inter sectoral convergence
TRANSCRIPT
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Inter Sectoral Convergence
State Institute of Health & Family Welfare, Jaipur
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SIHFW: an ISO 9001: 2008 certified institution 2
Convergence
A process - that facilitates differentfunctionaries and community to worktogether for efficient service delivery
Convergence helps
Time savingHelps in building rapport
Increases efficiency
Reduces workloadSharing of ideas
Trustworthy
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Why Convergence?
Vertical nature of programs
Loosing focus on primary health care
Need to ensure unity of purpose
Provide directionality
Promote team work
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How ISC Helps?
More participative
Implies commitment
Economizes efforts Improves quality of work
Avoid duplication and wastage
Optimizes output
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Types of Convergence
Within the department Intra-sectoral
Between the department
Inter-sectoral coordination
Intra-sectoral coordination
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Constraints in Inter-SectoralCoordination
Knowledge level
Program goals and implementation
in isolationAttitudinal level
Power conflicts and egos related toprograms
Practice level Unaware about mechanism of
operations
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Pre-requisites
Leadership style and willingness
Health policies and priorities
Sharing of a common vision andperspective
Defining role & responsibilities ofparticipatory agencies
Participatory decision making
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Developing informal contacts withinvolved groups
Learning more about quality of services
Spelling out strategies and proceduresConducting joint monitoring and
evaluation
Taking remedial measures in solvingproblems related to coordination
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Activities of Health Department
Supply of safe waterExcreta disposal and refuse disposal
Waste water disposal
Maternal and child health
Family welfare, immunization againstmajor infectious diseases
Prevention and control of locally endemicdiseases
Health education on prevailing healthproblems.
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Coordination Mechanism
Listing out programmes Identifying areas
Knowing categories of health personnel
Locating the level of health systemsForming coordination committee of
members
Forming of operation teams
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Interdepartmental Convergence
Convergence with
WCD
Water and sanitation
Education Department
National Blindness Control Programme
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1. Convergence with WCD
The Department of Women and Children(DWCD) is the repository of nationalprogrammes for the holistic development of
women and children. It includes: the Integrated Child
Development Services (ICDS), to providesupplementary nutrition for pregnant and
lactating mothers and children under six, andnon-formal preschool education.
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Convergence between Health Dept. andDWCD
Women and Childrens Health
Womens empowerment, gender and
equity
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Functions for Nutrition, Health &Womens Empowerment
Joint formulation of BCC strategies,materials, and messages,
Operational strategies for joint planningDevelopment of joint
Identification of functional areas
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Issues between WCD and Health
Low birth weight
Reduce IMR, high morbidity and undernutrition during infancy
Reduce under five mortality rates & highunder nutrition rates
Reduce anemia in Indians
Ensure universal access to iodized salt by2010
Tackle over-nutrition and disease risks
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Synergy between ANM, ASHA & AWW
Safe Abortion Services
AWW, and ASHA may help
ANM can refer them to the
appropriate facility for MTPand contraception
Antenatal Care
ANM provides ANC
AWW provides Foodsupplements to pregnantwomen
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Convergence: on the health &nutrition days
AWW& ASHA can bring allpregnant women to AW &
weigh themANM for ANC
Decision regarding place ofdelivery
identify low risk women whocan deliver at home- ANM
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If there are complications duringdelivery ASHA can help thewoman to access emergency careat the right place
PRI can facilitate emergencytransport
Identify those weighing less than 2
kg and refer them to CHC for careASHA and PRI can facilitate
emergency referral for neonate
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Declining sex ratio
Low Birth Weight
AWW to report all births in
villageWeigh all neonates delivered at
home soon after birth and
Refer those weighing less than
2.2 kg to a hospital with apediatrician
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2. Convergence with Water andSanitation
Total sanitation campaign (TSC).
Construction of individual householdlatrines
Hygiene education, and ruralsanitary marts
The village health & sanitation committee
(VHSC)Responsible for planning, monitoringand implementation
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Involvement of PRIsSensitized and oriented towards
issued relating to women
Reproductive health issues, childhealth issues, family planningand gender
Panchayati Raj Institutions
Responsible for the selection ofASHA
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3. Convergence with EducationDepartment
Various agencies working on for improvingthe knowledge of adolescents in sexualand reproductive health issues.
Secondary, Higher and Technical Edu.Dept. would be involved in implementingthe School Health Programme like
formation.
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TBAs, Mahila Swasthaya Sangh, KrishiVigyan Kendra volunteers and school
teachers can aware the women
ANM, MPW and AWW can also talk to thefamilies to improve the status
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Services between Health and Education
Inclusion of educational material
Involvement of all zilla saksharata samitisin IEC activities pertaining to the RCHprogramme.
Involving school teachers and children
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4. Convergence with National BlindnessControl Programme
Develop a strategic plan to address
The refractory errors
Eye related problems of children &adolescents
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Thank You