Creating Impact: Alone or Together?

July 9, 2012 in Cambodia, iCat Fellow 2012, LGT VP, Operation Asha by Amandeep Singh

“Treading heavily on each other’s toes, bickering violently amongst themselves and competing in sometimes unseemly ways for ascendancy…”  - Graham Hancock, Lords of Poverty

In last few months of the fellowship, I have had chances to meet top management of other NGOs, decision-makers in central health ministry and country heads of international development/aid organizations in Cambodia. With an aim to build partnerships to combat tuberculosis in the country, I tried to approach these meetings objectively. But many a times, I got to hear subjective opinions from the other side. The situation got worse in one such meeting with one of the world’s largest bilateral aid organizations; I was taken aback by a question from the Country Head on the definition of ‘default’ in tuberculosis treatment (one of the most important KPIs for the evaluation of a TB program).

There are numerous accounts on how multiple development and aid organizations with their own agendas and specializations (plus ignorance) are at the core of third world catastrophe. With funding tied to regular appraisal of targets, non-profits race for the results every day in isolation.

Imagine the scenario where impact investor funds a non-profit to treat patients and measures impact simply on the basis of number of patients and population under coverage.  Now take the non-profit (investee) out of this scenario and 60-70% of patients end up receiving healthcare from the public sector. So the impact gets reduced to 30-40% in terms of patient numbers. In an ideal scenario, the investee would deliver solutions [through service models], which or where the government is not able to provide, there by complementing the existing system. Though it’s a simplistic example and real world systems are very complex, but it does give a sense of direction.

Working as a single agent to create impact may not be efficient and in some cases, the work may actually prove to be overlapping or damaging. In contrast, a complementary set up of impact investors working between philanthropists and governments might be better equipped to create long-term effect on policies and models employed by the public sector. Knowingly or unknowingly, I am also a part of the system now. But the current state needs a change and impact investors, prioritizing social returns, would required do so in future. Otherwise, they might be reduced to yet another agency funneling thousands of dollars into a country on a program doing temporary work but failing in bringing a long-lasting change in peoples’ lives.

Is your NGO on life support?

June 1, 2012 in Familia, Grupo Ciudad Saludable, Peru by Alex Proimos

 

The blogosphere is filled with numerous articles of how to create a successful non-government (NGO) organisation but what is missing is a review of the most common death traps. In other words how to kill a successful NGO?

As with any business, NGO or not, non-profit or for-profit the lifeblood is cash. It’s a sad truth, like it or not, but cash rules. Cash is king. It makes things happen. It’s not to say that it’s the only thing that makes a successful NGO but it’s critical because it’s not that easy to find an experienced workforce that will turn up to work each day, give it their all and go home with nothing but a feeling of love and peace. Hence, cue the need to think about financial sustainability or positive cash flow.

Financial sustainability is basically having the ability to pay the bills as they fall due. Unfortunately, it’s an area that most visionary leaders that we admire in the social impact space fail to recognise. Ultimately, it’s this failure that will mark the death of their NGO and cause that most have spent a whole life devoted. So where do we look before a NGO signs its own death certificate?

Here are two critical areas to look at before its all over:

1. Every NGO needs a clear and touching story with a solution or mission. Something sharp and clear that people can identify with and makes donors wants to contribute. This means that presentation of the NGO is EVERYTHING – it’s the first point of contact, the drawcard. It requires a serious investment in slick zero-error presentations, high-quality media and a stand-out presenter. The brand is on the line.

Nevertheless, operationally the solution can be really simple but the important part is to do it well, really well, time and time again. This means no diverting to get involved with other business activities that seem like easy money. Although it may sound boring to stay on the same road, take a moment to think about all the great companies today. What do they have in common? A simple product or service that is executed well, time and time again. It’s a process that brings trust and repeat clientele and in the case of NGOs, donors and plenty of money that assists in generating greater social impact. Changing the mission confuses the story and alienates donors meaning the end is near.

2. Enthusiasm and a passion brings life to the organisation. No one wants to work with a bunch of robots, but NGOs too often have an overpowering feeling of “family”. But as with every loving family there are dark secrets are lurking in the background. Covering-up the pain just leaves the real business issues never to be addressed – and the situation is worse when actual family members work together in the NGO. When everyone just loves everyone and everything they do…it’s sickening – enough to want to put yourself in a self induced coma. The task of telling the truth about someone’s work or removing staff for incompetence, bad behaviour or a downturn in the business is never easy but it has to be done. It’s business and a NGO is no different in its need for an efficient and effective team to develop and maintain a sustainable business model. The only difference is that a for-profit business reports returns in terms of dollar$ to its shareholders and the NGO reports returns in turns of impact to the community but at the end of the reporting period both must demonstrate that they are sustainable.

Establishing an international NGO with numerous accolades and steady donor revenue takes many giant strides and thousands of heart breaking hours to achieve but only a few failed steps for the dream to be over. Thus constant checks are required to ensure that social impact business is healthy. In the case that the diagnosis is not well – the model is unsustainable – its up to the NGO founder and executive  team to face up to the common vices to halt a certain death as love, peace and a touching story will never save a NGO.

For a NGO to remain fighting fit it needs to keep evaluating itself through a regular check-ups and exercising tough and often unpopular business decisions because without a new diet life becomes critical with no chance of revival and in that case its better to turn off the life support.

 

Site Visit Reality – Khayelitsha

April 11, 2012 in Africa, iCat Fellow 2012, M2M by Tim R Nichols

Last week I went on my first “site visit” (sites are the clinics where the women from m2m work) with mothers2mothers after hearing so much about it. One thing is to work in an office were I have daily meetings in virtual rooms mapping out workflows for processes that have been dictated by program and support staff, but it is a completely different reality to drive 30 minutes outside the city to see where they will be implemented. When I arrive to the clinic, I notice the queue of women sitting patiently with their babies waiting for a visit with the m2m staff who works diligently at attending to their concerns and needs, helping make them feel confortable. The m2m clinic is tidy and organized and located next to the main health clinic in the informal township called Khayelitsha. The township is in dire need of health care education/HIV prevention with m2m helping to fill the gaps where it has a population of around 450,000 and over 40% are below the age of 19. Around 70% of residents still live in shacks and one in three people has to walk 200 meters or further to access water with an HIV prevalence rate of around 30%.

However dire the circumstances, in small, tight communities interesting things happen including such innovations as the Community Exchange Program where people can register to work and then earn credit, which eventually leads to obtaining goods and other services. A social network by which no legal tender is associated but people are able to purchase and redeem credit for hours worked. Another great inspiration is the Khayelistsha football for hope center built by steetfootballworld, which are supported by LGT VP and fellow iCats. Alongside those innovative social projects the mentor mothers from m2m work to control the spread of HIV to newborn babies silently under the cover of the tin roofed houses that make up the town.

As I drove out of Khayelitsha running over extension cables crossing the road that are used for power between the sectors of the villages, I realized the real value of my work and the challenges that lie ahead.

Pictures from Khayelitsha: