue to destabilise                                     On balance, Pakistan’s overall
livelihoods, deplete frayed                                             situation has remained largely
infrastructure and add to the burden                                    unchanged in terms of national policy
of disease.                                                             direction, economic environment, or
                                                                        human development.
                                                      Pakistan’s Economy
                            From a steady 7%-plus annually through the 1990s, economic growth
                             dipped to 1.6% in 2010 before its present 4.24%.
                            Income per capita, currently USD 1,512, traditionally higher than its
                             neighbours, has fallen behind.
                            Foreign direct investment, which peaked at USD 5.4 billion in 2007-08, saw
                             only USD 87 million in the first quarter of 2013.
                            External debt, during this time has risen to over USD 50 billion, as a result of
                             a balance-of-payment bail-out by the International Monetary Fund.
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2016 -2020
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Opening Doors Stewarding Change - Pakistan Country Programme Strategy 2016-20
WAP Country Programme Strategy
2016 -2020
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Redefining the Challenge
   WASH successes stand alongside sobering statistics
  about poor water quality and unimproved sanitation and
   hygiene practices that cause widespread disease and
                           death.

                                         Pakistan 1.6 million disability-
Pakistan has ramped up WASH              adjusted life years (DALYs).
performance in recent years. It
reported meeting targets for the         Access notwithstanding, safe water is
Millennium Development Goals, and        the main challenge. Water quality is
tops the current WASH Performance        at the root of Pakistan’s poor health
Index released by the Water Institute    statistics.
at UNC Chapel Hill.
                                         Less than 20 percent of the
Overall, 91 percent of Pakistanis        available water is safe for drinking.
have access to improved water, and       Overall, 70 percent of Pakistanis use
64 percent to improved sanitation.       untreated water. Only 8 percent of
Examples of community-led sanitation     urban sewage and less than 1
services such as the Orangi Pilot        percent of industrial effluent are
Project, and lately, open defecation-    treated before disposal.
free (ODF) communities, have
achieved wide recognition.               Pakistan features among the top 5
                                         victims of diarrheal deaths. 4 percent
These successes indicate a positive      of the national GDP is lost to
trajectory. But they stand in sharp      substandard WASH systems. That’s
contrast to the overall state of         almost 244 billion Rupees.
health and wellbeing in the country.
The burden of disease costs              The total economic burden of
                                         substandard WASH systems is 343

WAP Country Programme Strategy
2016 -2020
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billion rupees. That’s almost 4 percent   From legislators, policymakers and
of the national GDP. Health costs         top-level officials to government offices
amount to 87 percent of this total        and local administrations, to local
economic cost (299 billion rupees).       opinion leaders, media and the person
That’s 800 million rupees per day.        on the street, our strategic objectives
                                          will address everyone.
Something has to change. And it has
to do with how people understand the      Our actions will focus on building
relationship between WASH and             greater understanding that leads to a
health. That WASH is not simply an        change in thinking about WASH. This
engineering or public health or           changed thinking will drive
behaviour change issue alone.             collective action. And the resulting
                                          critical mass will build momentum for
This change in understanding is           lasting change in the way people
central to WAP’s strategy. Our entire     demand WASH rights, and the way
effort over the coming five years,        WASH services are delivered.
therefore, will be on building
understanding among all                   Redefining the challenge this way
stakeholders and mobilising them to       drives our strategy for change.
play active role in the change process.

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2016 -2020
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WAP Country Programme Strategy
2016 -2020
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Road to Change
          A rights-based approach and existing alliances
        position WAP at a relative advantage and places our
               vision of desired change within grasp.

Pakistan’s WASH sector reality is          Our understanding of Pakistan’s
characterised by relatively weak           WASH reality and our experience of
sector governance, lax policy              advocacy and technical support as
implementation mechanisms, a               strategic investments towards
culture of patronage, fragmented           change indicate three critical areas of
service delivery, unclear delegation       programme competence to strengthen
of responsibility, and inadequate          over the coming five years.
technical capacity to mount
integrated WASH initiatives among key      The first, is promoting innovative and
stakeholders.                              replicable WASH models and
                                           approaches that can be scaled up
Changing any of these is clearly           through strategic multi-level
beyond any single actor. However,          partnerships, backstopped by
WAPs experience indicates two              experience in a number of countries,
principal conditions, which when           technical expertise, and a uniquely
met, help usher in change. One is a        WASH-focused mandate.
continued emphasis on effective and
culturally appropriate advocacy            The second, is being able to cross-
approaches and opinion-leadership.         integrate WASH with other relevant
The other is high quality technical        disciplines for wider, more sustainable
support to refining and testing service-   impact, particularly in healthcare and
delivery models and effective              education, reducing duplication or
outreach.                                  redundancy.

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2016 -2020
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The third, is a capacity to lead               organisations to be to deliver
discourse on WASH rights and build             inclusive WASH services cost
coalitions around approaches that              effectively and accountably.
inspire others by demonstrating the
                                            3. Bridging disciplines for WASH
quality of their impact.                       impact: responses to WASH
                                               issues lie in diverse disciplines
WAP is clear that converting these
                                               such as health, nutrition and
particular strengths into programme            education that do not routinely
success requires articulating a                interact. There is a need to build
convincing change pathways that lead           cross-disciplinary linkages so that
to WAP’s desired change in a manner            practical WASH solutions can be
that fits the unique Pakistani context,        developed jointly and delivered
while remaining true to the direction set      seamlessly.
by WaterAid’s Global Strategy 2015-
                                            4. Enhancing WASH sector
20.
                                               coordination: with understanding
As such, WAP will realise its vision of        and awareness increasing,
change by working to meet five                 institutions developing to respond
strategic objectives that deliver impact       seamlessly, delivering WASH
by meeting five needs:                         solutions, the need arises for
                                               improved coordination among
1. Ensuring WASH rights for the                peers and counterparts in the
   most vulnerable: WAP sees                   WASH sector.
   WASH as a rights issue, and sees
   an acute need for helping bring          5. Promoting WASH as continued
   about greater understanding                 national priority: with WASH
   among right-holders as well as              sector stakeholders better aware,
   duty-bearers about their respective         integrated, equipped, and
   rights and responsibilities.                motivated, there is a need to
                                               establish and maintain ownership
2. Developing institutional                    and stable resourcing of WASH
   capabilities for WASH: in tandem            services delivery by government
   with increased understanding,               decision-makers so the growing
   emerges the need for state                  momentum is sustained.
   institutions and community

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2016 -2020
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WAP Country Programme Strategy
2016 -2020
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Delivering Change
     Five strategic objectives that lead to desired change in a manner
          that fits the unique Pakistani context, remaining true to
                      WaterAid’s Global Strategy 2015-20.

The change we envision is all about
creating the widest impact for the        We are convinced that by investing
most marginalised. We visualise five      effort and resources in achieving our 5
distinct but fundamentally integrated     strategic objectives, we will change the
strategic objectives that we believe,     present environment into one where
will achieve the desired change.          the least empowered can freely
                                          access WASH services.
At the end of the strategy period we
wish to see WASH services within          Strategic objective 1: To ensure that
reach of even the most vulnerable of      those most vulnerable are able to
populations.                              exercise their rights to WASH
                                          services, and learn to assume
We wish to see these services             responsibility for sustaining them.
delivered through well-integrated         This objective comprises of three lines
state-run systems in partnership with     of action packages that will help
local communities, in ways that are       promote WASH rights for the most
inclusive and cost-effective.             vulnerable. The first will be to assist
                                          legislators to mobilise and articulate
These pathways emerge from our            for WASH reforms in parliament. The
understanding of the WASH context         second will be technical inputs into
in Pakistan, and our experience with      state mechanisms for increasing
government, civil society, academia,      awareness and capabilities among
and entrepreneurs in a dynamic            stakeholders. The third will be
environment.                              developing criteria for engagement in
                                          humanitarian situations.

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2016 -2020
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Strategic objective 2: To strengthen                     the benefits of cross-disciplinary
institutional capabilities of key                        collaboration.
stakeholders for delivering inclusive
WASH services effectively and                            Strategic objective 4: To contribute
sustainably.                                             tangibly towards an enhanced state of
The objective addresses institutional                    coordination within the WASH sector.
capabilities, with two specific lines of                 The objective seeks a line of action that
action helping strengthen delivery                       contributes tangible inputs into
partners to offer inclusive and cost-                    enhancing sector coordination
effective WASH services. One will                        mechanisms between the various
contribute to defining roles and                         government departments, community
responsibilities for WASH                                partners, and funders engaged with
governance and implementation.                           WASH-relevant initiatives, by
The second will develop and                              contributing meaningfully to ongoing
document WAP’s district-wide                             dialogue.
approach (DWA) model in a form that
it can be shared for replication.                        Strategic objective 5: To help secure
                                                         and sustain priority status for the
Strategic objective 3: To actively                       WASH sector within Government
seek to cross-integrate WASH best                        agencies and programmes.
practices through partners in relevant                   The objective pursues two lines of
disciplines and sectors, particularly                    action seeking to secure and sustain
Health & Hygiene.                                        priority status for the WASH sector
The objective focuses on a line of action                within government. The first engages
that builds cross-disciplinary                           with decision-makers in government so
cooperation to achieve WASH impact,                      they continue to champion WASH as
particularly hygiene & public health,                    a development and fiscal priority. The
and education & WASH knowledge                           second lobbies for WASH-specific
management, culminating in joint                         budget allocations at the national,
WASH programmes that demonstrate                         provincial, district and local
                                                         government levels.

                                         WAP’s DESIRED CHANGE
                                     Those most vulnerable are able to
                                 realise their rights to access sustainable
                                    WASH services, effectively delivered
                                   through collaborative, well-integrated
                                                 mechanisms
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2016 -2020
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WAP Country Programme Strategy
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Approaching Change
             Our global vision, deriving relevance from critical analysis,
                   delivered through community-focused models,
                and advocacy for behaviour influence at key levels.

WaterAid’s programming emphasises
partnerships, rigorous analysis, and         All three are guided by a globally
cross-innovation so essential to             consistent normative framework,
driving change. We see                       underscored by WAP’s internal
transformational change as actions           capacity to define, design, implement
that address causes of uneven or             and learn.
compromised WASH services within             A critical cross-cutting driver for the
context. Our strategy prepares us for        three programme thrusts is further
it.                                          building internal capacity –
Our programme approach stands on             systems, processes and individual
three mutually reinforcing thrusts.          skill-sets – for staff and organisation.
The first one is to motivate and             As we gear up for delivering on our
inspire, the second is to demonstrate        strategic targets over the next five
viable programme interventions, and          years, we rely on the quality of these
the third is to implement them with          very internal resources.
partnerships and outreach by
providing technical assistance to
relevant government institutions.

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2016 -2020
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Sustaining Change
Resource plan summary in two sentences here.

Placeholder to add content

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2016 -2020
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Measuring Change
M&E plan summary in two sentences here

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2016 -2020
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