Handle With Care International

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Two girls wait outside their house in an impoverished village in Bali

Poorest nations, not just richest, must act to end extreme poverty

05.27.15

The world’s rich donor nations must increase their overseas aid budgets and reverse the trend of declining funding for the poorest countries in order to meet a global goal of ending poverty by 2030.Read More

Two children looking at a scale saying 'Don't step on it... it makes you cry'

Why ‘what’s your endgame?’ is a better question for aid agencies than ‘how do we go to scale?’

02.06.15

Two children looking at a scale saying 'Don't step on it... it makes you cry'

Going to scale can end in tears: Image Source: From Poverty to Power

Maybe it’s partly an age thing, but a lot of senior people in the aid business seem to obsess about scale. What’s the point of running a few projects, however successful? No, the only worthwhile end is ‘going to scale’, affecting the lives of millions of people, not a few hundred. It’s understandable and laudably ambitious, but it can have some bad side effects:

  • It can lead to an outbreak of ‘best practicitis’, ‘rolling out’ cookie cutter programmes in dozens of countries, when all the Doing Development Differently work shows that approach doesn’t work – solutions have to be crafted by local actors, and will differ according to context.
  • It can lead to a ‘bigger is better’ rush to boost income, leading to jumping into bed with bad guys, or reversing decades of progress in reducing the use of emotive ‘poverty porn’ fund raising images.
  • It promotes a ‘we know best’ arrogance that ignores local solutions.
  • But a brilliant piece in the Stanford Social Innovation Review calls for a rethink and proposes some really useful ways to go about it:

    ‘Most nonprofits never reach the organizational scale that they would need to catalyze change on their own. High structural barriers limit their access to the funding required to grow in a significant and sustainable way. Given those barriers, it’s time for nonprofit leaders to ask a more fundamental question than “How do you scale up?” Instead, we urge them to consider a different question: “What’s your endgame?”

    An endgame is the specific role that a nonprofit intends to play in the overall solution to a social problem, once it has proven the effectiveness of its core model or intervention. We believe that there are six endgames for nonprofits to consider—and only one of them involves scaling up in order to sustain and expand an existing service. Nonprofits, we argue, should measure their success by how they are helping to meet the total addressable challenge in a particular issue area. In most cases, nonprofit leaders should see their organization as a time-bound effort to reach one of those six endgames.

    So what is your endgame? Is it “continuous growth and ever greater scale”? In light of the enormous challenges that exist within the social sector, that is an easy and compelling answer for nonprofit leaders to give. But it may not be the right answer.’

    And here’s their six endgames, and their implications for how we work – well worth reading and thinking about this.

    Plotting an Endgame: Six Options (Credit: Stanford Social Innovation Review)

    Plotting an Endgame: Six Options (Credit: Stanford Social Innovation Review)

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    A man has his blood pressure taken

    Mobile Medical Clinics Visit the Slums

    05.11.13

    Access to doctors and medicine is something that people in the western world often take for granted. A visit to the slums as part of a medical team for Handle With Care International really puts things in perspective.

    A man has his blood pressure taken

    A man receives free medical attention

    The medical team are part of a local clinic called Rumah Sehat Madani, which works on the ground with Handle With Care International to provide mobile medical clinics, visiting urban slum areas with doctors, nurses and pharmacists to minister to those for whom medical aid is often out of reach. Residents are given a full medical check-up and appropriate medical treatments -€“ ranging from vitamin supplements to asthma medications and antibiotics.Read More

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