inter-sectoral coordination and social mobilization idsp training module for state and district...
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Inter-sectoral coordination and social mobilization
IDSP training module for state and district surveillance officers
Module 12
Learning objectives (1/2)
• Describe the strategies and action plan to mobilize community participation
• Describe surveillance activities related to existing vertical disease control programmes at the district level to facilitate integration
Learning objectives (2/2)
• Describe the strategies and action plan to mobilize community participation
• Describe surveillance activities related to existing vertical disease control programmes at the district level to facilitate integration
Coordination
• The process of linking the activities of various departments of an organization
• The process by which managers achieve integrated patterns of group and individual effort i.e., Develop unity of action in common purposes
• The integration, synchronization or orderly patterning of group efforts by an organization towards the accomplishment of common goals or objectives
Cooperation and collaboration
• Cooperation Collective effort put willingly and voluntarily
by a group in the performance of any work No time quality or directional framework
• Collaboration The joint conduct of programme or project Emphasizes the sharing of similar
responsibilities on the basis of an agreement
Inter-sectoral versus intra-sectoral coordination
• Intra-sectoral coordination Coordination within an organization
between its various subsystems and units or agents
• Inter-sectoral coordination Coordination with non-health organizations,
sectors or agencies to achieve goals
Intra-sectoral coordination
• The final common pathway Grass root level
• Same people conduct surveillance for various programmes and agencies
From district level onwards • Information goes through various channels
• Integration of surveillance activities from various programmes One of the primary objectives of the
programme Key determinant of sustainability
Inter-sectoral coordination
• Various health and non-health departments need to share information generated by the surveillance mechanisms
• Need for effective sharing of information on surveillance with all stakeholders Health department Other governmental and non-governmental
agencies
Stakeholders
• Medical officer of primary health centres• Sentinel private practitioners • Community representatives• District
All members of the district surveillance unit
• State All members of the state surveillance unit
Aim of the social mobilization campaign
• Create awareness among: Partners Private practitioners Non governmental organizations Community
• Establish an institutional mechanism to involve community and their leaders Rotating membership in:
• District surveillance committee • Block surveillance committee
Strategizing communication
• Adapt message and format to the audiences
• Consider all media Electronic media Press Hoardings Handbills Posters Inter-personal communication through health
providers
Feedback strengthens effective inter-sectoral and intra-sectoral
coordination• Sharing of information with all
stakeholders • Share regular reports at the state and
district levels Make available on line / electronically
Community stakeholders
• Persons to involve Anybody who can provide information on
the possible occurrence of the diseases • School teacher, informal community leader
• Ways to involve community representatives Share information (Feedback) Obtain information (Listen)
Being close from the community
• People volunteer in areas where health workers enjoy a good relationship with their communities
• Individual initiatives taken by enthusiastic health staff make a difference
• Key contacts Village elders’ Ladies Pradhan (Village head) Panchayat members Chowkidar (Village guard)
Socio-cultural issues
• Socio-cultural barriers and gender disparities may influence the sensitivity of data collected Religious minorities may distrust the public
sector Urban clients in high rise may not use public
system Poor may feel neglected in the public sector
• Social mobilization campaign need to address all these socio-cultural beliefs
Engaging medical colleges
• Responsibility of the state surveillance unit Memoranda of understanding
• Selection of a coordinating medical college by the Director of Medical Education
• Facilitation by the health secretary• Possibility for medical colleges to work in
urban surveillance• Contacts at the central level will facilitate
these synergies
Institutional Integrated Disease Surveillance Project sub-committee
within medical colleges• Principal / superintendent
Report to Integrated Disease Surveillance Project
• Community medicine• Medicine• Pediatrics• Chest and tuberculosis• Microbiology• Cardiology
Additional potential roles of medical colleges
• Reference laboratories• Quality assurance and evaluation • Training• Outbreak investigations
In collaboration with the district surveillance officer / medical officer
• Non communicable disease risk factor surveillance
Qualities required for coordination
• Leadership • Effective communication • Ability to mobilize people and resources• Ability to recognize and acknowledge
input
Example: Stakeholders involved to respond to an outbreak of hepatitis EStakeholder Potential role
Health
•Surveillance•Case management•Coordination
Water board•Investigation of the water supply•Repairs
Animal husbandry•Investigation of possible animal reservoirs
Media•Information, education and communication
Non-governmental organizations
•Community participation
Points to remember (1/3)
• IDSP is a new initiative that requires integration and coordination within and between different departments
• All surveillance activities will need to be coordinated under the district surveillance officer
• Inter-sectoral coordination is perhaps the biggest challenge in implementation of the programme
Points to remember (2/3)
• The sustainability of the programme depends on the extent of inter-sectoral and intra-sectoral coordination
• People’s participation is key to: Complete coverage Timely reporting
• Integrated and coordinated surveillance will: Pooling / share resources Avoid wastage / improve efficiency Ensure quality and sustainability
Points to remember (3/3)
• The medical officer / district surveillance officer will need to use the inter-departmental coordination committee to bring up: Positive products of the cooperation Non-action / non-reporting
• The leadership, commitment and communication skills of the medical officer / district surveillance officer will be critical