Intersectoral Coordination

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

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

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

• Sharing the concern
• Reviewing the resources
• Sharing the resources

• Participating in planning
• Taking specific responsibilities

• Monitoring ones own actions and sharing it

• Following the principles of Primary Health Care
  helps.

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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
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CONCEPT IIDimensions of Health

• Health is a state of
• physical, psychological and social WELL BEING
• and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.

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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

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Generating Awareness Role for All Sectors
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An Overview

• The Pace maker
• The Impulse
• The Contributing Sectors
• The Health Programs
• The resources
• The way ahead

INTERSECTORAL COORDINATION
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Concept III Priorities
Private
Curative and Rehab Care
Health Awareness
Public
Preventive /Promotive Care
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The Areas for Coordination
Health Education Agriculture Food Animal
Husbandry Industry Communication Housing Public
works WCD Many others
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Better Experience through focused work
Health Programs RCH / MCH Maternal Care Child
Care School Health Blindness Control Blood
Banking Epidemic control Polio Eradication
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Coordination in Routine Immunization v/s Polio
achievement
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Maternal Health
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Child Health
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Concept IV PACE IN TOTO
(Our direction, our expression and our thoughts
be the same)
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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)

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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
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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)

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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
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CONCEPT V (OWNERSHIP)

• Chintan Shibir, 2007
• WE AAPANE, (Inclusive of many others)
  rather than AME (Inclusive of our people)

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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

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Areas need to be more focused
Health Programs NVBDCP RNTCP NCD Disability
Prevention Capacity Building Behavior change AND
other
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Health Education of villagers
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Concept I Development - Health
It is the only truth (but) the learned ones
know it in various ways II
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CONCEPT IIDimensions of Health

• Health is a state of
• physical, psychological and social WELL BEING
• and NOT MERELY ABSENCE OF DISEASE OR INFIRMITY.

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Concept III Priorities
Private
Curative and Rehab Care
Health Awareness
Public
Preventive /Promotive Care
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Concept IV PACE IN TOTO
(Our direction, our expression and our thoughts
be the same)
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CONCEPT V (OWNERSHIP)

• Chintan Shibir, 2007
• WE AAPANE, (Inclusive of many others)
  rather than AME (Inclusive of our people)

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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).

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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.

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• Alone we can do so little, together we can do so
  much
• ----- Helen Keller

• Thank You Very Much