Prosperous village

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					 Prosperous Village
Jathika Saviya & Gama Neguma

of the people
     by the people
          for the people

               - Abraham Lincoln
          Thailand Experience
   1960s - Initiation of community participation in
            health development programme
            through village volunteers
   1975 - Creation of a nation-wide village
            volunteers system to form the
            backbone of the National Primary
            Health Care Programme
   1982 - village self managed Primary Health
            Care Programme
   1983    “Basic Minimum Needs” programme to
            improve the quality of life of people
   “Basic Minimum Needs” Programme
 Slogan “ Health is a part of socio-
  economic development”
 Village is the key development unit
 Eight basic minimum needs with 32
 Management of micro development
  projects by the people
 Inter-sectoral action
     Health
     Agriculture
     Education
     Interior
Pillars of Self-Reliance in BMN

      Community        Community
      manpower         organisation

Experiences of Other Countries
   China
       Community led management
   India
     Kerala
     Tamilnadu

   Indonesia
       Women’s organisation
                  Sri Lanka
   Change agent programmes
   Participatory rural development programmes
   Family health action programme - HEB
   Mahaweli volunteer programme
   Model health village programme - Anuradhapura
   Mother’s society programme – Hambantota
   Sabaragamuwa Suwasetha – Ratnapura
   ECCD community action plans
   Etc.

Health out    Households    Health system   Government
 comes       communities       & other       policies &
                               sectors        actions

             Household         Health
             behaviours        service
                & risk         supply           Health
               factors                         reforms
                             Other parts
  Health        Household     of health
 outcomes       resources      system
                                              Actions in
                               Supply in        other
             Community          related        sectors
               factors          sectors
    Delivery of Health Services
 Equity
 Right based approach
 Responsiveness
 Community mobilisation &
                  What is new
   Political leadership
   Holistic approach
       Spiritual development
       Infra structure development
       Social and economic development
   Participation of the community
       Janasaba concept
   Cost reduction by using local manpower,
    other resources and technology
“GAMA NEGUMA” Development
   A project of paramount importance as
    envisioned in Mahinda Chinthana.

   Ministry of Rural Livelihood Development
    co-ordinates with line Ministries, state
    institutions, provincial councils, local
    government bodies and community based
    organizations with the active participation of
    the rural community
   Planning and implementation commenced on
    24th March 2006

To develop the village as the centre of
national development
To create comprehensive development
in the villages through a network of
community based organizations formed
in the rural community with active
participation of its members and to
implement      them    with    proper
coordination and transparently
   To ensure community participation by
    motivation, organization, and community
    empowerment for total development of the
    rural community based on self reliance
   To introduce a formal mechanism for
    participatory decision making and project
    planning at village level
   To obtain optimum benefits from the
    development programme by implementing
    integrated village development plans to
    avoid duplication
   Co-ordination of human resources which is crucial
    for rural development, other rural, and external
    resources, through an efficient mechanism of
    resource allocation
   To introduce a results based participatory progress
    review and evaluation mechanism at village level
   To ensure improvement of living standards of the
    village communities through development of the
    physical, economic, social and cultural environment
   To create total development of the village under a
    community based, planned development
        Development Strategy
1.   To prepare integrated village development plans
     with community participation targeting all
     development efforts to achieve a common
2.   To make opportunities for the rural community to
     participate actively in their economic, social,
     cultural and spiritual development efforts
3.   To organize and empower rural community to
     ensure their total commitment and contribution in
     the development process
4.   To pool all resources utilized in village
     development, and implement productive
     transparent integrated village development plans
     for proper co-ordination at village and divisional
     Development Strategy (contd.)
5.    To transform the rural community to a group of
      activists with ideological and comparative thinking
      abilities and enhance self determination by
      developing their abilities and skills demand for
      sustainable development dependant on self help,
      while changing the subsistent mentality with an
      orientation towards achieving targets.

6.    Simultaneous rural livelihood development, with
      infrastructure development for economic
      resurgence and social development
     GAMA NEGUMA Community
1.    To educate all state officers at village level and the
      rural community on GAMA NEGUMA Development

2.    To identify village level problems, disparities, local
      resources, livelihood development, opportunities
      using surveys of resources and information, the
      methodology of participatory rural appraisal

3.    To establish a data base of
     1. Rural needs
     2. Rural resources / scarcities
     3. Identification of required external assistance
     4. Preparation of rural development plans
     GAMA NEGUMA Community
        Activities (contd.)
5.   Preparation / updating of profiles of families and village

6.   Co-ordination of financial allocations for project

7.   Establishment of suitable mechanisms for
     implementation, evaluation and review of development

8.   Co-ordination of institutions involved in project
     implementation with Divisional and District

9.   Establishment of „JANA SABHA‟
                 JANA SABHA
   The principal organization responsible for
    implementation of „GAMA NEGUMA‟
   A JANA SABHA will be established in every
    village with the participation of
    -   religious leadership
    -   community based organizations
    -   political leadership
    -   state officials
    -   rural community
   Drafting of statutory laws for establishment
    of JANA SABHA is in progress
    Community Action Planning Model
   „Janasaba‟
   Training of Community Health workers
    (Praja Saukkya Sevika)
   Assessment of the needs
   Decide on the objectives
   Assessment of the available resources
   Identify the activities & responsibilities
   Identification of resources & time-frame
   Develop an action plan for holistic
   Implementation & coordination
   Directing & logistics
   Monitoring and evaluation
Five Precepts of Sanitation
   Ensure access to supply of safe water
    and the use of boiled cooled water to
    drink for all
   Ensure home gardening of the
   Ensure sanitary disposal and recycling
    of waste
   Ensure the use of sanitary toilets by all
    including children
   Ensure a clean, smoke free house with
    adequate light & ventilation
Maternal and Child Health
   Ensure adequate care is received by
    mothers and children
   Ensure proper nutrition including
    breast feeding and complementary
    feeding of children
   Assist in conducting Growth
    Promotion centres and MCH clinics
   Follow-up of advice given by health
    workers to ensure health of mothers
    and children
   Assist the health education
    programmes conducted in the
Maternal and Child Health
    Ensure adequate post-partum care is
     received by the post partum mothers
    Ensure all the children are receiving
     adequate early Childhood Care for their
     optimal growth and development
    Assist in providing / strengthening of
     infrastructure, equipment and consumables
    Promote child friendly environment within the
     family and the community
    Prevent child abuse
    Ensure adequate participation of male in
     MCH care
    Environmental health
   Assist health workers in educating the
   Monitor the adequacy of the measures taken
    by the community to prevent communicable
    diseases in the community
   Assist prevention of communicable diseases
    including diarrhoeal diseases and dengue
   Inform health workers on the spread of
    communicable diseases promptly
   Develop the occupational settings in the
    community to be health promotive
   Create an animal friendly environment by
    motivating people to care responsibly for the
    animals such as dogs and cats by facilitating
    immunisation of the dogs, family planning &
    encouraging caring practices etc.
        Food Hygiene
   Assist health workers to educate
    workers working in food processing
    establishments and people about
    proper food hygiene
   Monitor food hygiene of the food
    processing establishments
   Promote locally available home based
Prevention of Non-Communicable Diseases
   Assist health workers in educating public on
    non- communicable diseases
   Ensure prevention of abusive substances
    such as alcohol and tobacco in the community
   Ensure reduction of home and other accidents
   Promote mental health and prevent suicides in
    the community
   Assist health workers in screening the
    community for non-communicable diseases
    and referral of the patients
   Follow-up of patients with non communicable
    diseases to prevent complications
Promoting Health of the Youth
     Promote health of youth by forming
      youth clubs and sport clubs
     Facilitate empowerment of youth to
      improve their own health
     Create supportive environment for
      development of youth in the
    Care of the Elderly
   Promote health of the elders by
    facilitating day care centres
   Facilitate empowerment of the elders
    to improve their own health
   Create supportive environment for the
    care of elders in the family and the
Rehabilitation of the Differently
          Abled Persons
     Assist health workers in rehabilitation
      of the differently abled persons
     Facilitate services provided by the
      Department of Social Services, other
      sectors and NGOs to improve the
      health of differently abled persons
     Facilitate income generating activities
      by differently abled persons to
      improve their status of living
Other Social Development
    Facilitate other social and economic
     development of the community to
     improve their health
    Liaise with other sectors and NGOs to
     improve social and economic
Improve Access to Health
   Filling of the vacancies of the public health
    personnel in selected villages
   Ensure easy access to MCH clinics
   Ensure basic facilities in PHC hospitals and
    easy access to high quality curative care
   Filling of the vacancies of PHC hospitals
   Screen people for chronic diseases
   Follow-up of people with chronic diseases to
    ensure regular treatment
Improve Access to Health
   Ensure access to health information
    through planned regular health talks,
    night film shows etc.
   Ensure access to screening of school
    children and proper follow-up to
    ensure proper care
   Promote the school as a health
    promotive school and empowerment
    of school children through school
    health societies
                              Next step
   Educate all MOOH and district level staff - Feb.2007
   Survey of physical infrastructure/ equipment needs of the selected villages –
    Feb. 2007
   Develop an action plan to improve physical infrastructure with a budget –
    Feb. 2007
   Communicate infrastructure development plan with the Janasaba, local
    political leadership and Divisional Secretary – March. 2007
   Training of Community health workers
   Family survey – Feb-March. 2007
   Formation of a Janasaba sub committee on health
   Develop an action plan for the holistic development of the village – March
   Implementation of the action plan – March – Dec 2007
   Monitoring and review
        Monthly review of the programme at the Janasaba sub committee on health
        Monthly conference
        Monthly review at the Janasaba meeting
        Monthly Divisional level meeting
        Monthly District level reviews of the health sector
        Monthly District level meeting with the District coordinating committee
        Bi-monthly Provincial level reviews
    Ministry of Healthcare & Nutrition
 Coordination of Jathica Saviya and Gama
  Neguma at national level
 Issuing of policy direction
 Conduct quarterly review at National level
 Participate in Provincial level review
Go to the people
Live among them
Learn from them
Love them
Start with what they have
Build on what they have
But of the best leaders
When their task is accomplished
Their work is done
The people all remark
We have done it ourselves !
                                  - Ancient proverb

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