Catalysing Action for Carers in Developing Countries Strategic Plan 2014 -2016 Summary Vision Our vision is a world in which the needs of every carer are routinely met in order to achieve physical, emotional, economic and social wellbeing for each individual. Mission Our mission is to enable carers, service providers, policy makers and other stakeholders to recognise and respond to the needs of carers in the developing world, ensuring balance and equal value is given to the needs of the carer and the person receiving care. Strategic Goals Our strategic goal is to serve as a catalyst to: 1. Bring about systemic change in the work of governments, charities and other agencies so that they recognise and respond to the needs of carers in the developing world. 2. Facilitate the provision of support for individual carers and their families in the developing world, bringing them better health, wellbeing and economic security. Strategic Objectives 2014-2016 We will achieve our strategic goals through the following objectives: 1. To work in partnership with 10 key delivery organisations in 4 countries 2. To provide training and consultancy support to 5 influential stakeholders 3. To initiate development of sustainable social enterprises to provide services for carers 4. To build evidence of the needs of carers and measure the impact of our strategic interventions 5. To support advocacy in order to achieve recognition of carers and ultimately promote a carers’ movement Desired Outcomes 2014-2016 Our desired outcomes are that by the end of 2016: ㅡㅡ We will have established ourselves as an internationally recognised and respected catalyst for change, working through partners and others to raise awareness and achieve recognition of the needs of carers in developing countries and embed the skills required to deal with these needs in local communities. ㅡㅡ We will have improved the lives of 20,000 carers and 80,000 family members in India, Nepal, South Africa and Kenya. 2 Index 1. THE SCALE OF THE ISSUE 1. The Scale of the Issue 5 2. Our Approach to the Issue 2.1 Partnership 2.2 Carers Worldwide model 6 3. Achievements to Date 7 4. Our Strategy 4.1 Vision 4.2 Mission 4.3 Strategic Goals for 2014 - 2016 4.4 Strategic Objectives 2014 - 2016 4.5 Desired Outcomes 2014 - 2016 8 Measuring our achievements Implementation and review 10 11 5. 6. Across the developing world, the daily needs of millions of sick and disabled adults and children are provided for by their carers. These unpaid carers are usually a family member, often the mother or daughter, or maybe a friend. Over-burdened, under-supported carers face tough realities in their everyday lives with existing poverty and gender being additional exacerbating factors. Many charities exist to support the needs of people with disabilities, the aged, those with HIV/AIDS, but until now, few had consciously recognised the vital role that their carers play. Nor had many noted that carers themselves require physical and mental health support, a means to support themselves financially whilst caring for a loved one and a vehicle through which to advocate for their own needs. 50 years ago, the situation in the UK, America and Australia was similar. Today, a thriving network of agencies exists, working with and for carers, and there is government provision to ensure social protection of carers. However, no equivalent exists in the developing world. Governments, NGOs and other agencies have neglected the needs of carers. There is no government recognition and no organisation exclusively addressing the needs of carers. Carers Worldwide was established to address this gap and to ensure the needs of carers in developing countries are recognised and met. Long-term care for people with chronic illnesses and disabilities presents an urgent challenge around the world. In 2002, the WHO estimated that in developing countries the need would increase by as much as 400% in the coming decades. Health and social care budgets are overstretched and in most developing countries, the contributions of unpaid family carers go largely unrecognised at government or community level. Many carers are becoming sick themselves and their families are existing in poverty. Some carers are unable to continue with their care giving responsibilities due to their own poor mental or physical health. Providing support for carers enables them to continue in their caring role. In the UK, the contribution made by the country’s over 6 million carers has been equated to £119 billion per year. There are no equivalent studies for developing countries and the estimated number of carers therein. Gangamma cares for her 12 year old son Bhanuprakash, who has cerebral palsy. The only way she can go out to work to earn money to support her family is to lock him in the house on his own all day. She cannot concentrate on her work, worrying about him. When she comes home, she usually finds him in an appalling physical state and highly distressed. As a consequence, Gangamma often does not go out to work. The consequence of this is that the family (two adults and three children) sometimes only eat one meal a day. ‘There is no way to escape…’ she says 4 2. OUR APPROACH TO THE ISSUE Carers Worldwide serves as a catalyst for action for carers in developing countries. We do so by: 1. Rolling out our highly effective partnership approach to raise awareness, change attitudes and transform practice 2. Disseminating the Carers Worldwide model of the support necessary for creating systemic changes for carers 2.1 Partnership By forming strategic partnerships with established charities and others that are skilled in service delivery and are well networked in their communities, Carers Worldwide acts as a catalyst, facilitating rapid change in awareness, attitudes and service provision for carers. 2.2 Carers Worldwide model Our model comprises five core elements: ㅡㅡ Carers’ support groups - to reduce loneliness and isolation, create social networks and support emotional wellbeing; ㅡㅡ Health services - to provide access to physical and mental health services, including locally available counselling services; ㅡㅡ Respite and short breaks - to offer a break from caring responsibilities along with the development of alternative high quality care options such as day care centres; ㅡㅡ Employment, training and education - to facilitate access to employment, training or education, tailored as appropriate to co-exist with caring responsibilities; ㅡㅡ Advocacy - to strengthen the collective voice of carers to advocate for their needs and the provision they require at community, regional and national level, leading to changes in policy and practice. 3. ACHIEVEMENTS TO DATE Over the last year, Carers Worldwide has focused its work on India. Already, we have: ㅡㅡ Partnered with three well respected and highly influential charities - SAMUHA in Karnataka, SACRED in Andhra Pradesh and NBJK in Jharkhand – who together work with 37,000 people with disability or mental illness ㅡㅡ Through pilot projects with our partners, worked with 300 carers and their families ㅡㅡ Established 15 carers’ groups in 15 geographically dispersed communities. “ Carers are invisible and ignored. Until partnering with Carers Worldwide, we did not recognise the importance of the vital role played by carers. Now we are equipped to work with carers, improving their lives and adding value to our programmes. This work is so critical, we will be extending it to all our project areas over the coming months. 6 “ Thippanna C.C., Director, SACRED 4. OUR STRATEGY 2014 - 2016 4.1 Vision Our vision is a world in which the needs of every carer are routinely met in order to achieve physical, emotional, economic and social wellbeing for each individual. 4.2 Mission Our mission is to enable carers, service providers, policy makers and other stakeholders to recognise and respond to the needs of carers in the developing world, ensuring balance and equal value is given to the needs of the carer and the person receiving care. 4.3 Strategic Goals for 2014 - 2016 Our strategic goal is to serve as a catalyst to: 1. Bring about systemic change in the work of governments, charities and other agencies so that they recognise and respond to the needs of carers in the developing world. 2. Facilitate the provision of support for individual carers and their families in the developing world, bringing them better health, wellbeing and economic security. 4.4 Strategic Objectives 2014 - 2016 We will achieve our strategic goals through the following objectives: 1. To work in partnership with 10 delivery organisations in 4 countries, reaching 20,000 carers and their 80,000 family members 2. To provide bespoke training and consultancy support to 5 influential stakeholders to enable them to take up and mainstream the issue of carers 3. To initiate the development of sustainable social enterprises to provide services for carers through conducting a feasibility study establishing current provision, the demand for services and new options for 8 setting up a unique, user led model for ‘paid for’ care services 4. To build evidence of the needs of carers and measure the impact of our strategic interventions through partnership with academics and the collection of evidence from partner organisations 5. To support advocacy in order to achieve recognition of carers and ultimately promote a carers’ movement through engaging with policy makers at regional and national levels and promoting the formation of regional carers’ associations. 4.5 Desired Outcomes 2014 - 2016 Our desired outcomes are that by the end of 2016: ㅡㅡ We will have established ourselves as an internationally recognised and respected catalyst for change, working through partners and others to raise awareness and achieve recognition of the needs of carers in developing countries and embed the skills required to deal with these needs in local communities. ㅡㅡ We will have improved the lives of 20,000 carers and 80,000 family members in India, Nepal, South Africa and Kenya. 6. IMPLEMENTATION AND REVIEW 5. MEASURING OUR ACHIEVEMENTS Our Operational Plan 2014-2016 describes our operational objectives and targets which support the delivery of the Strategic Goals. As well as measuring ourselves against the targets outlined above, we will have measured the impact of our interventions through analysis of the following four change criteria: Together, the Strategic Plan and the Operational Plan will enable Carers Worldwide to establish itself as a catalyst for change towards improved wellbeing, services, economic opportunities and recognition for carers in developing countries. ㅡㅡ health, wellbeing and social functioning of carers; ㅡㅡ levels of income of families containing a carer; We will review this Strategic Plan annually to ensure it is fit for purpose in the context of an ever changing operating environment. ㅡㅡ levels of change in practice and policy amongst partner organisations and other stakeholders Joining the carers’ group and being helped by Carers Worldwide and NBJK has changed my life. Now I can earn money to support my family and still look after my father. My whole world has changed and life has begun again. “ “ “ Life is hard, my problems are still there, but joining the carers’ group has given me the support of friends and I have gained a lot of confidence. Carers Worldwide and SAMUHA have thrown me a lifeline. Now I can face my future. Rashida Begum, South India 10 “ ㅡㅡ strength and functioning of carers’ groups; Sarita, North India “ Carers Trust, the largest UK wide charity serving carers of all ages is delighted to be a key partner of Carers Worldwide. We see a great deal of synergy in our working together and hope that we can help and support them in all ways as they grow and develop. I have no doubt that we will learn as well from their pioneering and inspirational work. 30 Lodgefield Welwyn Garden City Hertfordshire, UK, AL7 1SD UK Registered Charity Number: 1150214 “ Thea Stein, CEO, Carers Trust Web: www.carersworldwide.org Email: [email protected] Tel: +44 (0)7745 608438 Facebook.com/CarersWorldwide Twitter @CarersWorldwide
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