Total Health Village

promote. prevent. provide.
A program of mapInternational
OVERVIEW———————————————————————————————————————————————————
In an increasingly economically challenged world where health care resources are in short supply, costly and inadequate to meet the demand; there is a need for communities to take ongoing, comprehensive action to improve their health and well-being. MAP’s guiding principles state that among the many human needs, it is called to focus on the ministry of Total Health. Total Health doesn’t describe the state of someone’s health, but rather the ways that individuals, families and communities can take responsible action to improve their well-being. Self-empowerment and holism are therefore important in this process.

The Total Health Village is an innovative project that facilitates self-empowerment so that communities are able to solve most of their own problems. The program is designed to be completely participatory in nature—the initial assessments, the planning process, the implementation, and even monitoring and evaluation. All aspects of the program have been carefully planned to safeguard against dependency, create sustainability, and facilitate self-empowerment.

PURPOSE———————————————————————————

MAP International’s Total Health Village is remarkably innovative because it does not relate to the community as a service provider, but rather as a facilitator that guides the community to identify needs, analyze their situation, plan a response strategy, actively work with the CORP (Community’s Own Resource Persons) and engage in solving their own problems. It is a therefore a cost effective community development strategy that leads to Total Well Being; a way to impact a village or cluster of villages of close to a thousand people through a facilitative and low input cost strategy.

LOCATION——————————————————————————
The THV operates in a clearly defined area with a population of around one to two thousand people, wherein the communities are in moderate to high socio–economic interaction with each other.

ALIGNMENT WITH MDGs, NATIONAL PRIORITY, AND MAP INTERNATIONAL’S STRATEGIC PRIORITIES
In addition to aligning with community priorities, special efforts are made to ensure that the THV’s development program is in alignment with the National priority of the country, the MDGs and MAP’s 3-P-strategy to (promote health, prevent disease and disasters, and provide essential medicines.)

OBJECTIVES—————————————————————————————————————————————
The THV seeks to address personal and social health determinants so that individuals and communities may experience Total Health and well-being. 1. To develop local capacity for socioeconomic health determinants related to issues of livelihood security and community organization through strategies such as agriculture, animal husbandry, and trade development leading to holistic well-being (50% of the effort) 2. To develop local capacity for the prevention of common diseases managing issues such as access to safe water, sanitation, and other prevention leading to holistic health (40% of the effort) 3. To develop local capacity for treatment of those diseases that cannot be prevented, such as gastrointestinal, respiratory, & systemic disorders so that disease incidence is drastically reduced (10% of the effort)

ASSESSMENTS ————————————————
This program uses modern participatory techniques such as the Rapid Household Foodsecurity Status Assessment tool (RFSA) and the Holistic Worldview Analysis tool, (at right) to closely involve the community in determining the activities that will address their contextual problems. This results in high impact that is manifested as a strong sense of ownership and ongoing sustainability of the program.

DEVELOPMENT PRIORITIES—————————
After carrying out the Holistic Worldview Analysis (HWVA) with the community—see sample above—the development priorities of the community are addressed by stating each of the community’s major needs in the form of activities that need to be done and outputs that need to be achieved. These are then clustered under one of the three impact objectives, according to where they best fit: 1. Promote holistic wellbeing through integrated development Prevent disease and mitigate disasters Provide essential medicines and health care

LENGTH OF PROJECT—————————————

This project is expected to last 5-7 years. In order to achieve sustainability and avoid dependence, MAP International works with the CORP (Community’s Own Resource Persons). These are usually community members who are socially active and involved in serving the community already. MAP works through this group right from the beginning, and as the project progresses, the CORP are encouraged to take over greater leadership, so that

2. 3.

EXPECTED RESULTS——————————————

RESOURCES NEEDED —————————————
A typical THV that covers a population of around 1000 people costs roughly 35,000 to 38,000 USD. The ideal way for these funds to be raised is through a connection created between a Foundation or a Social Organization (such as the Rotary Club), or a Church group linked with the THV in a ‘community to community’ connection. The typical budget of a THV covers activities such as community organization , surveys, capacity building and skill building, technical training (i.e. agriculture, animal husbandry, water shed development, health care), logistics, transportation, some preliminary input costs of a THV facilitator, and local administrative costs. Whenever specific material inputs are made available in the community, special efforts are also made to ‘leverage’ other resources from the community in the form of ‘sweat equity’. This helps bring responsibility, accountability and ownership to the process.

The most important expected result is that communities will be empowered, and that such empowerment will be evident in the interactions of the community members (exhibiting equality, courtesy, and shared responsibility), the quality of life they experience, and their ability to take control of the development plan and solve their own problems. The extent to which the community is able to exert its control and influence on the 4 empowerment determinants is an indication of the level of its corporate empowerment. These empowerment determinants are:  Extent of control over their own Health  Extent of control over their Micro Economy  Extent of control and influence on the decisions that pertain to their own lives--Micro Political decisions  Extent of control over the Natural and Productive Resources of the village MAP International is in the process of developing an Empowerment Index participatory tool and will implement it for testing out the impact in the THVs.

ADDITIONAL RESOURCES
http://coursecast.sph.emory.edu/CourseCast/Viewer/Default.aspx?id=af2bc414-342d-4718-ae88-f7c3d005c444

CONTACT DETAILS
For more details on the THV, please contact:

Dr. Ravi Jayakaran, Vice President, Global Programs
Visit our website at map.org

rjayakaran@map.org | office: 404.492.6588

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Read our blog at blog.map.org

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