The document outlines the goals and strategies of the Jathika Saviya & Gama Neguma community development programme in Sri Lanka. The programme aims to develop villages as the center of national development through community participation and empowerment. It establishes village-level organizations called "Jana Sabhas" to plan, implement, and monitor integrated development projects covering areas like health, agriculture, education and infrastructure. The strategy emphasizes self-reliance, inter-sectoral coordination, and improving living standards through holistic village development.

1. Prosperous VillageProsperous Village
ProgrammeProgramme
Jathika Saviya & Gama NegumaJathika Saviya & Gama Neguma
ProgrammeProgramme

2. GovernmentGovernment
of the peopleof the people
by the peopleby the people
for the peoplefor the people
- Abraham Lincoln- Abraham Lincoln

3. Thailand ExperienceThailand Experience
 1960s -1960s - Initiation of community participation inInitiation of community participation in
health development programmehealth development programme
through village volunteersthrough village volunteers
 1975 -1975 - Creation of a nation-wide villageCreation of a nation-wide village
volunteers system to form thevolunteers system to form the
backbone of the National Primarybackbone of the National Primary
Health Care ProgrammeHealth Care Programme
 1982 -1982 - village self managed Primary Healthvillage self managed Primary Health
Care ProgrammeCare Programme
 19831983 “Basic Minimum Needs” programme to“Basic Minimum Needs” programme to
improve the quality of life of peopleimprove the quality of life of people

4. ““Basic Minimum Needs” ProgrammeBasic Minimum Needs” Programme
 Slogan “ Health is a part of socio-Slogan “ Health is a part of socio-
economic development”economic development”
 Village is the key development unitVillage is the key development unit
 Eight basic minimum needs with 32Eight basic minimum needs with 32
indicatorsindicators
 Management of micro developmentManagement of micro development
projects by the peopleprojects by the people
 Inter-sectoral actionInter-sectoral action
HealthHealth
AgricultureAgriculture
EducationEducation
InteriorInterior

5. Pillars of Self-Reliance in BMNPillars of Self-Reliance in BMN
Community
organisation
Community
Financing
system
Community
manpower

6. Experiences of Other CountriesExperiences of Other Countries
 ChinaChina
Community led managementCommunity led management
 IndiaIndia
KeralaKerala
TamilnaduTamilnadu
 IndonesiaIndonesia
Women’s organisationWomen’s organisation

7. Sri LankaSri Lanka
 Change agent programmesChange agent programmes
 Participatory rural development programmesParticipatory rural development programmes
 Family health action programme - HEBFamily health action programme - HEB
 Mahaweli volunteer programmeMahaweli volunteer programme
 Model health village programme - AnuradhapuraModel health village programme - Anuradhapura
 Mother’s society programme – HambantotaMother’s society programme – Hambantota
 Sabaragamuwa Suwasetha – RatnapuraSabaragamuwa Suwasetha – Ratnapura
 ECCD community action plansECCD community action plans
 Etc.Etc.

8. PATHWAYS TO IMPROVED OUTCOMESPATHWAYS TO IMPROVED OUTCOMES
GovernmentGovernment
policies &policies &
actionsactions
Health systemHealth system
& other& other
sectorssectors
HouseholdsHouseholds
communitiescommunities
Health outHealth out
comescomes
Health
outcomes
Community
factors
Household
resources
Household
behaviours
& risk
factors
Supply in
related
sectors
Other parts
of health
system
Health
service
supply
Actions in
other
sectors
Health
reforms

9. Delivery of Health ServicesDelivery of Health Services
 EquityEquity
 Right based approachRight based approach
 ResponsivenessResponsiveness
 Community mobilisation &Community mobilisation &
empowermentempowerment

10. What is newWhat is new
 Political leadershipPolitical leadership
 Holistic approachHolistic approach
 Spiritual developmentSpiritual development
 Infra structure developmentInfra structure development
 Social and economic developmentSocial and economic development
 Participation of the communityParticipation of the community
 JanasabaJanasaba conceptconcept
 Cost reduction by using local manpower,Cost reduction by using local manpower,
other resources and technologyother resources and technology

11. ““GAMA NEGUMA” DevelopmentGAMA NEGUMA” Development
ProgrammeProgramme
 A project of paramount importance asA project of paramount importance as
envisioned in Mahinda Chinthana.envisioned in Mahinda Chinthana.
 Ministry of Rural Livelihood DevelopmentMinistry of Rural Livelihood Development
co-ordinates with line Ministries, stateco-ordinates with line Ministries, state
institutions, provincial councils, localinstitutions, provincial councils, local
government bodies and community basedgovernment bodies and community based
organizations with the active participation oforganizations with the active participation of
the rural communitythe rural community
 Planning and implementation commenced onPlanning and implementation commenced on
2424thth
March 2006March 2006

12. VisionVision
To develop the village as the centre ofTo develop the village as the centre of
national developmentnational development

13. MissionMission
To create comprehensive developmentTo create comprehensive development
in the villages through a network ofin the villages through a network of
community based organizationscommunity based organizations
formed in the rural community withformed in the rural community with
active participation of its members andactive participation of its members and
to implement them with properto implement them with proper
coordination and transparentlycoordination and transparently

14. ObjectivesObjectives
 To ensure community participation byTo ensure community participation by
motivation, organization, and communitymotivation, organization, and community
empowerment for total development of theempowerment for total development of the
rural community based on self reliancerural community based on self reliance
 To introduce a formal mechanism forTo introduce a formal mechanism for
participatory decision making and projectparticipatory decision making and project
planning at village levelplanning at village level
 To obtain optimum benefits from theTo obtain optimum benefits from the
development programme by implementingdevelopment programme by implementing
integrated village development plans to avoidintegrated village development plans to avoid
duplicationduplication

15. ObjectivesObjectives
 Co-ordination of human resources which is crucialCo-ordination of human resources which is crucial
for rural development, other rural, and externalfor rural development, other rural, and external
resources, through an efficient mechanism ofresources, through an efficient mechanism of
resource allocationresource allocation
 To introduce a results based participatory progressTo introduce a results based participatory progress
review and evaluation mechanism at village levelreview and evaluation mechanism at village level
 To ensure improvement of living standards of theTo ensure improvement of living standards of the
village communities through development of thevillage communities through development of the
physical, economic, social and cultural environmentphysical, economic, social and cultural environment
 To create total development of the village under aTo create total development of the village under a
community based, planned developmentcommunity based, planned development
programmeprogramme

16. Development StrategyDevelopment Strategy
1.1. To prepare integrated village development plansTo prepare integrated village development plans
with community participation targeting allwith community participation targeting all
development efforts to achieve a commondevelopment efforts to achieve a common
objectiveobjective
2.2. To make opportunities for the rural community toTo make opportunities for the rural community to
participate actively in their economic, social,participate actively in their economic, social,
cultural and spiritual development effortscultural and spiritual development efforts
3.3. To organize and empower rural community toTo organize and empower rural community to
ensure their total commitment and contribution inensure their total commitment and contribution in
the development processthe development process
4.4. To pool all resources utilized in villageTo pool all resources utilized in village
development, and implement productivedevelopment, and implement productive
transparent integrated village development planstransparent integrated village development plans
for proper co-ordination at village and divisionalfor proper co-ordination at village and divisional
levellevel

17. Development Strategy (contd.)Development Strategy (contd.)
5.5. To transform the rural community to a group ofTo transform the rural community to a group of
activists with ideological and comparative thinkingactivists with ideological and comparative thinking
abilities and enhance self determination byabilities and enhance self determination by
developing their abilities and skills demand fordeveloping their abilities and skills demand for
sustainable development dependant on self help,sustainable development dependant on self help,
while changing the subsistent mentality with anwhile changing the subsistent mentality with an
orientation towards achieving targets.orientation towards achieving targets.
6.6. Simultaneous rural livelihood development, withSimultaneous rural livelihood development, with
infrastructure development for economicinfrastructure development for economic
resurgence and social developmentresurgence and social development

18. GAMA NEGUMA CommunityGAMA NEGUMA Community
ActivitiesActivities
1.1. To educate all state officers at village level and theTo educate all state officers at village level and the
rural community on GAMA NEGUMA Developmentrural community on GAMA NEGUMA Development
strategystrategy
2.2. To identify village level problems, disparities, localTo identify village level problems, disparities, local
resources, livelihood development, opportunitiesresources, livelihood development, opportunities
using surveys of resources and information, theusing surveys of resources and information, the
methodology of participatory rural appraisalmethodology of participatory rural appraisal
3.3. To establish a data base ofTo establish a data base of
1.1. Rural needsRural needs
2.2. Rural resources / scarcitiesRural resources / scarcities
3.3. Identification of required external assistanceIdentification of required external assistance
4.4. Preparation of rural development plansPreparation of rural development plans

19. GAMA NEGUMA CommunityGAMA NEGUMA Community
Activities (contd.)Activities (contd.)
5.5. Preparation / updating of profiles of families and villagePreparation / updating of profiles of families and village
resourcesresources
6.6. Co-ordination of financial allocations for projectCo-ordination of financial allocations for project
proposalsproposals
7.7. Establishment of suitable mechanisms forEstablishment of suitable mechanisms for
implementation, evaluation and review of developmentimplementation, evaluation and review of development
projectsprojects
8.8. Co-ordination of institutions involved in projectCo-ordination of institutions involved in project
implementation with Divisional and Districtimplementation with Divisional and District
Secretariats.Secretariats.
9.9. Establishment of ‘JANA SABHA’Establishment of ‘JANA SABHA’

20. JANA SABHAJANA SABHA
 The principal organization responsible forThe principal organization responsible for
implementation of ‘GAMA NEGUMA’implementation of ‘GAMA NEGUMA’
 A JANA SABHA will be established in everyA JANA SABHA will be established in every
village with the participation ofvillage with the participation of
-- religious leadershipreligious leadership
-- community based organizationscommunity based organizations
-- political leadershippolitical leadership
-- state officialsstate officials
-- rural communityrural community
 Drafting of statutory laws for establishmentDrafting of statutory laws for establishment
of JANA SABHA is in progressof JANA SABHA is in progress

21. Community Action Planning ModelCommunity Action Planning Model
 ‘‘JanasabaJanasaba’’
 Training of Community Health workersTraining of Community Health workers
((Praja Saukkya SevikaPraja Saukkya Sevika))
 Assessment of the needsAssessment of the needs
 Decide on the objectivesDecide on the objectives
 Assessment of the available resourcesAssessment of the available resources
 Identify the activities & responsibilitiesIdentify the activities & responsibilities
 Identification of resources & time-frameIdentification of resources & time-frame
 Develop an action plan for holisticDevelop an action plan for holistic
developmentdevelopment
 Implementation & coordinationImplementation & coordination
 Directing & logisticsDirecting & logistics
 Monitoring and evaluationMonitoring and evaluation

22. Five Precepts of SanitationFive Precepts of Sanitation
 Ensure access to supply of safe waterEnsure access to supply of safe water
and the use of boiled cooled water toand the use of boiled cooled water to
drink for alldrink for all
 Ensure home gardening of theEnsure home gardening of the
householdshouseholds
 Ensure sanitary disposal and recyclingEnsure sanitary disposal and recycling
of wasteof waste
 Ensure the use of sanitary toilets by allEnsure the use of sanitary toilets by all
including childrenincluding children
 Ensure a clean, smoke free house withEnsure a clean, smoke free house with
adequate light & ventilationadequate light & ventilation

23. Maternal and Child HealthMaternal and Child Health
 Ensure adequate care is received byEnsure adequate care is received by
mothers and childrenmothers and children
 Ensure proper nutrition includingEnsure proper nutrition including
breast feeding and complementarybreast feeding and complementary
feeding of childrenfeeding of children
 Assist in conducting GrowthAssist in conducting Growth
Promotion centres and MCH clinicsPromotion centres and MCH clinics
 Follow-up of advice given by healthFollow-up of advice given by health
workers to ensure health of mothersworkers to ensure health of mothers
and childrenand children
 Assist the health educationAssist the health education
programmes conducted in theprogrammes conducted in the
communitycommunity

24. Maternal and Child HealthMaternal and Child Health
 Ensure adequate post-partum care isEnsure adequate post-partum care is
received by the post partum mothersreceived by the post partum mothers
 Ensure all the children are receivingEnsure all the children are receiving
adequate early Childhood Care for theiradequate early Childhood Care for their
optimal growth and developmentoptimal growth and development
 Assist in providing / strengthening ofAssist in providing / strengthening of
infrastructure, equipment and consumablesinfrastructure, equipment and consumables
 Promote child friendly environment withinPromote child friendly environment within
the family and the communitythe family and the community
 Prevent child abusePrevent child abuse
 Ensure adequate participation of male inEnsure adequate participation of male in
MCH careMCH care

25. Environmental healthEnvironmental health
 Assist health workers in educating theAssist health workers in educating the
communitycommunity
 Monitor the adequacy of the measures takenMonitor the adequacy of the measures taken
by the community to prevent communicableby the community to prevent communicable
diseases in the communitydiseases in the community
 Assist prevention of communicable diseasesAssist prevention of communicable diseases
including diarrhoeal diseases and dengueincluding diarrhoeal diseases and dengue
 Inform health workers on the spread ofInform health workers on the spread of
communicable diseases promptlycommunicable diseases promptly
 Develop the occupational settings in theDevelop the occupational settings in the
community to be health promotivecommunity to be health promotive
 Create an animal friendly environment byCreate an animal friendly environment by
motivating people to care responsibly for themotivating people to care responsibly for the
animals such as dogs and cats by facilitatinganimals such as dogs and cats by facilitating
immunisation of the dogs, family planning &immunisation of the dogs, family planning &
encouraging caring practices etc.encouraging caring practices etc.

26. Food HygieneFood Hygiene
 Assist health workers to educateAssist health workers to educate
workers working in food processingworkers working in food processing
establishments and people aboutestablishments and people about
proper food hygieneproper food hygiene
 Monitor food hygiene of the foodMonitor food hygiene of the food
processing establishmentsprocessing establishments
 Promote locally available home basedPromote locally available home based
foodfood

27. Prevention of Non-Communicable DiseasesPrevention of Non-Communicable Diseases
 Assist health workers in educating public onAssist health workers in educating public on
non- communicable diseasesnon- communicable diseases
 Ensure prevention of abusive substancesEnsure prevention of abusive substances
such as alcohol and tobacco in the communitysuch as alcohol and tobacco in the community
 Ensure reduction of home and other accidentsEnsure reduction of home and other accidents
 Promote mental health and prevent suicides inPromote mental health and prevent suicides in
the communitythe community
 Assist health workers in screening theAssist health workers in screening the
community for non-communicable diseasescommunity for non-communicable diseases
and referral of the patientsand referral of the patients
 Follow-up of patients with non communicableFollow-up of patients with non communicable
diseases to prevent complicationsdiseases to prevent complications

28. Promoting Health of the YouthPromoting Health of the Youth
 Promote health of youth by formingPromote health of youth by forming
youth clubs and sport clubsyouth clubs and sport clubs
 Facilitate empowerment of youth toFacilitate empowerment of youth to
improve their own healthimprove their own health
 Create supportive environment forCreate supportive environment for
development of youth in thedevelopment of youth in the
communitycommunity

29. Care of the ElderlyCare of the Elderly
 Promote health of the elders byPromote health of the elders by
facilitating day care centresfacilitating day care centres
 Facilitate empowerment of the eldersFacilitate empowerment of the elders
to improve their own healthto improve their own health
 Create supportive environment for theCreate supportive environment for the
care of elders in the family and thecare of elders in the family and the
communitycommunity

30. Rehabilitation of the DifferentlyRehabilitation of the Differently
Abled PersonsAbled Persons
 Assist health workers in rehabilitationAssist health workers in rehabilitation
of the differently abled personsof the differently abled persons
 Facilitate services provided by theFacilitate services provided by the
Department of Social Services, otherDepartment of Social Services, other
sectors and NGOs to improve thesectors and NGOs to improve the
health of differently abled personshealth of differently abled persons
 Facilitate income generating activitiesFacilitate income generating activities
by differently abled persons toby differently abled persons to
improve their status of livingimprove their status of living

31. Other Social DevelopmentOther Social Development
 Facilitate other social and economicFacilitate other social and economic
development of the community todevelopment of the community to
improve their healthimprove their health
 Liaise with other sectors and NGOs toLiaise with other sectors and NGOs to
improve social and economicimprove social and economic
developmentdevelopment

32. Improve Access to HealthImprove Access to Health
ServicesServices
 Filling of the vacancies of the public healthFilling of the vacancies of the public health
personnel in selected villagespersonnel in selected villages
 Ensure easy access to MCH clinicsEnsure easy access to MCH clinics
 Ensure basic facilities in PHC hospitals andEnsure basic facilities in PHC hospitals and
easy access to high quality curative careeasy access to high quality curative care
 Filling of the vacancies of PHC hospitalsFilling of the vacancies of PHC hospitals
 Screen people for chronic diseasesScreen people for chronic diseases
 Follow-up of people with chronic diseases toFollow-up of people with chronic diseases to
ensure regular treatmentensure regular treatment

33. Improve Access to HealthImprove Access to Health
ServicesServices
 Ensure access to health informationEnsure access to health information
through planned regular health talks,through planned regular health talks,
night film shows etc.night film shows etc.
 Ensure access to screening of schoolEnsure access to screening of school
children and proper follow-up tochildren and proper follow-up to
ensure proper careensure proper care
 Promote the school as a healthPromote the school as a health
promotive school and empowerment ofpromotive school and empowerment of
school children through school healthschool children through school health
societiessocieties

34. Next stepNext step
 Educate all MOOH and district level staff - Feb.2007Educate all MOOH and district level staff - Feb.2007
 Survey of physical infrastructure/ equipment needs of the selected villages –Survey of physical infrastructure/ equipment needs of the selected villages –
Feb. 2007Feb. 2007
 Develop an action plan to improve physical infrastructure with a budget –Develop an action plan to improve physical infrastructure with a budget –
Feb. 2007Feb. 2007
 Communicate infrastructure development plan with the Janasaba, localCommunicate infrastructure development plan with the Janasaba, local
political leadership and Divisional Secretary – March. 2007political leadership and Divisional Secretary – March. 2007
 Training of Community health workersTraining of Community health workers
 Family survey – Feb-March. 2007Family survey – Feb-March. 2007
 Formation of a Janasaba sub committee on healthFormation of a Janasaba sub committee on health
 Develop an action plan for the holistic development of the village – MarchDevelop an action plan for the holistic development of the village – March
20072007
 Implementation of the action plan – March – Dec 2007Implementation of the action plan – March – Dec 2007
 Monitoring and reviewMonitoring and review
 Monthly review of the programme at the Janasaba sub committee on healthMonthly review of the programme at the Janasaba sub committee on health
 Monthly conferenceMonthly conference
 Monthly review at the Janasaba meetingMonthly review at the Janasaba meeting
 Monthly Divisional level meetingMonthly Divisional level meeting
 Monthly District level reviews of the health sectorMonthly District level reviews of the health sector
 Monthly District level meeting with the District coordinating committeeMonthly District level meeting with the District coordinating committee
 Bi-monthly Provincial level reviewsBi-monthly Provincial level reviews

35. Ministry of Healthcare & NutritionMinistry of Healthcare & Nutrition
 Coordination of Jathica Saviya and GamaCoordination of Jathica Saviya and Gama
Neguma at national levelNeguma at national level
 Issuing of policy directionIssuing of policy direction
 Conduct quarterly review at National levelConduct quarterly review at National level
 Participate in Provincial level reviewParticipate in Provincial level review
programmeprogramme

36. Go to the peopleGo to the people
Live among themLive among them
Learn from themLearn from them
Love themLove them
Start with what they haveStart with what they have
Build on what they haveBuild on what they have
But of the best leadersBut of the best leaders
When their task is accomplishedWhen their task is accomplished
Their work is doneTheir work is done
The people all remarkThe people all remark
We have done it ourselves !We have done it ourselves !
-- Ancient proverbAncient proverb