2014
Our year in one page
Health is the first step out of poverty
Simavi realises structural improvement to the health conditions of people in marginalised communities in Africa and Asia. By tackling WASH and SRHR issues we can stop preventable diseases and boost social and economic development.
Water, Sanitation and Hygiene
Sexual & Reproductive Health and Rights
In 2014 we further implemented our Theory of Change.
All our programmes are based on its three integrated pillars, which we work on simultaneously in order to realise long-lasting change.
These are the three pillars.
Empowered communities
We empower communities to ensure they will demand quality services and engage in healthy behaviour.
Enabling environment
We create an environment where everybody from the local communities to the private sector to local, regional and national government level is actively involved in a community’s health situation.
Sustainable services
We ensure that good quality Water, Sanitation and Hygiene (WASH) as well as Sexual and Reproductive Health and Rights (SRHR) services are available, affordable, sustainable and accessed by the people who need them.
By working simultaneously on the three pillars, we are able to change health and WASH systems and realise sustainable improvement to the health conditions of people in marginalised communities in Africa and Asia.
Empowered communities
People understand what is important for the health situation in their villages. People take care of their health, for example by washing hands or using antenatal care services.
5,013,790
target: 2,893,799
people were directly reached with WASH and/or SRHR education.
Enabling environment
We ensure that every party involved works together towards realising sustainable, long-lasting improvement of basic health.
Sustainable services
We realise significant growth in the effective and sustainable use of WASH and SRHR services.
We want to show that our Theory of Change works. That is why we developed a new Results Monitoring Framework to define how we measure progress on all levels of our Theory of Change.
Within the Empowered Communities pillar we measure for example the impact of education.
Input
Activity
We raise awareness and organise training and education sessions about WASH and SRHR themes.
Output
Immediate result
We record the number of people who participated in these sessions and events.
Outcome
Result after 2 years
We assess if people have increased knowledge (for example if they can mention five ways to prevent diseases spreading, like washing hands or using a condom).
Long term outcome
Sustainable result
We can measure how many people have changed their behaviour and demonstrate healthy behaviour, like washing hands before eating or using antenatal care services during pregnancy.
Within the Enabling Environment pillar we measure for example the impact of training people on social accountability. Social accountability is a way for people from the community to influence policy and decision makers.
Input
Activity
We train people from the communities we work with on policy influencing and social accountability.
Output
Immediate result
We record the number of people trained.
Outcome
Result after two years
We record the number of times a social accountability tool has been applied.
Long term outcome
Sustainable result
We can measure how many recommendations or lobby issues have been definitively adopted by the government and how many laws or policies have been adapted.
Within the Sustainable Services pillar we measure for example the impact of improving services.
Input
Activity
We train health workers to make services in health centres more youth and female friendly.
Output
Immediate result
We record the number of people trained and specific training topics.
Outcome
Result after two years
We record the number of health centres that have improved the access and quality of their services.
Long term outcome
Sustainable result
We can measure how many people are actively using the services, for example by going to the clinic to give birth,instead of delivering at home with a traditional birth attendant. The fact that services are being used shows that clients are aware, and that the services are affordable and accessible.
The Theory of Change in Practice: 12 programmes, within which we implemented 126 projects in 9 countries, reaching over 5 million people together with 93 partners.
Project highlights
In India, by organising training sessions specifically designed for men, couple communication improved, domestic violence was reduced and men became more involved in the choice of contraceptive methods.
- Unite for Body Rights Programme (UFBR)
- Share
- Read more about UFBR in our annual report
In remote areas in Kenya, health workers use their mobile phones to send health results to a medical doctor, who diagnoses the clients.
- Access, Services and Knowledge Programme (ASK)
- Share
- Read more about ASK in our annual report
In Southern Mzimba, Malawi, community chiefs highlighted the need to change local bylaws. Only then could they enforce the minimum age of marriage.
- Unite against Child Marriage
- Share
- Read more about child marriage in our annual report
In Indonesia, more than one million people have changed their WASH behaviour. They now use a toilet, wash their hands, treat household water and manage their waste. As a consequence incidence of diarrhoea and worm infections have decreased, while, less malaria and skin diseases have been reported.
- Sanitation, Hygiene and Water (SHAW) programme
- Share
- Read more about SHAW in our annual report
In Bangladesh, thanks to our budget tracking system we managed to gain an increased government budget for WASH of 14%.
- Dutch WASH Alliance programme
- Share
- Read more about WASH in our annual report
Thanks to a special combination of football and life skills training, plus increased access to WASH facilities, pupils in Ghana, Kenya and Mozambique are changing their hygiene behaviour.
- Football for Water programme
- Share
- Read more about Football for Water in our annual report
These are our results. What do you think? Which pillar of our Theory of Change is most important to achieve results?
It's not as simple as voting for the best
Our theory is based on the interaction between the three pillars. Simply constructing services is not sustainable. But if people are made aware of the issue and raise their voices, they will demand and use services. And if an enabling environment is created at the same time, stakeholders will be more receptive towards the community's demands. It is only when people are working simultaneously on the three pillars, that change happens. No one pillar is more important than another – we want to make that clear, so we tricked you, sorry!
Behind the Theory of Change is an international organisation working with partners around the world to improve the health of marginalised communities in Africa and Asia. The figures below provide an insight into the financial side of the organisation.
Income and expenditure
Income 2014
- Government grants
€15,999,000 - Income from investments
€92,000 - Other income
€60,000 - Direct fundraising
€2,587,000 - Share of 3rd party campaigns
€2,285,000
Expenditure 2014
From every euro
- 92 cents is spent on our main objective: basic health for all
- 4 cents is spent on fundraising activities
- 4 cents is spent on organisational management
Our stakeholders
16,225
private donors
+3225
15
corporate
partners-3
35
foundations
+2
6
institutional funds
& governments=
50
employees
+4
12,600
volunteers
-3400
93
partner
organisations+3
9
alliances and
consortia+1
Partners
- Congratulate Dopper
Dopper
Social enterprise Dopper provided substantial and long term support for our WASH projects in Nepal.
- Congratulate Postcode Lottery
The Dutch Postcode Lottery
With the support of the Dutch Postcode Lottery we started a new programme Making Periods Normal to enhance full participation of women in India.
- Congratulate CSA
The Centre for the Study of Adolescence (CSA)
CSA improved the sexual and reproductive health of young Kenyans by providing information and making health services youth friendly.
Campaigns and events in the Netherlands
Walking for Water
During our Walking for Water campaign, 15,783 pupils from 210 Dutch primary schools walked 6 kilometres while carrying 6 litres of water in their backpack. Together they raised €324,000, a fantastic amount!
World Toilet Day
During World Toilet Day we ran a campaign called Let’s give a shit! to raise awareness about the lack of sanitation and its consequences. We reached over 48,000 Facebook users.