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Equity and Empowerment_S. Shannon_10.17.13


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Equity and Empowerment_S. Shannon_10.17.13

  1. 1. EQUITY AND EMPOWERMENT WHEN COMMUNITIES OWN THEIR FUTURE Sarah Shannon, Executive Director, Hesperian Health Guides Laura Altobelli, Peru Countr y Director and Senior Health Advisor, Future Generations Ram Shrestha, Senior Quality Improvement Advisor for Community Health and Nutrition, University Research Co, LLC (URC) Hanna Sarah Faich Dini, Policy Advisor, Community Health Systems, One Million Community Health Workers Campaign, The Ear th Institute, Columbia University
  2. 2. CELEBRATING… • 40 th Anniversar y of “Where There is No Doctor” • 35 th Anniversar y of Alma Ata and Primar y Health Care • 25 th Year of the Nepal Female Community Health Volunteer program
  3. 3. PRIMARY HEALTH CARE The declaration of Alma- Ata states that primar y health care is essential health care based on scientifically sound and socially acceptable methods, universally accessible to individuals and families with their full par ticipation at a cost that the community and the countr y can af ford in a spirit of self-reliance and self-determination. The ultimate goal of primar y health care is health for all .
  4. 4. STEPS TOWARDS HEALTH FOR ALL WHO has identified five key elements to achieving that goal:  Universal coverage to reduce exclusion and social disparities in health;  Service delivery organized around people’s needs and expectations;  Public policy that integrates health into all sectors;  Leadership that enhances collaborative models of policy dialogue; and  Increased stakeholder participation.
  5. 5. Primary Health Care: an Agenda for the Future CORE Group October 17, 2013
  6. 6. Hesperian Books • • • • • • • • • • Where There Is No Doctor Where Women Have No Doctor A Book for Midwives Disabled Village Children A Health Handbook for Women with Disabilities Helping Children Who Are Blind Helping Children Who are Deaf Helping Health Workers Learn Where There Is No Dentist A Community Guide to Environmental Health
  7. 7. Principles and Practices Since 1978 • “Health for All by the Year 2000” • Principles – Accessibility, Affordability and Acceptability • Strategies – Community Mobilization, Appropriate Technology, and Multisectoral Cooperation
  8. 8. Health for All by 2000?
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  10. 10. Primary Health Care is NOT “Where There Is No Health System”
  11. 11. What does Community look like in an Urban Setting? • • • • • • • Schools Workplaces Hair salons/Barbershop Places of worship Intramural sports Community Centers Local fairs/events
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  14. 14. Integrated Management of Non-communicable Diseases Unique role of community health workers: • Focus on health education and preventative care • Provide screening and referral • Support management of care • Create and facilitate peer support for lifestyle change • Community organizing to address underlying issues
  15. 15. Integrating Early Childhood Development
  16. 16. New technologies bring new opportunities Feature phones Smartphones Tablets and e-readers
  17. 17. Sarah Shannon Executive Director Hesperian Health Guides 1919 Addison Street Berkeley, CA 94704 (510) 845-1447
  18. 18. At your tables: • Please discuss these 2 questions – What is your vision for the future Primary Health Care agenda? – What are key challenges for achieving Health for All and how can they be addressed? • Write your answers on post-its • Prepare to share in plenary ONE idea from your discussion in ONE minute. – Choose the idea your table is most excited about, OR has the most impact, OR most central to Core Group’s mission. • As you go to lunch, stick ALL post-its on the future timeline. Your ideas will be recorded.