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INTERSECTORAL
COORDINATION IN INDIA
FOR HEALTH ADVANCEMENT

PRESENTERCHAIRPERSON
2 LIMIYAVARGHESEDR.RAMACHANDRA
1STYEARMSCNURSINGADDITIONALPROFESSOR
NIMHANSNIMHANS
INTRODUCTION

In most countries of the world new health challenges


are constantly arising. Combined with the added
complexity of rapidly growing urban settings, the need
for the engagement of other sectors is ever-growing.

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DEFINITION

A recognized relationship between part or parts of the


health sector with part or parts of another sector which
has been formed to take action on an issue to achieve
health outcomes, (or intermediate health outcomes) in
a way that is more effective, efficient or sustainable
than could be achieved by the health sector acting
alone."

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INTERSECTORAL COORDINATION FOR HEALTH: A BROAD
SPECTRUM OF APPROACHES

The concept of intersectoral action was introduced -1978.

conferences related to intersectoral Action (IA) -1980

The growth of knowledge on determinants of health,& efforts to


work across sectors expanded-1990

WHO hosted a special conference on IA-1997

The Bangkok Charter for Health Promotion confirmed the need to


work across sectoral boundaries-2000
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Health in All Policies-2006
IMPORTANCE OF INTERSECTORAL
COORDINATION

Intersectoralcoordination&primaryhealth
care(PHC)
Intersectoralcoordination&Millennium
developmentgoals(MDGS)
Intersectoralcoordination&Healthcare
advancement
Intersectoralcoordination&Mentalhealth
promotion

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APPROACHES TO INTERSECTORAL
ACTION ON HEALTH
Generalstrategy

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STEPS TO IMPLEMENT
INTERSECTORAL ACTION ON HEALTH
Selfassessment

Assessmentandengagementofothersectors

Analyzetheareaofconcern

Selectanengagementapproach

Developanengagementstrategyandpolicy
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STEPS TO IMPLEMENT
INTERSECTORAL ACTION ON
HEALTH
Useaframeworktofostercommon
understandingbetweensectors

Strengthengovernancestructures,political
willandaccountabilitymechanisms

Enhancecommunityparticipation

Chooseothergoodpracticestofoster
intersectoralaction
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Monitorandevaluate
EXAMPLES OF INTERSECTORAL
ACTION ON HEALTH IN INDIA

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INTERSECTORAL APPROACH TO
NATIONAL TOBACCO CONTROL
StakeholderInvolvedinImplementation

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DISCLAIMER20SECONDS

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INVOLVEMENT OF KEY
STAKEHOLDERS

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MONITORING OF TOBACCO CONTROL
LAWS

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SCHOOL SANITATION AND
HYGIENE EDUCATION IN INDIA
StakeholderInvolvedinImplementation

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INTERSECTORAL COORDINATION FOR ORGANIZING
NATIONAL IMMUNIZATION DAY PROGRAMME

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KEY LESSONS LEARNT ON
INTERSECTORAL ACTION ON HEALTH
Acapableandaccountablehealthsectoris
vital.
Establishingacommoninformationsystem

Policiesneedtoberobust

Communityparticipationandempowerment

MDGsasamechanismtopromote
intersectoralaction
HealthImpactAssessmentrequired

humanrightsbasedapproachisimportant

Assessment,monitoring,evaluation,and
reportingarerequired 22
ROLE OF GOVERNMENT
Livingconditions
Urbanplanning
Revivalofruralinfrastructureandlivelihood
Education
Nutritionandearlychilddevelopment
Socialsecuritymeasures
Foodsecuritymeasures
Othersocialassistanceprograms
Gendermainstreamingandempowerment
Reducingtheimpactofclimatechangeanddisasters
onhealth
Governanceissues 23
BENEFITS OF INTERSECTORAL
COORDINATION
Toprovidesustainablebasichealthservices
tothecommunity.
Earlydetectionandtreatmentofpatient
withinthecommunityitself.
Topromotecooperationandmutual
understandingamongvarioussectors.
Totakethepressureoffonesectoralone.

ForattainingthegoalofHealthforall.

Tomaketheservicesavailabletopeople
withearlyandeasyaccess
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CHALLENGES IN INTERSECTORAL
ACTION FOR HEALTH

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MEASURES TO OVERCOME
CHALLENGES
Toinvolveothersectorduringplanning
Specificdistrictframeworkandbudgetfor
intersectoralactivities.
Theauthoritiesshouldintroducequarterly
meetingtoreviewtheactivities
Creationofawarenessandadvocacy

Sensitizationandtrainingworkshoponkey
topic

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CONCLUSION
Intersectoralactionforhealthisseenas
centraltotheachievementofgreaterequity
inhealth
Amajorgoalinintersectoralactionisto
achievegreaterawarenessofthehealth
consequencesofpolicydecisionsand
organizationalpracticeindifferentsectors

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