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Intersectoral Coordination. A Pacemaker for the system performance. Professor Vasudev Rawal Community Medicine. Health & Development. Development has many forms and Health is one of these forms. No nation can sustain or develop without Healthy People - PowerPoint PPT Presentation
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Intersectoral Coordination
A Pacemaker for the system performance
Professor Vasudev Rawal Community Medicine
• Development has many forms and Health is one of these forms.
• No nation can sustain or develop without Healthy People
• To be Healthy is the goal for all – Nation, State, Individual
Health & Development
It is the only truth (but) the learned ones know it in
various ways II
Concept – I Development - Health
Health + Education + Many more
•“Development” is related to many aspects including HEALTH
•HEALTH is an integral component of most sectors
•This conceptual clarity is the base of INTERSECTORAL COORDINATION
Stake holders for HEALTHElected representativesGovernment SystemPrivate sectorVoluntary agenciesSystems of MedicineMediaANDCommunity at large
The Process
• Sharing the concern• Reviewing the resources• Sharing the resources
• Following the principles of Primary Health Care helps.
• Monitoring one’s own actions and sharing it
• Participating in planning• Taking specific responsibilities
Principles of PRIMARY HEALTH CARE Appropriate Technology:Locally useful, acceptable, indigenous resources
Equitable Distribution:Reach to all, Remove Social Injustice
Community Participation:Meaningful, Local human and other resources
Intersectoral Coordination:All within and outside the Government system
CONCEPT – IIDimensions of Health
Health is a state of physical, psychological and social WELL BEING… and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.
Broad areas of working for HEALTH
• Basic Health Needs like Healthy Environment
• Health and Health Service awareness• Primary Health Care• Secondary Health Care• Tertiary Health Care• Death prevention/ better quality of life
Generating Awareness – Role for All Sectors
An Overview
• The Pace maker• The Impulse• The Contributing Sectors• The Health Programs• The resources• The way ahead
INTERSECTO
RAL COO
RDIN
ATION
Concept – III Priorities
Health Awareness
Preventive /Promotive Care
Private
Public
Curative and Rehab Care
The Areas for Coordination HealthEducationAgricultureFoodAnimal HusbandryIndustryCommunicationHousingPublic works WCDMany others
Better Experience through focused work
Health ProgramsRCH / MCHMaternal CareChild CareSchool HealthBlindness ControlBlood BankingEpidemic controlPolio Eradication
Coordination in Routine Immunization v/s Polio achievement
Maternal Health
Child Health
(Our direction, our expression and our thoughts be the same)
Concept – IV – PACE IN TOTO
THE PACE MAKER – A LEADER
• NIRAMAYA GUJARAT(Disease Free Gujarat)
• SWACHCHHA GUJARAT, SWASTHA GUJARAT(Clean Gujarat, Healthy Gujarat)
• Beti Bachao and Beti Vadhavo Abhiyan(Save the Girl Child and Welcome the Girl child Movements)
• Shala Arogya Abhiyaan(School Health Program)
The base is strong political will to translate the values into action
An important element is PLANNING
with other sectors to avoid unnecessary duplication of
activities
Intersectoral coordination
Pace maker/s for the systemleads to --
• Clarity of Concept (The visionary)
• POLITICAL WILL (The leader)
• Sharing the ideas (The Pace maker)
• Planning together (The Impulse)
Pace maker/s for the systemleads to --
Implementation with roles and responsibilities(The cardiac movements – The action potential)
Evaluation (The outcome) and Replan
Monitoring at different levels – both horizontal and vertical (The output)
CONCEPT – V (OWNERSHIP)
• Chintan Shibir, 2007• “WE” = “AAPANE”, (Inclusive of many
others) rather than “AME” (Inclusive of our people)
Better Coordination
• Accept others & get accepted!!!! • Bit difficult for the individuals/ groups/
sectors that are not used to “feel” !!!
• Niramaya Gujarat/ Nirmal Gujarat and several other examples
Areas need to be more focused Health ProgramsNVBDCPRNTCPNCDDisability Prevention
Capacity BuildingBehavior changeAND other
Health Education of villagers
It is the only truth (but) the learned ones know it in
various ways II
Concept – I Development - Health
CONCEPT – IIDimensions of Health
Health is a state of physical, psychological and social WELL BEING… and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.
Concept – III Priorities
Health Awareness
Preventive /Promotive Care
Private
Public
Curative and Rehab Care
(Our direction, our expression and our thoughts be the same)
Concept – IV – PACE IN TOTO
CONCEPT – V (OWNERSHIP)
• Chintan Shibir, 2007• “WE” = “AAPANE”, (Inclusive of many
others) rather than “AME” (Inclusive of our people)
The way ahead……• There are common areas to work like
advocacy for Health• Specific activity like food supply, water
sanitation, etc. can be shared as concept and common benefits can be achieved
• Specific roles and responsibilities to be defined with a dialogue with each stake holder (e.g. Education in Lifestyle diseases).
Experience to be expanded
• “Working together” and “Coordination” has been an experience in several programs, (School Health…..)
• An excellent opportunity for sectors other than Health also, for an initiatives like Social marketing of mosquito bed nets , etc.
GUJARAT with • Strong Political Will and concepts shared with
all will be able to expand its experience.
• “Alone we can do so little, together we can do so much”
-----Helen Keller
Thank You Very Much