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    Inter Sectoral Convergence

    State Institute of Health & Family Welfare, Jaipur

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    Convergence

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

    Convergence -

    Time saving Helps in building rapport Increases efficiency Reduces workload Sharing of ideas Trustworthy

    2SIHFW: an ISO 9001: 2008 certified institution

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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

    3SIHFW: an ISO 9001: 2008 certified institution

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    How ISC Helps?

    More participative

    Implies commitment

    Economizes efforts

    Improves quality of work

    Avoid duplication and wastage

    Optimizes output

    4SIHFW: an ISO 9001: 2008 certified institution

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    Types of Convergence

    Within the department Intra-sectoral

    Between the department

    Inter-sectoral coordination

    Intra-sectoral coordination

    5SIHFW: an ISO 9001: 2008 certified institution

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    Inter-Sectoral coordination: Constraints

    At the Knowledge level Program goals and implementation in

    isolation At the Attitudinal level

    Power conflicts and egos related toprograms

    At the Practice level Unaware about mechanism of

    operations

    6SIHFW: an ISO 9001: 2008 certified institution

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    Pre-requisites of Effective Coordination

    Leadership style and willingness

    Health policies and priorities

    Sharing of a common vision and

    perspective

    Defining role & responsibilities ofparticipatory agencies

    Participatory decision making

    7SIHFW: an ISO 9001: 2008 certified institution

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    Developing informal contacts with involved

    groups

    Learning more about quality of services

    Spelling out strategies and procedures

    Conducting joint monitoring and evaluation

    Taking remedial measures in solvingproblems related to coordination

    8SIHFW: an ISO 9001: 2008 certified institution

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    Activities of Health Department

    Supply of safe water Excreta disposal and refuse disposal Waste water disposal

    Maternal and child health Family welfare & immunization Prevention and control of locally

    endemic diseases Health education on prevailing health

    problems.

    9SIHFW: an ISO 9001: 2008 certified institution

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    Coordination Mechanism

    Listing out programmes

    Identifying areas

    Knowing categories of health personnel Locating the level of health systems

    Forming coordination committee of

    members

    Forming of operation teams

    10SIHFW: an ISO 9001: 2008 certified institution

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    Interdepartmental Convergence

    Convergence with

    WCD

    Water and sanitation

    Education Department

    National Blindness Control Programme

    11SIHFW: an ISO 9001: 2008 certified institution

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    Convergence with WCD

    Convergence issues: Women and Childrens Health Womens empowerment, gender and equity

    Nutrition, Health & Womens Empowerment Joint formulation of BCC strategies,

    materials, and messages,

    Operational strategies for joint planning Development of joint MIS

    Identification of functional areas

    12SIHFW: an ISO 9001: 2008 certified institution

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    Issues between WCD and Health

    To reduce- Low birth weight IMR, high morbidity and under nutrition

    during infancy Under five mortality rates & high under

    nutrition rates

    Anemia Ensure universal access to iodized salt by 2010 Tackle over-nutrition and disease risks

    13SIHFW: an ISO 9001: 2008 certified institution

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    Synergy between ANM, ASHA & AWW

    A. Safe Abortion Services AWW, and ASHA may help in safe

    abortion services ANM can refer them to the appropriate

    facility for MTP and contraceptionB. Antenatal Care

    ANM provides ANC AWW provides Food supplements to

    pregnant women

    14SIHFW: an ISO 9001: 2008 certified institution

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    C. Convergence: on the health & nutrition

    days AWW& ASHA can bring all pregnant women

    to AW & weigh them Decision regarding place of delivery ASHA can help the woman to access

    emergency care in complications duringdelivery

    Identify those weighing less than 2 kg andrefer them to CHC for care

    ASHA and PRI can facilitate emergencyreferral for neonate

    15SIHFW: an ISO 9001: 2008 certified institution

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    D. Declining sex ratio

    Counsel those women who have 2 ormore girls Village women /AWW/ASHA persuade

    women for hospital delivery to reduce

    female infanticideE. Low Birth Weight AWW to report all births in village Weigh all neonates delivered at home

    soon after birth and Refer those weighing less than 2.2 kg to

    a hospital with a pediatrician

    16SIHFW: an ISO 9001: 2008 certified institution

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    Convergence with Water and Sanitation

    Total sanitation campaign (TSC). Construction of individual household

    latrines Hygiene education, and rural sanitary

    marts

    The village health & sanitationcommittee (VHSC) Responsible for planning, monitoring

    and implementation

    17SIHFW: an ISO 9001: 2008 certified institution

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    Involvement of Panchayati Raj Institutions

    Monitoring and supervising the services

    of health

    Sensitized and oriented towards issued

    relating to women

    Reproductive health issues, child health

    issues, family planning and gender Responsible for the selection of ASHA

    18SIHFW: an ISO 9001: 2008 certified institution

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    Convergence with EducationDepartment

    Inclusion of educational material for formal

    and non formal education

    Involvement of various agencies and all

    zilla saksharata samitis in IEC activities

    Involving school teachers ,health workers

    and children for awareness programmes

    19SIHFW: an ISO 9001: 2008 certified institution

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    Convergence with National Blindness

    Control Programme

    Develop a strategic plan to address

    The refractory errors

    Eye related problems of children &

    adolescents

    20SIHFW: an ISO 9001: 2008 certified institution

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    Thank You

    For more details log on towww. sihfwrajasthan.com

    orcontact : Director-SIHFW on

    [email protected]