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Role of community and civil society organizations in health

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Role of community and civil society organizations in health

  1. 1. Dr Moazzam A Khan. MSPH 2014-15 Health services academy Islamabad,Pakistan
  2. 2. Outline  Introduction and definitions  Role of civil society organizations  Role of community in health  Surveillance of the system
  3. 3. Define Civil Society & Organizations  “non-governmental and not-for-profit organizations that have a presence in public life, expressing the interests and values of their members or others, based on ethical, cultural, political, scientific, religious or philanthropic considerations. Civil Society Organizations (CSOs) therefore refer to a wide of array of organizations: community groups, non-governmental organizations (NGOs), labor unions, indigenous groups, charitable organizations, faith-based organizations, professional associations, and foundations”. 
  4. 4. Community A Shared Understanding  A Community: “is that group of a race of people sharing beliefs that allow a single shared understanding that insensibly incorporates the racial character of the group.  Hence all communities, from tribes to nations, are founded by a particular race with a unique understanding “ A Study Of Our Decline' by P Atkinson
  5. 5. Things that bind us together  Occupation  Language  Beliefs  Religion  Values  Terrt0ry  Culture
  6. 6. WHO define as Community participation  a process by which people are enabled to become actively and genuinely involved in defining the issues of concern to them, in making decisions about factors that affect their lives, in formulating and implementing policies, in planning, developing and delivering services and in taking action to achieve change’ (WHO, 2002, p.10).
  7. 7. PARTICIPATION  Spectrum of program should be broad  Aim of participation should be well being for whole community  Participation should be voluntary  Participation should be on different stages of welfare program
  8. 8. Participants  Participants should have control over development initiatives  Participants should be resourceful  Participants should be issue and goal oriented
  9. 9. Community mobilization  As an individual I could do nothing. As a group we could find a way to solve each other’s problems” 
  10. 10. The Primary Health Care Movement towards Health Alma Ata, 1977  The Alma Ata declaration define PHC “essential health care     based on partical,scientifically sound and socially acceptable method and technology Made universally accessible to individuals and families in the community Through their fully participation and At a cost that the community and country can afford to maintain at every stage of their development In the spirit of self –reliance and self determination (WHO, Alma Ata Declaration VI, 1978, p.1).
  11. 11.  Role Of Civil Society In Health
  12. 12. Role Of Civil Society In Health  Trust Building  Health Service provision  Health promotion  Policy making  Allocation of resources  Surveillance of the system
  13. 13. Trust Building  To work in specific domain, individuals and groups have to organize themselves in such a way that they could win the trust of masses.  It will enable to engage them in activities of public importance and pursue their collective interests.
  14. 14. Health services provision  Creating awareness of community regarding core health issues through education and advocacy.  Providing them with health resources e.g condoms, contraceptives and bed nets etc.  Raising the morale of health workers and building support for them.
  15. 15. Health Promotion  Collecting and disseminating health data.  Building informed public opinion on health issues.  Project designing and implementation.  Help to shift social attitudes e.g. smoking in public places.  Developing positive attitudes towards health issues e.g. encouraging healthy eating habits.
  16. 16. Policy making  Representing public interest in policy making.  Developing policy consensus and enhancing public support.  Promoting equity in provision of health services.
  17. 17. Allocation of resources  Funding to health services.  Need based resource allocation.  Mobilizing and organizing community for financial assistance.  Initiating Public accountability and transparency in resource allocation.
  18. 18. Role Of Community In Health  Education & Advocacy  Social Behaviors
  19. 19.  Mobilization of community  Resource Identification
  20. 20.  Problem Identification  Bridging to any agency
  21. 21.  Awareness ( through any source of media)  Self motivation  Identification of problem  Short term  Long term
  22. 22.  Prioritize the urgency of the needed help  Intercommunity advocacy( different age groups, gender)  Identify own sources and limitation to combat that public health challenge  Seeking appropriate help  Civil society  Government
  23. 23.  Bridging, persuation  Helping the helping agency in understanding the local sensitivities  Trust building  Appropriate timing to initiate the goal achievement  Prioritization of population(housing, microfinance etc for marginalized on priority)
  24. 24.  Consistency of communities enthusiasm , patience ( any unavoidable circumstances)  Checks and balancing in work progress  Initiative to train local force for better service delivery  Encourage the role playing of marginalized
  25. 25. Surveillance of the system  Monitoring quality and responsiveness of health services.  Highlighting the neglected groups and promoting equity.  Giving voice to the patient rights, challenging and negotiating patient complaints and claims in provision of health services.
  26. 26. ROLE OF EXSISTING CUMMUNITY INSTITUTIONS  Religious institutions  Schools  bhaithak / elders/ jirga  CHW  Dispensary /BHU/RHC  Doctors familes
  27. 27. Reference  World bank.  Who  A Study Of Our Decline' by P Atkinson  Alma ata decleration.