Intersectoral Coordination

1. Intersectoral Coordination A Pacemaker for the system performance Professor Vasudev Rawal Community Medicine

2. Health & Development • 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

3. Concept – I Development - Health It is the only truth (but) the learned ones know it in various ways II

4. 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

5. Stake holders for HEALTH Elected representatives Government System Private sector Voluntary agencies Systems of Medicine Media AND Community at large

6. The Process • Sharing the concern • Reviewing the resources • Sharing the resources • Participating in planning • Taking specific responsibilities • Monitoring one’s own actions and sharing it • Following the principles of Primary Health Care helps.

7. 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

8. CONCEPT – IIDimensions of Health Health is a state of physical, psychological and social WELL BEING… and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.

9. 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

10. Generating Awareness – Role for All Sectors

11. An Overview • The Pace maker • The Impulse • The Contributing Sectors • The Health Programs • The resources • The way ahead INTERSECTORAL COORDINATION

12. Concept – III Priorities Curative and Rehab Care Private Health Awareness Public Preventive /Promotive Care

13. The Areas for Coordination Health Education Agriculture Food Animal Husbandry Industry Communication Housing Public works WCD Many others

14. Better Experience through focused work Health Programs RCH / MCH Maternal Care Child Care School Health Blindness Control Blood Banking Epidemic control Polio Eradication

15. Coordination in Routine Immunization v/s Polio achievement

17. Maternal Health

18. Child Health

19. Concept – IV – PACE IN TOTO (Our direction, our expression and our thoughts be the same)

20. THE PACE MAKER – A LEADER • NIRAMAYA GUJARAT (Disease Free Gujarat) • SWACHCHHA GUJARAT, SWASTHA GUJARAT (Clean Gujarat, Healthy Gujarat) • BetiBachao and BetiVadhavoAbhiyan (Save the Girl Child and Welcome the Girl child Movements) • ShalaArogyaAbhiyaan (School Health Program)

22. Intersectoral coordination 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

24. 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)

25. Pace maker/s for the systemleads to -- Implementation with roles and responsibilities (The cardiac movements – The action potential) Monitoring at different levels – both horizontal and vertical (The output) Evaluation (The outcome) and Replan

26. CONCEPT – V (OWNERSHIP) • Chintan Shibir, 2007 • “WE” = “AAPANE”, (Inclusive of many others) rather than “AME” (Inclusive of our people)

27. 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

28. Areas need to be more focused Health Programs NVBDCP RNTCP NCD Disability Prevention Capacity Building Behavior change AND other

29. Health Education of villagers

30. Concept – I Development - Health It is the only truth (but) the learned ones know it in various ways II

31. CONCEPT – IIDimensions of Health Health is a state of physical, psychological and social WELL BEING… and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.

32. Concept – III Priorities Curative and Rehab Care Private Health Awareness Public Preventive /Promotive Care

33. Concept – IV – PACE IN TOTO (Our direction, our expression and our thoughts be the same)

34. CONCEPT – V (OWNERSHIP) • Chintan Shibir, 2007 • “WE” = “AAPANE”, (Inclusive of many others) rather than “AME” (Inclusive of our people)

35. 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).

36. 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.

37. “Alone we can do so little, together we can do so much” ----- Helen Keller Thank You Very Much