Inter Sectoral Convergence

State Institute of Health & Family Welfare, Jaipur

Convergence
Ø A process - that facilitates different functionaries and community to work together for efficient service delivery Ø Convergence helps ØTime saving ØHelps in building rapport ØIncreases efficiency ØReduces workload ØSharing of ideas ØTrustworthy
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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 Ø

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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

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Types of Convergence
Ø Within the department – Intra-sectoral Ø Between the department Ø Inter-sectoral coordination Ø Intra-sectoral coordination Ø

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Constraints in Inter-Sectoral Coordination
Ø Knowledge level – Program goals and implementation in isolation Ø Attitudinal level – Power conflicts and egos related to programs Ø Practice level – Unaware about mechanism of operations

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Pre-requisites
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

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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 •
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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 against major infectious diseases Ø Prevention and control of locally endemic diseases Ø Health education on prevailing health problems. Ø
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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 Ø

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Interdepartmental Convergence
Ø Convergence with… ØWCD ØWater and sanitation ØEducation Department ØNational Blindness Control Programme

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1. Convergence with WCD

The Department of Women and Children (DWCD) is the repository of national programmes for the holistic development of women and children. It includes: the Integrated Child Development Services (ICDS), to provide supplementary nutrition for pregnant and lactating mothers and children under six, and non-formal preschool education.

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Convergence between Health Dept. and DWCD
Ø Women and Children’s Health Ø Women’s empowerment, gender and equity

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Functions for Nutrition, Health & Women’s Empowerment
Ø Joint formulation of BCC strategies, materials, and messages, Ø Operational strategies for joint planning Ø Development of joint Ø Identification of functional areas

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Issues between WCD and Health
Ø Low birth weight Ø Reduce IMR, high morbidity and under nutrition during infancy Ø Reduce under five mortality rates & high under nutrition rates Ø Reduce anemia in Indians Ø Ensure universal access to iodized salt by 2010 Ø Tackle over-nutrition and disease risks Ø
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Synergy between ANM, ASHA & AWW
ØSafe Abortion Services ØAWW, and ASHA may help ØANM can refer them to the appropriate facility for MTP and contraception ØAntenatal Care ØANM provides ANC ØAWW provides Food supplements to pregnant women
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ØConvergence: on the health & nutrition days ØAWW& ASHA can bring all pregnant women to AW & weigh them ØANM for ANC ØDecision regarding place of delivery Øidentify low risk women who can deliver at home- ANM
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ØIf there are complications during delivery ASHA can help the woman to access emergency care at the right place ØPRI can facilitate emergency transport ØIdentify those weighing less than 2 kg and refer them to CHC for care ØASHA and PRI can facilitate emergency referral for neonate


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ØDeclining sex ratio ØLow Birth Weight ØAWW to report all births in village ØWeigh all neonates delivered at home soon after birth and ØRefer those weighing less than 2.2 kg to a hospital with a pediatrician

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2. 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
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Ø Involvement of PRIs ØSensitized and oriented towards issued relating to women ØReproductive health issues, child health issues, family planning and gender

Ø Panchayati Raj Institutions ØResponsible for the selection of ASHA

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3. Convergence with Education Department
Ø Various agencies working on for improving the knowledge of adolescents in sexual and reproductive health issues.

Ø Secondary, Higher and Technical Edu. Dept. would be involved in implementing the School Health Programme like formation.

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Ø TBAs, Mahila Swasthaya Sangh, Krishi Vigyan Kendra volunteers and school teachers can aware the women

Ø ANM, MPW and AWW can also talk to the families to improve the status

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Services between Health and Education
Ø Inclusion of educational material Ø Involvement of all zilla saksharata samitis in IEC activities pertaining to the RCH programme. Ø Involving school teachers and children
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4. Convergence with National Blindness Control Programme
Ø Develop a strategic plan to address – ØThe refractory errors ØEye related problems of children & adolescents

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Thank You

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