7/29/2019 Presentation on Community Action for Health

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COMMUNITY ACTION FOR HEALTH

 A community health approach to health system

strengthening

Dr. Rakhal Gaitonde

Society for Community Health Awareness Research and Action&

Project Manager Community Action for Health, Tamilnadu, India

7/29/2019 Presentation on Community Action for Health

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 Axioms of Community Health

• Community health is a process of enablingpeople to exercise collectively their responsibility, to their own health and to

demand health as their right.• The community health approach involves

increasing individual, family and communityautonomy over health and over the

organizations, the means, the opportunities,the knowledge and the supportive structuresthat make health possible.

• Source: Community Health Cell 1987. Community Health: Insearch of Alternate Processess.

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Structure at the state

level

V

PHC PHC PHC PHC

Taluka Taluka Taluka

DIST DIST

STATE Integrate

Integrate

Integrate

Integrate

VV VVVV V V V V V

VillageHealth &

Sanitation

Committees

TalukaPlanning andmonitoringCommittees

DistrictPlanning and

monitoringCommittees

State Planningand

monitoringCommittees

PHC Planning andmonitoringCommittees

KEYINSTITUTIONS

STATE MENTORING GROUP

Planning and

monitoringreports

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Committee formation and information

flow  – pilot processState Planning

& MonitoringCommittee

District Planning &Monitoring

Committee

Block Planning &MonitoringCommittee

PHC Planning &MonitoringCommittee

Village Health and

SanitationCommittee

   A  p  p  r  o  p  r   i  a   t  e   A  c   t   i  o  n

    &    I  n

   t  e  r  v  e  n   t   i  o

  n

 

Feedback& Reports

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7/29/2019 Presentation on Community Action for Health

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7/29/2019 Presentation on Community Action for Health

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7/29/2019 Presentation on Community Action for Health

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Basic context

Government readiness

Policy and laws.

Structure / spaces.

Spirit / sensitization.

Capacity.

Community readiness

 Awareness

Occupation of structures / spaces

Spirit

Capacity and information.

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Village level committee formation

Govt. committees

expanded.

Representation from

each of the hamlets.

Discussion and

ratification of these

committees at thegram sabha level.

VHWSC members group photo

Thirumanur Block

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Village Health Committee-

orientation and training

 About 1000 + 150

(project staff) trained

over the project

period –

thus anumber of resource

persons on health at

the Panchayat level.

Understand the

rationale behind the

services, understand

the health system.

VHWSC orientation

Nallampalli Block, Dharmapuri Dist.

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Monitoring done by meetingdifferent age groups of people

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Village Health Planning day

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The Tool

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Facility survey tool

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Sample Village Health Report Card

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Central database  – data entrythrough SMS

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Planning worksheet

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Sample outcome

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Challenges

System readiness

Local readiness

Fractured communities

Voice of the truly marginalized.

Continuing knowledge and broader inputs to thecommunity members.