Intersectoral Coordination

A Pacemaker for the system performance

Professor Vasudev Rawal Community Medicine

• 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

Health & Development

It is the only truth (but) the learned ones know it in

various ways II

Concept – I Development - Health

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

Stake holders for HEALTHElected representativesGovernment SystemPrivate sectorVoluntary agenciesSystems of MedicineMediaANDCommunity at large

The Process

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

• Following the principles of Primary Health Care helps.

• Monitoring one’s own actions and sharing it

• Participating in planning• Taking specific responsibilities

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

CONCEPT – IIDimensions of Health

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

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

Generating Awareness – Role for All Sectors

An Overview

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

INTERSECTO

RAL COO

RDIN

ATION

Concept – III Priorities

Health Awareness

Preventive /Promotive Care

Private

Public

Curative and Rehab Care

The Areas for Coordination HealthEducationAgricultureFoodAnimal HusbandryIndustryCommunicationHousingPublic works WCDMany others

Better Experience through focused work

Health ProgramsRCH / MCHMaternal CareChild CareSchool HealthBlindness ControlBlood BankingEpidemic controlPolio Eradication

Coordination in Routine Immunization v/s Polio achievement

Maternal Health

Child Health

(Our direction, our expression and our thoughts be the same)

Concept – IV – PACE IN TOTO

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)

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

Intersectoral coordination

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)

Pace maker/s for the systemleads to --

Implementation with roles and responsibilities(The cardiac movements – The action potential)

Evaluation (The outcome) and Replan

Monitoring at different levels – both horizontal and vertical (The output)

CONCEPT – V (OWNERSHIP)

• Chintan Shibir, 2007• “WE” = “AAPANE”, (Inclusive of many

others) rather than “AME” (Inclusive of our people)

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

Areas need to be more focused Health ProgramsNVBDCPRNTCPNCDDisability Prevention

Capacity BuildingBehavior changeAND other

Health Education of villagers

It is the only truth (but) the learned ones know it in

various ways II

Concept – I Development - Health

CONCEPT – IIDimensions of Health

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

Concept – III Priorities

Health Awareness

Preventive /Promotive Care

Private

Public

Curative and Rehab Care

(Our direction, our expression and our thoughts be the same)

Concept – IV – PACE IN TOTO

CONCEPT – V (OWNERSHIP)

• Chintan Shibir, 2007• “WE” = “AAPANE”, (Inclusive of many

others) rather than “AME” (Inclusive of our people)

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).

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.

• “Alone we can do so little, together we can do so much”

-----Helen Keller

Thank You Very Much