Transcript M&E
From Agriculture to Health care: M4P 26 November 2008, Katalyst Applying M4P successfully in different market systems in Bangladesh -- Peter Roggekamp, Swisscontact - GTZ 26 November 2008 M4P 26 November 2008, Katalyst The next 30 minutes: Small intro The project cycle in Katalyst in agriculture in retailer information to farmers in private health care 2 M4P 26 November 2008, Katalyst Katalyst Donors: Implementers: Budget: •DfID •Swisscontact 9 Million USD / year •CIDA •GTZ is •SDC •Ministry of Commerce •RDE 3 M4P 26 November 2008, Katalyst Economic growth is key to poverty reduction The private sector mainly enriches the better off. People are capable to determine their own future These poor people need help, they cannot do it on their own Best solutions can often be achieved by building on local system People need protection from the system; better to design a parallel system There are enough private sector intermediaries to work with Intermediaries exploit, have different interest or at best are too weak 4 QUESTIONS LIKE: o Where do I get good seeds ? o Where to hire good labor ? o How do I deal with diseases? o Should I use fertilizer? M4P 26 November 2008, Katalyst o Should I buy a maize sheller? o What price can I get for my crop in the next village ? o Why are my neighbors’ yield higher ? o o 3 key project decisions….. 1. Which value chains or markets should Market selection the project select ? Where do I get good seeds ? Hire good labor ? How do I deal with diseases What price can I get for my crop in the next village ? Should I use fertilizer ? Why are my neighbors yield higher ? M4P 26 November 2008, Katalyst Should I buy a maize Sheller ? Strategies 2. What is the growth and poverty reduction potential of the value chain or market and what need to change to unlock these potentials? 3. How to interact with the private and Facilitation public sector to unlock these potentials ? 6 Project cycle M4P 26 November 2008, Katalyst Facilitation Monitoring Understanding Strategies * Markets * Impact Market selection 7 Facilitation Strategies Monitoring Portfolio Management Understanding * Markets * Impact Market selection Criteria Growth potential Pro-Poorness Gender, Environment o Efficiency, …. Maize Pond fish Government policy Shrimps Urban and rural development balance Potential for innovation o In a light touch way High potential / high risk versus lower M4P 26 November 2008, Katalyst Vegetables Impact and outreach Synergiesof between sectors, sector, .. accepting the speed the the private o Risk, SECTORS potential / lower risk Internal capacity o Unclear upfront where BIG HITS will be, Duration of interventions and Cost Private sector partners and absorption o Specific requirements from (4) donors. capacity Interest and capacity of implementing partners Katalyst’s existing competences Input markets Poultry Plastics Furniture Health care Recycling Media ICT Government services Marketing Distribution 8 Facilitation Strategies Monitoring Understanding * Markets * Impact The strategies Reducing systemic constraints, Stimulating innovations. Market selection M4P 26 November 2008, Katalyst •Better irrigation, ? ? •Trust, •Availability sector Now. •Product •Access to of inputs, quality, sector information. In 5 or 10 years time 9 Facilitation Strategies Market selection Monitoring Improving market functioning Understanding * Markets * Impact No direct support to farmers and SMEs Low reach not efficient and not fair. Support not sustainable M4P 26 November 2008, Katalyst But mainly work with commercial or public intermediaries, for example: Associations Input suppliers Mold makers in plastics Nursery owners in pond fishery Seed producers Traders Soil testers ICT centers Media Efficient Sustainable 10 Risk Deal Making Catch 22 Understanding StrategiesTakes too long * Markets * Impact Access to knowledge Facilitation Monitoring with intermediaries So why do you need Misuse of market power,our Disadvantage groups support? Strategy Knows how to engage Sector knowledge PROFIT POVERTY M4P 26 November 2008, Katalyst Market selection But where is the invisible hand ? “Externalities and Enabling Environment prohibits” 11 M4P 26 November 2008, Katalyst Principles of facilitation • Competitiveness and its reincarnation productivity is the key to sector growth; is the key to poverty reduction • We are not part of the private sector… …and only there temporarily, • We have to be as neutral as possible in the market, • We always demand cost sharing to assure commitment, • Crowding in is a core part of market development, • Environment, Gender, Working conditions are important. 12 Facilitation Strategies Market selection Monitoring Monitoring and understanding impact Understanding * Markets * Impact •Integral part of our approach, •Work with impact logics for each intervention, M4P 26 November 2008, Katalyst •Learning moments built in, •Owned by staff and M&E specialists, •90 % improving, 10% proving, •Financial incentive for all staff, •First system audit last month. 13 BUT WHERE ARE THE POOR ? M4P 26 November 2008, Katalyst Landless rural and urban poor Daily labor 14 Daily Wage Earners Incidence of poverty by main source of income (UPL/%) M4P 26 November 2008, Katalyst Bangladesh Urban Rural Wages & Salary 19.87 18.76 20.84 Agriculture (Self-employed) 38.71 48.69 38.10 Non-agriculture (Self-employed) 40.41 40.57 40.35 Agriculture (Daily Wage) 71.39 79.13 71.05 Non-agriculture (Daily Wage) 51.26 58.55 48.17 Pension 20.19 27.45 17.32 House rent and other rent 21.27 10.23 28.03 Donation, grant, charity and other 30.35 27.27 30.77 Source: Poverty Monitoring Survey (2004) 15 BUT WHERE ARE THE POOR ? Landless rural and urban poor Jobs for daily labor More local purchasing power M4P 26 November 2008, Katalyst Skilled jobs in certain sectors Traditional small rice farmers “New” cash crops can end poverty 16 M4P 26 November 2008, Katalyst Agricultural Value Added (BDT/acre, BDT/capita) Cost Value added Value added (per acre, incl. labor) (per acre) ( per capita) AGRICULTURE - - 9,643 Agriculture/Livestock - - 7,165 Oil seeds 4,000 1,456 987 Major cereals 8,000 2,523 1,777 Pulses 3,500 2,398 1,821 Minor cereals 7,000 2,957 2,124 Maize 10,125 3,205 2,283 Spices 22,121 5,177 3,381 Maize (contract farming) 12,565 10,000 7,124 Vegetables 20,800 13,008 8,203 Potato - 80,000 50,000 Fruits - 20,494 15,308 Poultry (commercial) - - 37,796 Forestry - - 25,268 - 50,506 Fishing/ Pisciculture NON-AGRICULTURE - Based on: Statistical Yearbook of Bangladesh (2004, 2005), Agricultural Sample Survey (2005), own data 30,028 17 Poverty status M4P 26 November 2008, Katalyst Cropping Patterns Marginal Small Medium Large Boro-None-Ropa Amon 1 1 4 4 Oil seeds-Ropa Aus-Ropa-Amon 1 1 4 4 Vegetables-Aus-Ropa Amon 1 4 4 4 Boro-None-None 1 1 1 3 Mastard Oil-Ropa Aus-Ropa Amon 1 1 4 4 Boro/Wheat-Dhaincha-Ropa Amon 1 1 4 4 Wheat-Vegetables-Ropa Amon 1 4 4 4 Potato-Ropa Aus-Ropa Amon 1 4 4 4 Banana-Banana-Banana 2 4 4 4 Mastard Oil-Boro-Ropa Amon 1 1 4 4 Potato-Aus-Ropa Amon 1 4 4 4 Oil seeds-Ropa Aus-Ropa-Amon 1 1 4 4 Maize-None-Ropa Amon 1 1 4 4 ST.Amon-maize 1 4 4 4 ST amon-potato-maize 1 4 4 4 Fisheries 1 4 4 4 Source: Department of Agriculture, own data 18 M4P 26 November 2008, Katalyst Market Development and Cash Crops 19 Facilitation Strategies Market selection Monitoring Strategy for most of Agriculture Understanding * Markets * Impact •Access to information on cultivation •Better functioning input markets M4P 26 November 2008, Katalyst Lead to: •Increased productivity and profitability •Less risk Lead to: •Increase income for existing farmers •Cash crops more attractive for new farmers •More jobs for landless 20 Facilitation Monitoring Understanding * Markets * Impact Strategies Market selection Agriculture and Market Development the intermediaries Traders processors Extension workers from Government or NGO’s Media M4P 26 November 2008, Katalyst ICT centers Sellers or lessors of equipment Retailers of Seeds Lessors of land Fertilizer pesticides 21 Main Issues M4P 26 November 2008, Katalyst Low Productivity, due to: Insufficient knowledge Dysfunctional input markets Limited access to resources Intermediaries Support o Embedded information through: Retailers Nurseries Training development Initial risk sharing Demonstration o Rural ICT Centers: Testing the model Risk sharing Awareness creation Wider system development o Services providers in market places Improving availability and functioning of services o Local Government on leasing of public water bodies Changing government rules and improving implementation o Compost fertilizer companies Technical support Improving Government regulations Development of distribution network o Contract farming Developing models Adoption of the business model Risk sharing and Demonstration o Seed companies on quality seeds Quality and trust Improving wider systems Creating awareness Assisting in contract seed production 22 M4P 26 November 2008, Katalyst Improving retailer – farmer relations in the vegetables market 23 Facilitation Strategies Market selection Monitoring Understanding * Markets * Impact Market selection: Vegetables •One of the “out of poverty” cash crops, •Outreach of potentially many millions, M4P 26 November 2008, Katalyst •Great potential for job creation, •Fits in Millennium Development Goals, •In line with Government PRSP. 24 Agriculture and Market Development the intermediaries Traders processors Extension workers from Government or NGO’s Media M4P 26 November 2008, Katalyst ICT centers Sellers or lessors of equipment Retailers of Seeds Lessors of land Fertilizer pesticides 25 Facilitation Strategies Monitoring Understanding * Markets * Impact Market selection Large companies HQ: Facilitation: Retailer training programs Situation analysis in 2003: Distribution network: No cultivation knowledge Some are concerned about reputation, .. Only focus on logistics M4P 26 November 2008, Katalyst Have cultivation knowledge Retailers: Farmers: Product knowledge Low productivity No cultivation knowledge Distrust and dislike retailers ..all about market share 26 Facilitation Strategies Market selection Monitoring Understanding * Markets * Impact Facilitation: Retailer training programs Initial Activities: • We offered support to all major companies • Syngenta agreed to test with 480 retailers in 2004 M4P 26 November 2008, Katalyst 3 days course about farming knowledge 27 Facilitation Strategies Monitoring Facilitation: Retailer training programs Understanding * Markets * Impact Katalyst Market selection Initiated 100% Training concepts M4P 26 November 2008, Katalyst Syngenta Joint Design of training Supported Lead Organizing and executing trainings Cost of training - 100% 60% 40% Gender specialist 100% Monitoring 100% 100% 28 Facilitation Strategies Market selection Monitoring Understanding * Markets * Impact Facilitation: Retailer training programs Initial Activities: • We offered support to all major companies • Syngenta agreed to test with 480 retailers in 2004 M4P 26 November 2008, Katalyst 3 days course about cultivation knowledge Next level of Activities: • Similar deals with Bayer Crop science and East West seeds: additional 900 retailers in 2005 •Deal with AR Malik, Lal teer, Mollika, Metal and United, more focused on seeds. 29 Facilitation Strategies Market selection Monitoring Understanding * Markets * Impact Results Service market change: • Completely different business model; •High interaction between retailers and farmers •Overall perceived as positive by all •Retailers and organization all report increased revenue M4P 26 November 2008, Katalyst • 2/3 of 1380 retailers are giving cultivation advice. • Companies continue to invest in their retailer network. Farm level change: • Improved practices for ca. 230.000 farmers directly. • If crowding in is considered, probably more than 3 Million farmers affected • Increased yield, but also increased quality higher income • More new farmers in areas where training took place. 30 Facilitation Strategies Monitoring Results, a retailer Understanding * Markets * Impact Market selection Change after receiving training: •Got knowledge on farming •Understood importance of giving advice •Worked on good relation with farmers M4P 26 November 2008, Katalyst Md. Babul Akhtar, 38 2005 2006 No of clients 600 800 Total sales 2,308 USD 3,846 USD 31 Facilitation Monitoring Results, farmers Change after advice from retailer: Strategies Understanding * Markets * Impact •Packaged seeds instead of own seeds •Changed use of pesticides and fertilizer Market selection 2005 M4P 26 November 2008, Katalyst Monjuara (27) and Md. Kalam Sarkar (35) They bought a cow 2006 Land used 16.5 dec 30 dec Cost of seeds Used their own 1,500 BDT Cost of pesticides none 750 BDT Cost of fertilizers none 750 BDT Van cost 350 BDT none Toll for selling at market 350 BDT none Yield 1,000 pieces 2,000 pieces Revenue 6,020 BDT 23,200 BDT Profit 82 USD 311 USD 32 M4P 26 November 2008, Katalyst Commercial Health care 33 Facilitation Strategies Monitoring Understanding * Markets * Impact Market selection: Commercial Health care Market selection • One of the biggest service markets, M4P 26 November 2008, Katalyst • Excellent growth potential, • Skilled jobs for women. 34 Facilitation Strategies Monitoring Understanding * Markets * Impact Commercial Health care How does the sector looks like? Market selection • 150 000 000 people need healthcare in Bangladesh, • Doctors 1 – 10 000, M4P 26 November 2008, Katalyst • 2/3 of healthcare paid directly by households, • 500 000 individuals travel overseas for treatment annually, • Government hospital occupation rate is > 100%, • 80% of healthcare is from commercial providers, • contribution to GNP in 2004 – 2005 : •Private health care 2.33% •Public healthcare 0.77%. 35 Facilitation Monitoring Health care is special…. Strategies Understanding * Markets * Impact Market selection •Main access for poor people is private health care, •Public and private delivery not separable, M4P 26 November 2008, Katalyst •Large donor support for public, none for private, •Ethics are different. 36 Facilitation Monitoring Understanding * Markets * Impact Strategies Strategy: Commercial Health care Market selection Quality improvements through: oBetter medical workers: M4P 26 November 2008, Katalyst Government regulations, Capacity of commercial training institutes. oChange in attitude of hospitals and diagnostic centers. 37 Facilitation Strategies M4P 26 November 2008, Katalyst Market selection Activities: Health Care Katalyst support: Monitoring Understanding * Markets * Impact Courses for Course duration BSc nursing 4 years Health technology 3 years Medical assistant 3 years Community health worker 1 year Paramedics 1 year Community paramedics 2 years 38 Facilitation Strategies Market selection Monitoring Understanding * Markets * Impact Activities: BSc Nursing If you do not address the quality and availability of nurses: STAY OUT OF HEALTH CARE! M4P 26 November 2008, Katalyst The situation: •Ratio Doctors-Nurses 3 : 1, should be 1 : 3, •No 4 year courses, •Low status of nurses in hospitals and clinics, •Law prohibited private universities to train. 39 Facilitation Monitoring Activities: Health Care (2 but last slide) Strategies Market selection Understanding * Markets * Impact Activities: • We found a good implementing partner, M4P 26 November 2008, Katalyst • We organized interested universities to lobby for change in regulations, •We assisted universities to develop new curriculum, •We assisted in demand creation. 40 Facilitation Strategies Monitoring Understanding * Markets * Impact Initial results: Health Care (one but last slide) Market selection •8 Universities have received a license for BSc Nursing, •300 Students have enrolled in 2007 – 2008, M4P 26 November 2008, Katalyst •15 Private institutions are in pipeline to obtain approval, •Too early to say anything about change in the sector. 41 M4P 26 November 2008, Katalyst Last slide: • M4P can be very effective, also beyond the obvious sectors • Projects will look different in different countries, but the basics remain valid. • Is also applicable in remote, weak markets (see afternoon with Alwyn Chilver) • It takes time, flexibility and good staff (See afternoon with Manish Pandey) 42