Have you been PA'd?: Using participatory appraisal to shape local services

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This report introduces Participatory Appraisal (PA), showing what it is and what it can achieve. Taking examples from the projects themselves, and using the voices of those involved in the processes, it demonstrates how PA can be used in community and agency decision-making and shows what was learned by them. It has an extensive list of organisations and people to contact and a checklist for organisations, communities and decision-makers.
  June 2003 PA Using Participatory Appraisal toshape local services Have you beenPA'd? East End Health Action  This report was written by Christine Caldwell ofEast EndHealth Action,Gaille McCann,ofGreater EasterhouseCommunity Health Project,and Charlotte Flower of Oxfam’s UK Poverty Programme,with support from JohnHowie,Public Health Development Officer,StirlingCommunity Planning Partnership.It was edited by Nikki van der Gaag and printed byOxfam GB.Thanks to all the people from both projects.Quotes aretaken from What’s in a name? Evaluation ofthe use and impact ofa participatory appraisal in East End Health Action and Easterhouse Community Health Project, ValliFK Yanni,2001,Oxfam GB.© 2003 East End Health Action,Greater EasterhouseCommunity Health Project,Greater Glasgow NHS Board,Oxfam GBFor further details and copies ofthe report contactUK Poverty ProgrammeOxfam in Scotland,1st Floor,207 Bath Street,Glasgow G2 4HZTel:0141 285 8880ukpp@oxfam.org.ukwww.oxfamgb.org/ukppPhoto:East End Health Action   A PA checklist for the community,organisations and decision-makers Identification ofaims and objectives  Are the aims ofthe appraisal clear,relevant and ownedby all? Who else should know,be involved,and when? Strategy for achieving aims and objectives Is there a strategy for achieving these aims? Are key decision-makers involved from the beginning and committed to taking forward outcomes of the process? Communication about the process Is there a wide understanding ofwhat the exercise isabout and what it aims to achieve? Record keeping How is the information being recorded and documented? Is there a system for ensuring confidentiality and anonymity ifnecessary? Is there a breakdown ofwho has been involved – by gender,area,diversity,age,and interests? Are there common recording methods used consis-tently by all facilitators? Time for reflection and analysis Is there evidence that the process ofanalysis was iterative?Do the findings correspond with other sources ofdata? ‘Reaching the parts…’  Are there people in the community who are not involved? Is there aparticular group that is dominating? Are women and men equally participating and influencing? Tension and conflict How are issues ofconflict and tension being dealt with? Are they ignored,glossed over,avoided? Focus on action Is this just an exercise in gathering problems and wish lists ? Does the processmove towards an action plan? Is there evidence ofanalysis and prioritisation by the community,rather than general information gathering? Don’t dump issues Have other actors been brought in to deal with issues outside the mandate? Verification Is participation in verification activities as inclusive as other parts ofthe process? Isthere a feedback mechanism to the community? Maintaining momentum What is the timeline for the process? Is everyone aware ofthis? Are arange oftools being used? The outcome;report and/or decisions What plans are there to take actions forward? Or tomonitor/evaluate the action plan? Does the written report reflect multiple voices/perspectives? Has it,and other outputs,been widely circulated?  Contents Foreword 2Executive Summary3 Scotland,health and poverty41 Introduction52 What is Participatory Appraisal?73 PA in action in an urban setting10Safe play,greater say – Dalmarnock Millennium Play AssociationHealth and territoriality in the East EndTalking back – young people’s health in Greater Easterhouse4 What difference does PA make?135 Good practice – ifit didn’t work,then it wasn’t PA156 Ways forward187 Useful contacts20 A PA checklist for communities,organisations and decision-makers21 1 Have you been PA’d?
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