Resource Centre in Public Health &

Community Health Fellowship Program (CHFP) Madhya Pradesh

by the

Centre for Public Health and Equity (CPHE) Society for Community

Health Awareness, Research and Action (SOCHARA) Bangalore

What & Why of the MP Initiative

• An earlier idea in SOCHARA • Building on earlier experiences & work in MP

(post Bhopal disaster, JSR reviews, MP-HDR + family, childhood)

• Learning Centre for Community Health & Public Health Reviews of the Community Health Fellowship Scheme & CHLP evolved into the MP-CHFP

State of Madhya Pradesh

Source: National Portal of India- Maps

Objectives 1. Establish a person centered CHFP in MP in 2009

with an intake of 20-30 young professionals per batch who become committed to community based health initiatives and processes over the period of their two-year course. To support them later in getting placements and providing opportunities for networking (20 with one funding partner, 30 with two or more funding partners).

Objectives – Contd.

2. To enable participants gain skills to build community capacity for health; to strengthen the public health system from below; and help develop strategies to reduce inequalities in health and access to health care, and

3. To develop and support practitioners, researchers and advocates in community health in Madhya Pradesh.

Objectives - Contd

4. To develop a network of NGOs, academics and public health system staff keenly involved in community health action in Madhya Pradesh to undertake objective three & support objective two.

5. To develop the necessary organizational systems in Bhopal and Bangalore to support this, including a library and information unit focusing on health and health system issues relevant to central India, including developing a collection of resource material in Hindi.

Vision• The Community Health Fellowship Program in

Madhya Pradesh will develop a critical mass of vibrant, optimistic community health/public health practitioners, who are: – People oriented and person centric,– Well grounded in the public health realities of Madhya

Pradesh and India and in the principles and practice of public health and community health through experiential learning,

– Empowered to engage with and strengthen the public health system,

– Skilled to strengthen community processes and capacities, and

– Community health practitioners with equity, rights and social determinants of health perspective

Goals

A critical mass of community health/public health practitioners would work towards ‘better health and access to health care for the people and by the people’, as part of a transformation towards an inclusive society with peace, justice, health and well-being.

Where and How Preparatory period (Feb 2008- July 2009)• NHSRC takes up idea of a ASHA/CH fellowship prg.• Idea Draft for MP• Acceptance by team and SOCHARA• Discussions with SDTT as a donor partner• April 2008 National Workshop with CHLP-SRTT• Discussions with partners in MP – individuals, NGOs, JSA,

networks, state govt.• Small grant from SDTT + own funding• Field visits to districts – Bhopal, Raisen, Chindwara, Indore,

Barwani, Jhabua, Alirajpur• Juned and Deepak join – Nov.2008 Bhopal Wkshp• Background paper + field visits –Gwalior, Shivpuri, Jabalpur,

Shahdol etc

Where and How – Contd.• Project proposal – Grant Approval by SDTT-JTT

• First three-year phase (August 2009- July 2012) includes:– Sensitizing the health system to this initiative. – Preparing mentors – mapping of potential mentors and

organizations and creating a forum for them to share their work experience and grow.

– Developing mechanisms and capacities for mentoring within the organizations.

– Identifying and engaging with resource persons in the public health system and in civil society.

– Preparing district profiles

Schematic Map of Madhya Pradesh with Districts

Broad Learning Components

• Perspective building – broader context + region specific.• Working with the community - key persons, vulnerable groups, local

organisations /institutions; elected representatives/local bodies, LHT practitioners + indigenous systems

• Working with field implementers from the public health system, other health related departments,

• Accessing and sharing information –about local communities/realities; computer & e-skills.

• Learning skills – reading, writing and analytical thinking; listening to communities and team members; PH skills;learning from praxis.

• Reviewing concepts of health and disease in specific cultural settings.• Self-transformation and personal growth of individual participants –

integrated throughout the course through regular personal and group reflections.

Key Features of the Program

• Teaching component: Contents will be comprehensive and organized into modules, with background material

• Field Component: Participants would work in different districts either singly or in pairs with mentors from NGOs/ academics from the district. Their work in the districts will be linked to the Dept. of Health, but they will function with considerable autonomy. The term ‘field’ is interpreted in its broadest sense. Field placements will be facilitated and Fellows will be based with NGOs working with communities (rural, adivasi, a few with urban poor) – an MOU to be developed.

• Mentoring: by the CPHE team and by field mentors over 2 years. Mentors will also go through a group process.

Key Preparatory Processes • National workshop in April 2008, at Bangalore

discussing learning programs in community health, (focus on current community health learning programme and the MP initiative with key resource persons in community health in India)

• A State Dialogue on the MP CHFP in November 2008 at Bhopal,

• District visits, Meetings and Workshops have laid the foundations for an Alliance for Community Health

• Advisory committee for MP CHFP (8 members)

Preparatory Processes –Contd.

• Possibilities of tie-up with Department of Health and Family Welfare, Govt. Of Madhya Pradesh as a potential partner.

• Exploring alliances with other donor partners (UNFPA/NHSRC)

• 20 Field NGOs identified for field placement. • Coordinating with Medical Colleges, Social Science

Institutes and Management Institutes as a part of alliance for community/public health

Structure of the programme

Cluster Based Approach

• Placement of Fellows - A Cluster Based Approach: health and development for a sufficient period of time. The CPHE team in Bhopal and Bangalore will provide the Fellow’s with ongoing supportive supervision and guidance for their work in the field.– Bhopal as hub for central MP – covering the districts of Bhopal,

Raisen, Sagar– Indore as hub for western MP – covering the districts of Indore,

Barwani, Khargone, Alirajpur, Jhabua– Jabalpur as hub for eastern MP, especially the southern parts –

covering the districts of Jabalpur, Chindwara, Seoni, Umeria– Sagar as hub for Bundelkhand – covering the districts of Damoh,

Tikamgarh, Sagar, Panna and Chhatarpur– Gwalior as hub for northern MP- covering the districts of Gwalior,

Bhind, Morena, and Shivpuri.

Tripartite MOU

• Linking with the Public Health System:Discussions have already been held with the NHSRC & the Health Commissioner and state NRHM Mission Director for a Memorandum of Understanding between the State Health Services, the NHSRC and CPHE-SOCHARA to ensure the identity and legitimacy of the Fellows.

Getting ready with Basic Infrastructure

• The Bhopal Office Centre for Public Health and Equity- SOCHARA, 8/72 Basant Kunj, Arera Colony, Bhopal – 462 016, MP

• Present Team (Bhopal)– Juned Kamal, Sri. KD Pandey, Sri. Bhagirath, Smt. Sangeeta

• Bangalore team – Thelma, Deepak, Somashekar, Mathew,

• Announcement for Team and fellows recruitment

COUNT DOWN to start

• All set to take off from September• Time lines being developed• Team building• SOCHARA Academic Council• CHC-CPHE linkages & shared resources-

administration, accounts, library• Evaluation in 2010 • Workshops- sharing with other CHFPs

PASTORAL TRAINING CENTRE

ARERA COLONY, BHOPAL

vt; dqekj flagxqjfeanj flag

e/;gkau Hkhstu ,d izosf'kdk

s

uoacj 2007

48

15

tu LokLF; vfHk;kuHkkjr dh LokLF; O;oLFkk leL;k ,oa lek/kku

f}rh; tu LokLF; lHkk dh vkssj izsf"kr tu LokLF; vfHk;ku iqfLrdk & 2

2007

80

tu LokLF; vfHk;kucPpksa ds LokLF; ds fy, vfHk;ku ds eqnns

f}rh; tu LokLF; lHkk dh vkssj izsf"krtu LokLF; vfHk;ku iqfLrdk & 4

2007

55

tu LokLF; vfHk;ku

lkoZtfud LokLF; esa ubZ rduhdh & dksu HkqxRrk gS vksaj fdldk Qk;nk gS A

f}rh; tu LokLF; lHkk dh vkssj izsf"kr tu LokLF; vfHk;ku iqfLrdk & 5

2007

95

tu LokLF; vfHk;kuvko';d nokvksa rd igqp

f}rh; tu LokLF; lHkk dh vkssj izsf"kr tu LokLF; vfHk;ku iqfLrdk & 7

2007

53

List of Hindi Publications for Bhopal Office

Health Sub-Centres of Icchawar CHC, Sehore District (Juned Kamal)

State Dialogue on MP CHFS

At Shahdol

Khetoli, Shahdol

Sirmore PHC Rewa District

A small Interaction with ASHA’s

State Workshop on Role of Dai’s Under NRHM

Juned at ASHA State level TOT New Delhi May 2009

Fellow interacting with women on the nutrition stauts