EQUITY AND EMPOWERMENTWHEN COMMUNITIES OWN THEIR

FUTURESarah Shannon, Executive Director, Hesperian Health

Guides

Laura Altobelli, Peru Country 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 Earth Institute, Columbia University

CELEBRATING…

• 40th Anniversary of “Where There is No Doctor”

• 35th Anniversary of Alma Ata and Primary Health Care

• 25th Year of the Nepal Female Community Health Volunteer program

PRIMARY HEALTH CARE

The declaration of Alma-Ata states that primary health care is essential health care based on scientifically sound and socially acceptable methods, universally accessible to individuals and families with their full participation at a cost that the community and the country can afford in a spirit of self-reliance and self-determination. The ultimate goal of primary health care is health for all.

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.

Primary Health Care: an Agenda for the Future

October 17, 2013

CORE Group

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

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

Health for All by 2000?

http://www.demotix.com/news/2642703/protest-madrid-over-health-exclusion-undocumented-immigrants#media-2642499

Primary Health Care is NOT “Where There Is No Health

System”

http://www.utilitycycling.org/wp-content/uploads/ambulance-bike.jpg

What does Community look like in an Urban Setting?

• Schools• Workplaces• Hair salons/Barbershop• Places of worship• Intramural sports• Community Centers• Local fairs/events

http://heraldoffaith.org/wordpress/wp-content/uploads/2013/03/SLUM-MEDICAL-CAMP-06.jpg

http://www.globalgiving.org/projects/empower-priti/photos/?pageNo=2

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

Integrating Early Childhood Development

Feature phones Smartphones Tablets and e-readers

New technologies bringnew opportunities

Sarah Shannon

Executive Director

Hesperian Health Guides

1919 Addison Street

Berkeley, CA 94704

www.hesperian.org

(510) 845-1447

sarahs@hesperian.org

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.