Inter Sectoral Convergence

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Inter Sectoral Convergence

State Institute of Health & Family Welfare, Jaipur


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SIHFW: an ISO 9001: 2008 certified institution 2

Convergence

A process - that facilitates differentfunctionaries and community to worktogether for efficient service delivery

Convergence helps

Time savingHelps in building rapport

Increases efficiency

Reduces workloadSharing of ideas

Trustworthy


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Why Convergence?

Vertical nature of programs

Loosing focus on primary health care

Need to ensure unity of purpose

Provide directionality

Promote team work


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How ISC Helps?

More participative

Implies commitment

Economizes efforts Improves quality of work

Avoid duplication and wastage

Optimizes output


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Types of Convergence

Within the department Intra-sectoral

Between the department

Inter-sectoral coordination

Intra-sectoral coordination


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Constraints in Inter-SectoralCoordination

Knowledge level

Program goals and implementation

in isolationAttitudinal level

Power conflicts and egos related toprograms

Practice level Unaware about mechanism of

operations


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Pre-requisites

Leadership style and willingness

Health policies and priorities

Sharing of a common vision andperspective

Defining role & responsibilities ofparticipatory agencies

Participatory decision making


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Developing informal contacts withinvolved groups

Learning more about quality of services

Spelling out strategies and proceduresConducting joint monitoring and

evaluation

Taking remedial measures in solvingproblems related to coordination


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Activities of Health Department

Supply of safe waterExcreta disposal and refuse disposal

Waste water disposal

Maternal and child health

Family welfare, immunization againstmajor infectious diseases

Prevention and control of locally endemicdiseases

Health education on prevailing healthproblems.


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Coordination Mechanism

Listing out programmes Identifying areas

Knowing categories of health personnel

Locating the level of health systemsForming coordination committee of

members

Forming of operation teams


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Interdepartmental Convergence

Convergence with

WCD

Water and sanitation

Education Department

National Blindness Control Programme


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1. Convergence with WCD

The Department of Women and Children(DWCD) is the repository of nationalprogrammes for the holistic development of

women and children. It includes: the Integrated Child

Development Services (ICDS), to providesupplementary nutrition for pregnant and

lactating mothers and children under six, andnon-formal preschool education.


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Convergence between Health Dept. andDWCD

Women and Childrens Health

Womens empowerment, gender and

equity


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Functions for Nutrition, Health &Womens Empowerment

Joint formulation of BCC strategies,materials, and messages,

Operational strategies for joint planningDevelopment of joint

Identification of functional areas


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Issues between WCD and Health

Low birth weight

Reduce IMR, high morbidity and undernutrition during infancy

Reduce under five mortality rates & highunder nutrition rates

Reduce anemia in Indians

Ensure universal access to iodized salt by2010

Tackle over-nutrition and disease risks


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Synergy between ANM, ASHA & AWW

Safe Abortion Services

AWW, and ASHA may help

ANM can refer them to the

appropriate facility for MTPand contraception

Antenatal Care

ANM provides ANC

AWW provides Foodsupplements to pregnantwomen


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Convergence: on the health &nutrition days

AWW& ASHA can bring allpregnant women to AW &

weigh themANM for ANC

Decision regarding place ofdelivery

identify low risk women whocan deliver at home- ANM


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If there are complications duringdelivery ASHA can help thewoman to access emergency careat the right place

PRI can facilitate emergencytransport

Identify those weighing less than 2

kg and refer them to CHC for careASHA and PRI can facilitate

emergency referral for neonate


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Declining sex ratio

Low Birth Weight

AWW to report all births in

villageWeigh all neonates delivered at

home soon after birth and

Refer those weighing less than

2.2 kg to a hospital with apediatrician


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2. Convergence with Water andSanitation

Total sanitation campaign (TSC).

Construction of individual householdlatrines

Hygiene education, and ruralsanitary marts

The village health & sanitation committee

(VHSC)Responsible for planning, monitoringand implementation


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Involvement of PRIsSensitized and oriented towards

issued relating to women

Reproductive health issues, childhealth issues, family planningand gender

Panchayati Raj Institutions

Responsible for the selection ofASHA


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3. Convergence with EducationDepartment

Various agencies working on for improvingthe knowledge of adolescents in sexualand reproductive health issues.

Secondary, Higher and Technical Edu.Dept. would be involved in implementingthe School Health Programme like

formation.


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TBAs, Mahila Swasthaya Sangh, KrishiVigyan Kendra volunteers and school

teachers can aware the women

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


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Services between Health and Education

Inclusion of educational material

Involvement of all zilla saksharata samitisin IEC activities pertaining to the RCHprogramme.

Involving school teachers and children


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4. Convergence with National BlindnessControl Programme

Develop a strategic plan to address

The refractory errors

Eye related problems of children &adolescents


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Thank You

Inter Sectoral Convergence

Documents

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