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Big Problems + Small Interventions = Big Change ODNetwork February 27, 2008 Lisa Kimball Group Jazz Monique Sternin Positive Deviance Initiative.

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Presentation on theme: "Big Problems + Small Interventions = Big Change ODNetwork February 27, 2008 Lisa Kimball Group Jazz Monique Sternin Positive Deviance Initiative."— Presentation transcript:

1 Big Problems + Small Interventions = Big Change ODNetwork February 27, 2008 Lisa Kimball Group Jazz Monique Sternin Positive Deviance Initiative

2 P o w e r The P o w e r of Positive Deviance Solutions before our very eyes The Premise: In every community there are certain individuals whose uncommon practices/behaviors enable them to find better solutions to problems than their neighbors who have access to the same resources

3 Positive Deviance (PD) Approach The very people whose behavior needs to change to solve the problem identify existing solutions from within Thereby suppressing the immune rejection response

4 Positive Deviance Inquiry norms Establishes community behavioral norms related to the problem to be addressed uncommon behaviors/ strategies Enables community to d iscover successful uncommon behaviors/ strategies practiced by the Positive Deviants

5 Analyzing PD Findings PDI findings are passed through a conceptual accessibility sieve Only those behaviors/strategies accessible to all are kept The rest are TBU, True but Useless (i.e. not accessible to all) and are discarded PD Behaviors Behaviors Behaviors Accessible to All

6 MRSA Prevention & Eradication

7 PD Focus on Practice Rather than Knowledge ACT Its easier to ACT your way into a new way of THINKING, than to THINK your way into a new way of ACTING

8 PD Enables us to Act TODAY The presence of Positive Deviants demonstrates that it is possible to find successful solutions TODAY before all the underlying causes are addressed! Although most problems have complex, interlinked underlying causes...

9 Fixed Solution Space Traditional Flows from problem analysis towards solution Expanded Solution Space PD Flows from identification and analysis of successful solution to problem solving Expanded Solution Space Actual Problem Parameters Actual Problem Parameters Actual Problem Parameters Perceived Problem Parameters Traditional vs PD Problem Solving Approach

10 Through addressing a discrete part of a complex problem (.. a fractal of the whole) … we impact all the underlying structural issues. PD - Complex Adaptive System

11 PD: Crossing The Knowledge/Behavior Change Gap Knowledge Behavior change Perceived advantage Opportunity for practice Social proof

12 Contrasting Approaches TRADITIONAL Externally Fueled (by experts or internal authority) Top-down, Outside-in Deficit Based Whats wrong here? Begins with analysis of underlying causes of PROBLEM Solution Space limited by perceived problem parameters Triggers Immune System defense response POSITIVE DEVIANCE Internally Fueled (by people like us, same culture and resources) Down-up, Inside-out Asset Based Whats right here? Begins with analysis of demonstrably successful SOLUTIONS Solution Space enlarged through discovery of actual parameters Bypasses Immune System (solution shares same DNA as host) Adapted from Jerry Sternin

13 When to use the PD approach Problem requires behavioral or/and social change (adaptive challenges versus technical challenges) Seemingly intractable problem – compelling enough to require a new approach Presence of Positive Deviants (individuals/ groups exhibiting desired outcome) Leadership commitment to address issue : PD champions Skilled facilitation

14 Geoffrey A Moore. Crossing the Chasm. PD & The Diffusion of Innovation Life-Cycle Community participates in discovery of innovation Thereby jumping the early adopters/early majority chasm

15 PD ~ a Network Phenomenon VA Pittsburgh

16 D&A Dialogues What do you know/think about ________? What do YOU do about ______________? What keeps you from doing that all the time? Who/Where have you seen overcome those barriers? What other ideas do you have about removing barriers? (or supporting desired behavior) What has to happen next to make that happen? Who will do what when next?

17 Current Applications of Positive Deviance Programmatic contextCountries Childhood development & Malnutrition (PD/Hearth) More than 40 countries throughout the world HIV/AIDS risk reductionMyanmar, Indonesia, Viet Nam Antenatal care, Maternal & Newborn Care, Breastfeeding Egypt, Pakistan Viet Nam Female Genital CuttingEgypt Girl TraffickingIndonesia, Nepal Education IssuesArgentina, US (NSDC) Quality of Health CareUS (MRSA Initiatives)

18 Contact Lisa Kimball Monique Sternin


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