Inter Sectoral Convergence

State Institute of Health & Family Welfare, Jaipur

 Convergence
Ø A process - that facilitates different
functionaries and community to work
together for efficient service delivery
Ø Convergence helps
ØTime saving
ØHelps in building rapport
ØIncreases efficiency
ØReduces workload
ØSharing of ideas
ØTrustworthy

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Why Convergence?

Ø Vertical nature of programs

Ø Loosing focus on primary health care
Ø Need to ensure unity of purpose
Ø Provide directionality
Ø Promote team work
Ø

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 How ISC Helps?

Ø More participative
Ø Implies commitment
Ø Economizes efforts
Ø Improves quality of work
Ø Avoid duplication and wastage
Ø Optimizes output

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Types of Convergence

Ø Within the department – Intra-sectoral

Ø Between the department
Ø Inter-sectoral coordination
Ø Intra-sectoral coordination
Ø

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Constraints in Inter-Sectoral
Coordination

Ø Knowledge level
– Program goals and implementation
in isolation
Ø Attitudinal level
– Power conflicts and egos related to
programs
Ø Practice level
– Unaware about mechanism of
operations

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 Pre-requisites

Ø Leadership style and willingness

Ø Health policies and priorities
Ø Sharing of a common vision and
perspective
Ø Defining role & responsibilities of
participatory agencies
Ø Participatory decision making

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Ø Developing informal contacts with
involved groups
Ø Learning more about quality of services
Ø Spelling out strategies and procedures
Ø Conducting joint monitoring and
evaluation
Ø Taking remedial measures in solving
problems related to coordination
•

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Activities of Health Department

Ø Supply of safe water

Ø Excreta disposal and refuse disposal
Ø Waste water disposal
Ø Maternal and child health
Ø Family welfare, immunization against
major infectious diseases
Ø Prevention and control of locally endemic
diseases
Ø Health education on prevailing health
problems.
Ø

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Coordination Mechanism

Ø Listing out programmes

Ø Identifying areas
Ø Knowing categories of health personnel
Ø Locating the level of health systems
Ø Forming coordination committee of
members
Ø Forming of operation teams
Ø

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Interdepartmental Convergence

Ø Convergence with…
ØWCD
ØWater and sanitation
ØEducation Department
ØNational Blindness Control Programme

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 1. Convergence with WCD
 The Department of Women and Children
(DWCD) is the repository of national
programmes for the holistic development of
women and children.
 It includes: the Integrated Child
Development Services (ICDS), to provide
supplementary nutrition for pregnant and
lactating mothers and children under six, and
non-formal preschool education.

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Convergence between Health Dept. and
DWCD

Ø Women and Children’s Health

Ø Women’s empowerment, gender and
equity

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Functions for Nutrition, Health &
Women’s Empowerment

Ø Joint formulation of BCC strategies,

materials, and messages,
Ø Operational strategies for joint planning
Ø Development of joint
Ø Identification of functional areas

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Issues between WCD and Health

Ø Low birth weight

Ø Reduce IMR, high morbidity and under
nutrition during infancy
Ø Reduce under five mortality rates & high
under nutrition rates
Ø Reduce anemia in Indians
Ø Ensure universal access to iodized salt by
2010
Ø Tackle over-nutrition and disease risks
Ø
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Synergy between ANM, ASHA & AWW

ØSafe Abortion Services

ØAWW, and ASHA may help
ØANM can refer them to the
appropriate facility for MTP
and contraception
ØAntenatal Care
ØANM provides ANC
ØAWW provides Food
supplements to pregnant
women
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ØConvergence: on the health &
nutrition days
ØAWW& ASHA can bring all
pregnant women to AW &
weigh them
ØANM for ANC
ØDecision regarding place of
delivery
Øidentify low risk women who
can deliver at home- ANM

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 ØIf there are complications during
delivery ASHA can help the
woman to access emergency care
at the right place
ØPRI can facilitate emergency
transport
ØIdentify those weighing less than 2
kg and refer them to CHC for care
ØASHA and PRI can facilitate
emergency referral for neonate
•
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ØDeclining sex ratio
ØLow Birth Weight
ØAWW to report all births in
village
ØWeigh all neonates delivered at
home soon after birth and
ØRefer those weighing less than
2.2 kg to a hospital with a
pediatrician

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2. Convergence with Water and
Sanitation
Ø Total sanitation campaign (TSC).
ØConstruction of individual household
latrines
ØHygiene education, and rural
sanitary marts


Ø The village health & sanitation committee

(VHSC)
ØResponsible for planning, monitoring
and implementation

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Ø Involvement of PRIs
ØSensitized and oriented towards
issued relating to women
ØReproductive health issues, child
health issues, family planning
and gender


Ø Panchayati Raj Institutions

ØResponsible for the selection of
ASHA


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3. Convergence with Education
Department
Ø Various agencies working on for improving
the knowledge of adolescents in sexual
and reproductive health issues.


Ø Secondary, Higher and Technical Edu.

Dept. would be involved in implementing
the School Health Programme like
formation.


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Ø TBAs, Mahila Swasthaya Sangh, Krishi
Vigyan Kendra volunteers and school
teachers can aware the women


Ø ANM, MPW and AWW can also talk to the

families to improve the status


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Services between Health and Education

Ø Inclusion of educational material

Ø Involvement of all zilla saksharata samitis
in IEC activities pertaining to the RCH
programme.
Ø Involving school teachers and children


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4. Convergence with National Blindness
Control Programme

Ø Develop a strategic plan to address –

ØThe refractory errors
ØEye related problems of children &
adolescents

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 Thank You

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