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Community Participation & Communication in Health

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    COMMUNITYPARTICIPATION AND

    COMUNNICATION INHEALTH PROGRAM

    PRESENTED BY:VANI BHARANI

    VIKAS ASATI

    VIKAS SINGH

    VARUN KOTHARI

    YOGESH DIWEDI

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    EFFECTIVE COMMUNICATION

    For effective communication TWO WAYCOMMUNICATION is essential. Means aunderstanding between the sender and

    receiver. Involves ACTIVE LISTENING ie ability to

    listen carefully with understanding, requirespersons full attention.

    Responsibility to furnish a feedback to thesender

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    GUIDELINES FOR TWO WAY

    COMMUNICATION

    Communicate clearly

    Ask for feedback

    Listen actively Understand others mood

    Ask questions

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    BEHAVIOUR CHANGE

    COMMUNICATION PROCESS OF BEHAVIOUR CHANGE THROUGH

    COMMUNICATION

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    UNAWARE

    AWARE

    CONCERNED

    KNOWLEDGEABLE

    MOTIVATED TO CHANGE

    READY TO CHANGE

    TRIAL/ASSESMENT OF NEW BEHAVIOUR

    SUSTAINED BEHAVIOUR CHANGE

    H

    E

    A

    L

    T

    H

    ED

    U

    C

    A

    T

    I

    O

    N

    B

    E

    H

    A

    V

    I

    OU

    R

    C

    H

    A

    NG

    E

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    HEALTH PROGRAMS

    National Rural Health Mission Reproductive and Child Health II

    Revised National Tuberculosis Control Program

    National AIDS Control Program

    National Vector Borne Disease Control Program

    Malaria

    Kala Azar Control Program

    Japanese Encephalitis Dengue and Dengue Haemorrhagic Fever

    Filariasis

    Chikungunya Fever

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    HEALTH PROGRAMS

    Nutritional Programs Integrated Child Development Scheme

    Mid Day Meal Program

    National Nutritional Anaemia Prophylaxis Program

    National Program for prophylaxis against Blindness inChildren

    National Iodine Deficiency Disorder Control Program

    National Leprosy Eradication Program

    Integrated Disease Surveillance Project

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    HEALTH PROGRAMS

    National Mental Health Program

    National Cancer Control Program

    National Program for Prevention and Control of Diabetes, Cardiovascular Diseasesand Stroke

    National Oral Health Program

    National Program for Health Care for the Elderly

    National Program for Control of Deafness

    National Emergency Preparedness Program Emergency Medical Relief

    Bird flu

    Anthrax

    SARS

    Floods National Program for Prevention and Control of Flurosis

    Yaws Eradication Program

    Rabies Control Program

    National Program for Control and Treatment of Occupational Diseases

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    COMMUNITY

    PARTICIPATION

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    NATIONAL RURAL

    HEALTH MISSION

    (2005-2012)

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    1. The Village Health & Sanitation Committee (VHC):

    Consisting of Panchayat Representative/s, ANM/MPW, Anganwadi

    worker, teacher, ASHA, community health volunteers

    2. The Standing Committee of the Gram Panchayat (GP)

    Develop the Village Health Plan with the support of theANM, ASHA, AWW, Community health volunteers and

    Self Help Groups.

    Total Sanitation Campaign implemented through

    Panchayati Raj Institutions (PRIs) include IEC activities,

    rural sanitary marts, individual household toilets, women

    sanitary complex, and School Sanitation Programme.

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    3. Untied Fund: At sub-centre, for local action,

    Rs. 10,000 per annum.

    This Fund will be deposited in a joint Bank Account

    of the ANM & Sarpanch and operated by the ANM,in consultation with the Village Health Committee.

    4. Rogi Kalyan Samiti: for community management of

    Public Hospitals5. Community Based Health Insurance Schemes

    (CBHI): concept launched

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    TUBERCULOSIS

    CONTROL

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    1. Referral of TB suspects by communities to

    diagnostic services.

    2. Support to patients (DOT) throughout treatment

    until cure like given by Voluntary work of treatment

    supporters.

    3. Active members from community should be

    involved to educate community about the disease.

    4. Community workers improving social status,

    serving the poor, bridging government services andcommunities.

    5. Partnership between government and NGOs deep-

    rooted at community level.

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    TO ENSURE THIS1.Refresher and training courses for physicians, health workers at

    regular intervals.

    2.Incentive measures for DOTS observer.

    3.To plan strategies more at community level because they know thelocal conditions and the possibilities for the change.

    4. Motivational aspects are key factors for a community to sustain itscommitment.

    5. Focused training program for school teachers to detect pediatrictuberculosis.

    6. Improved political commitments.

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    HIV/AIDS CONTROL

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    Peer group education both in high risk group

    & in general population: Encourages people

    with HIV to provide information through outreachto peers who might be positive.

    Regular Group discussions: for risk reduction

    skills building, negotiation skills, condom use, selfseeking services, benefits of testing.

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    Pre and post-test club: Pre and post test clubs areimportant to compliment the counseling, encourage

    club members to return for their results, show HIV

    negative members how to maintain their status, andhelp positive members to cope.

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    Collaboration with service providers to ensure

    availability of crucial health services: STI, family

    planning, ART.

    Conduct Anti-stigma and anti discrimination

    activities: mobilization of PLHA to conduct

    advocacy for stigma-free, quality health services.

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    SOCIAL MARKETING

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    WHAT IS SOCIAL MARKETING?

    The application of commercial

    marketing techniques to communicateabout health & social issues.

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    A process for influencing human behavioron a large scale, using marketing principles

    for the purpose of societal benefit rather

    than commercial profit.

    The application of marketing technologies

    where the bottom line is behavior change.

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    Social marketing focuses on an identified target

    audienceattempting to persuade that

    audience, mainly through various media, to

    adopt an idea, practice, product or all three.

    The key to successfulmarketing is learning what will

    work with the intended audience.

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    IDENTIFY HEALTH NEED AND

    TARGET AUDIENCE

    KEY MESSAGES

    PROVISION OF HEALTH NEED

    CREATE FELT

    NEED

    REPEATED

    REINFORCEMENT

    DEMAND FOR THE

    HEALTH NEED

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    EXAMPLES

    Social Marketing Sells a Behavior Change to a

    Targeted Group of Individuals

    - Accept a New Behavior

    - Reject a Potential Behavior

    - Modify a Current Behavior

    - Abandon an Old Behavior

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    Accept a New Behavior

    Take a Folic Acid Supplement

    Use of condoms

    Use of OCPs

    Use of ORS

    Consume eggs

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    Reject a Potential Behavior

    Dont drink and drive

    Dont Drink Alcohol While Pregnant

    Dont Let your Child Swim Alone

    Dont Leave Toddler Alone in Bathtub

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    Modify a Current Behavior

    Use iodized salt

    Proper washing of hands prior to meals

    Abandon an Old Behavior

    If You Smoke, Quit

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    THE FIVE Ps OF SOCIAL

    MARKETING

    1. Product:knowledge, attitudes or behavior

    you want the intended audience to adopt.

    2. Price: what intended audience must give up

    to receive the programs benefits.

    3.Place:channel or how the message is

    disseminated.

    4.Promotion:means of persuading intended

    audience that the product is worth the price.

    5.Politics:Partnerships/Alliances, Legislative

    Change

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    Research should be conducted with people and

    not on them

    Communities should be involved in major

    decision making

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    AWARENESS OF TB

    AS A PUBLIC HEALTH PROBLEM

    EARLY REFERRAL OF TB SUSPECTS

    PROPER CARE

    AND SUPPORT OF PATIENTS

    TARGETS ACHIEVED


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