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    Root Cause Analysis Wetland Degradation Presentation

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    Hasyim Maulana Abdul Malik
    This document provides an overview of root cause analysis for addressing problems. It explains that root cause analysis seeks to identify the underlying causes, rather than just the immediate causes or symptoms. The process involves brainstorming all potential causes, then systematically tracing each cause back to identify the root causes using evidence. An example analysis is provided tracing threats to wetland biodiversity in the Lower Mekong Basin back to their root causes, such as uncoordinated sectoral approaches, weak policies, and inadequate awareness and resources. The document emphasizes taking time to fully analyze internal and external factors to identify root causes, in order to develop effective interventions.

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    Root Cause Analysis Wetland Degradation Presentation

    Uploaded by

    Hasyim Maulana Abdul Malik
    59 views15 pages
    This document provides an overview of root cause analysis for addressing problems. It explains that root cause analysis seeks to identify the underlying causes, rather than just the immediate causes or symptoms. The process involves brainstorming all potential causes, then systematically tracing each cause back to identify the root causes using evidence. An example analysis is provided tracing threats to wetland biodiversity in the Lower Mekong Basin back to their root causes, such as uncoordinated sectoral approaches, weak policies, and inadequate awareness and resources. The document emphasizes taking time to fully analyze internal and external factors to identify root causes, in order to develop effective interventions.

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    RCA case study

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    This document provides an overview of root cause analysis for addressing problems. It explains that root cause analysis seeks to identify the underlying causes, rather than just the immediate causes or symptoms. The process involves brainstorming all potential causes, then systematically tracing each cause back to identify the root causes using evidence. An example analysis is provided tracing threats to wetland biodiversity in the Lower Mekong Basin back to their root causes, such as uncoordinated sectoral approaches, weak policies, and inadequate awareness and resources. The document emphasizes taking time to fully analyze internal and external factors to identify root causes, in order to develop effective interventions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    59 views15 pages

    Root Cause Analysis Wetland Degradation Presentation

    Uploaded by

    Hasyim Maulana Abdul Malik
    This document provides an overview of root cause analysis for addressing problems. It explains that root cause analysis seeks to identify the underlying causes, rather than just the immediate causes or symptoms. The process involves brainstorming all potential causes, then systematically tracing each cause back to identify the root causes using evidence. An example analysis is provided tracing threats to wetland biodiversity in the Lower Mekong Basin back to their root causes, such as uncoordinated sectoral approaches, weak policies, and inadequate awareness and resources. The document emphasizes taking time to fully analyze internal and external factors to identify root causes, in order to develop effective interventions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 15

    Root Causes Analysis

    Case studies & exercises


    Sansanee Choowaew

    Causes of Problems
    Immediate causes (threats)
    Root causes
    If the Root Causes are not understood,
    efforts are wasted - by addressing only
    the immediate causes & never reaching the
    underlying root causes
    problem still remains.

    RCA Example
    Loss of the Empire

    Empire Lost

    Enemy surged onto


    the city & captured
    the Empire

    The knights &


    troops gave up the
    fight & retreat

    The King was killed


    King wanted to
    ride into battle

    RCA example
    Loss of the Empire
    Enemy surged onto
    the city & captured
    the Empire

    Empire Lost

    The knights &


    troops gave up the
    fight & retreat

    King wanted to
    ride into battle

    The King was killed


    Horseshoe
    came off

    Groomsman

    The blacksmith
    prepared horseshoes

    Nails
    used up

    One nail short


    on shoe

    RCA Example
    Situation # 1
    Plant Manager found oil on the floor;
    called & told Foreman to have Maintenance clean up
    the oil;
    next day(s) the situation repeated;
    Plant Manager raked Foreman for not following his
    directions;
    his words were to either get the oil cleaned up OR
    to find a new Foreman that would.

    Situation # 2

    Example

    Plant Manager found oil on the floor;


    called & asked Foreman WHY ?;
    Foreman indicated there was a leaky pipe joint;
    Plant Manager asked WHY ? and when the joint had been replaced;
    Foreman responded that Maintenance installed joints over the past few
    weeks and each one seemed to leak and Maintenance had been talking to
    Purchasing;
    Plant Manager then went to talk with Purchasing, indicated receiving bad
    batch of joints from Supplier;
    Purchasing indicated they had been trying for the past 2 months to get
    Supplier to make good joints;
    Plant Manager asked WHY ? purchased from this disreputable supplier
    and found this was the lowest bidder;
    this was direction received from the Finance;
    Plant Manager went to talk to the Finance WHY ? always provided such
    direction;
    the Finance said because Plant Manager ordered the most possible cost
    conscious and purchasing from the lowest bidder saved lots of money.
    Plant manager realized he was the REASON.

    Getting to the Root Causes


    of Problems
    Example
    Problem : A community is over-harvesting a
    wetland resource.
    Solution legal measure to prohibit/limit
    the harvest amount/rate.
    Will this solve the problem ? OR
    Will this only change the nature of the
    problem ?

    Different solutions ?
    If these questions are answered.
    Is the resource used locally or sold for cash?
    Are there acceptable / affordable
    substitutes ?
    Has the harvesting rate remained the same,
    but external influence has reduced the stock
    of that resource ?
    Is the harvest done by the people in the
    community with no other source of income ?
    etc.

    What is Root Causes Analysis ?


    Finding real causes of the problem and dealing with it
    rather than continuing to deal with the symptoms.
    A step by step method that leads to the discovery of a
    root cause or root causes.
    An investigation traces the cause and effect trail from
    the end failure ( impact/problem/issue/unwanted
    situation) back to the root cause.
    Identifying the linkages between issues affecting the
    ecosystem (e.g. wetlands) and their causes in order to
    solve the problems more effectively.
    Identifying the real and potential threats and their
    underlying root causes, to the health of wetlands.

    Overview of RCA Process


    A team of at least 3-6 knowledgeable people, brought together (in a
    series of meetings) to investigate the failure using evidence left behind
    from the unwanted situation.
    The team brainstorms to find as many causes of the unwanted situation
    as possible.
    Using evidence remained after the unwanted situation, and discuss with
    people involved in the situation, all the non-contributing causes are
    removed, and the contributing causes retained.
    A problem tree is constructed, starting with the final unwanted
    situation and progressively tracing each cause that led to the previous
    cause; this continues till the trail can be traced back no further; each
    result of a cause must clearly flow from the one before it (if it is clear
    that a step is missing between causes it is added in and evidence looked
    for to support its presence).
    Once the fault tree is completed and checked for logical flow, the
    team then determines what changes to make to prevent the sequence
    of causes and consequences from again occurring.

    Points to remember
    Take time to identify the root causes.
    Make a thorough analysis of the situation
    taking all factors (internal & external) into
    account.
    Utilize a range of problem-solving
    techniques to identify the root causes of
    the problem.
    Be prepared to identify new and nontraditional approaches to address the
    problems.

    Exercise
    Group work
    Discuss & select 1 threat to wetland
    Brainstorm, analyse, summarize the
    root cause(s)
    Present

    Root Causes Analysis


    Example
    Root Causes Analysis of wetland
    degradation and loss; threats to
    wetland biodiversity in the Lower
    Mekong Basin
    (UNDP-IUCN-MRCS-GEF)

    Root Cause Analysis of Threats to Wetland Biodiversity

    Impacts

    Loss of structure

    Loss of function

    Loss of composition

    Threats

    Habitat destruction &


    degradation

    Loss of ecosystem
    integrity

    Depletion of species
    abundance & diversity

    Immediate Inappropriate land use


    causes

    Poor
    water management

    Unsustainable
    resource use

    Root Un-coordinated
    sectoral
    causes approaches
    to wetland
    planning
    at national &
    regional level
    Proposed
    interventions Objective 1

    Weak policy Inadequate Inadequate


    Lack of
    framework & awareness & human &
    options
    unsupportive information
    technical
    use of
    economic base on which resources over
    natural
    environment
    policy,
    available for resources
    for wetland planning &
    wetland
    by local
    biodiversity management biodiversity communities
    conservation decisions conservation
    & wise use
    Objective 2

    Objective 3 Objective 4

    Objective 5

    [email protected]

    Wetlands Management
    Research and Training Center

    Asian Wetlands Network

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