Inter Sectoral Convergence in Health

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Inter Sectoral Convergence in Health

  1. 1. Inter Sectoral Convergence State Institute of Health & Family Welfare, Jaipur
  2. 2. Convergence Ø A process - that facilitates different functionaries and community to work together for efficient service delivery Ø Convergence - ØTime saving ØHelps in building rapport ØIncreases efficiency ØReduces workload ØSharing of ideas ØTrustworthy SIHFW: an ISO 9001: 2008 certified institution 2
  3. 3. Why Convergence? Ø Vertical nature of programs Ø Loosing focus on primary health care Ø Need to ensure unity of purpose Ø Provide directionality Ø Promote team work SIHFW: an ISO 9001: 2008 certified institution 3
  4. 4. How ISC Helps? Ø More participative Ø Implies commitment Ø Economizes efforts Ø Improves quality of work Ø Avoid duplication and wastage Ø Optimizes output SIHFW: an ISO 9001: 2008 certified institution 4
  5. 5. Types of Convergence Ø Within the department – Intra-sectoral Ø Between the department Ø Inter-sectoral coordination Ø Intra-sectoral coordination SIHFW: an ISO 9001: 2008 certified institution 5
  6. 6. Inter-Sectoral coordination: Constraints Ø At the Knowledge level – Program goals and implementation in isolation Ø At the Attitudinal level – Power conflicts and egos related to programs Ø At the Practice level – Unaware about mechanism of operations SIHFW: an ISO 9001: 2008 certified institution 6
  7. 7. Pre-requisites of Effective Coordination Ø Leadership style and willingness Ø Health policies and priorities Ø Sharing of a common vision and perspective Ø Defining role & responsibilities of participatory agencies Ø Participatory decision making SIHFW: an ISO 9001: 2008 certified institution 7
  8. 8. Ø Developing informal contacts with involved groups Ø Learning more about quality of services Ø Spelling out strategies and procedures Ø Conducting joint monitoring and evaluation Ø Taking remedial measures in solving problems related to coordination SIHFW: an ISO 9001: 2008 certified institution 8
  9. 9. Activities of Health Department Ø Supply of safe water Ø Excreta disposal and refuse disposal Ø Waste water disposal Ø Maternal and child health Ø Family welfare & immunization Ø Prevention and control of locally endemic diseases Ø Health education on prevailing health problems. SIHFW: an ISO 9001: 2008 certified institution 9
  10. 10. Coordination Mechanism Ø Listing out programmes Ø Identifying areas Ø Knowing categories of health personnel Ø Locating the level of health systems Ø Forming coordination committee of members Ø Forming of operation teams SIHFW: an ISO 9001: 2008 certified institution 10
  11. 11. Interdepartmental Convergence Convergence with… Ø WCD Ø Water and sanitation Ø Education Department Ø National Blindness Control Programme SIHFW: an ISO 9001: 2008 certified institution 11
  12. 12. Convergence with WCD Convergence issues: Ø Women and Children’s Health Ø Women’s empowerment, gender and equity Ø Nutrition, Health & Women’s Empowerment ØJoint formulation of BCC strategies, materials, and messages, ØOperational strategies for joint planning ØDevelopment of joint MIS ØIdentification of functional areas SIHFW: an ISO 9001: 2008 certified institution 12
  13. 13. Issues between WCD and Health To reduce- ØLow birth weight ØIMR, high morbidity and under nutrition during infancy ØUnder five mortality rates & high under nutrition rates ØAnemia • Ensure universal access to iodized salt by 2010 • Tackle over-nutrition and disease risks SIHFW: an ISO 9001: 2008 certified institution 13
  14. 14. Synergy between ANM, ASHA & AWW A. Safe Abortion Services Ø AWW, and ASHA may help in safe abortion services Ø ANM can refer them to the appropriate facility for MTP and contraception B. Antenatal Care Ø ANM provides ANC Ø AWW provides Food supplements to pregnant women SIHFW: an ISO 9001: 2008 certified institution 14
  15. 15. C. Convergence: on the health & nutrition days Ø AWW& ASHA can bring all pregnant women to AW & weigh them Ø Decision regarding place of delivery Ø ASHA can help the woman to access emergency care in complications during delivery Ø Identify those weighing less than 2 kg and refer them to CHC for care Ø ASHA and PRI can facilitate emergency referral for neonate SIHFW: an ISO 9001: 2008 certified institution 15
  16. 16. D. Declining sex ratio Ø Counsel those women who have 2 or more girls Ø Village women /AWW/ASHA persuade women for hospital delivery to reduce female infanticide E. Low Birth Weight Ø AWW to report all births in village Ø Weigh all neonates delivered at home soon after birth and Ø Refer those weighing less than 2.2 kg to a hospital with a pediatrician SIHFW: an ISO 9001: 2008 certified institution 16
  17. 17. Convergence with Water and Sanitation Ø Total sanitation campaign (TSC). ØConstruction of individual household latrines ØHygiene education, and rural sanitary marts Ø The village health & sanitation committee (VHSC) ØResponsible for planning, monitoring and implementation SIHFW: an ISO 9001: 2008 certified institution 17
  18. 18. Involvement of Panchayati Raj Institutions ØMonitoring and supervising the services of health ØSensitized and oriented towards issued relating to women ØReproductive health issues, child health issues, family planning and gender ØResponsible for the selection of ASHA SIHFW: an ISO 9001: 2008 certified institution 18
  19. 19. Convergence with Education Department Ø Inclusion of educational material for formal and non formal education Ø Involvement of various agencies and all zilla saksharata samitis in IEC activities Ø Involving school teachers ,health workers and children for awareness programmes SIHFW: an ISO 9001: 2008 certified institution 19
  20. 20. Convergence with National Blindness Control Programme Develop a strategic plan to address – ØThe refractory errors ØEye related problems of children & adolescents SIHFW: an ISO 9001: 2008 certified institution 20
  21. 21. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

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