comunity participation in rh
TRANSCRIPT
“COMMUNITY PARTICIPATION IN
REPRODUCTIVE HEALTH
AN INDONESIAN EXPERIENCE”
Presented By:-
DR.P.P.SINGH
Ex. Medical Superintendent cum Consultant Pathologist. HRH & SDN
Hospital Delhi
Ex. Director India population Project Delhi.
INTRODUCTION IINDONESIA IS KNOWN TO HAVE SUCCESFUL
IN SOME ASPECT OF NATIONAL DEVELOPMENT, SPECIALY IN STABELISATION OF POPULATION THROUGH R H PROGRAMME.
INTERNATIONAL AGENCIES LIKE UNFPA,WHO. & WORLD BANK HAVE RECOGNISED ITS SUCCESS STORY.
TODAY INDONESIA IS A ROLE MODEL FOR DEVELOPING COUNTRIES
THE KEY OF SUCCESS IS ONLY THROUGH
“COMMUNITY PARTICEPATION & WOMEN EMPORMENT”
Social profile
Total population – 205 Million
With many different Ethnic groups & Languages
National Language – Bhsa Indonesia.
4rth Largest Population of the World.
87.0% Muslim.
9.7% Christian.
1.1% Buddhist.
1.8%Hindu (in BALI 85%)
0.04% Others.
NATIONAL PHILOSOPHY(PANCHASILA)
Belief in one supreme GOD
Just and Civilized Humanity
The Unity of Indonesia
Democracy led by wisdom of Deliberations amongst
Representatives.
Social justice for the whole Indonesian People.
Table – I.
S.No.
Indices INDIA INDONESIA
1 Total Population >100,89,37000 21,20,92000
2 GDP 1501 3038
3 Life Expectancy Male-59.8yrsFemale- 62.7yrs
Male-63.4yrsFemale-67.4yrs
4 Crude Birth Rate 28.3 24.3
5 Crude Death Rate 9.0 7.5
6 Total Fertility Rate 3.1 2.2
7 Infant Mortality Rate 72 32
8 Child Mortality Rate Male-90Female- 99
Male-61Female- 49
9 Total Health Expenditure
110- 5.1%of GDP 54- 2.7%of GDP
10 Literacy Rate 64.3% 91.3%
11 Status of Polio Highest No. of cases amongst 10 countries in the world where still Polio cases are being detected.
Polio Free.
12 Maternal Mortality Rate(per 100,000 live births)
430 290
13 Women Average Age of Marriage
19.6yrs 21yrs
ORGANISATION BEHIND ALL THIS SUCCESS IS B.K.K.AB.N.
(NATIONAL FAMILY PLANING COORDINATION BOARD)
1975
Family Welfare Co-ordination Department
National Level BKKBNCentral Office
Directly under the Control of President
GOVERNEOR
District LevelBKKBNDistrictLevel
BHUPATI
District HospitalSUB DISTRICT
CAMAT
Comm. Mat. Centre
PHC
Village Centre
Comm. Midwife
Village
OR
Sub. Village
Vill. Head
F.P. Field – 1Supervisor
F.P.FieldWorker (20 )
REPORT
RE
PO
RT
REPORT
BKKBNProvincialOffice
Provincial Level
SERVICE DELIVERY REFERRAL SYSTEM
HEALTH PRIVATECENTRE CLINIC
DISTRICT HOSPITAL
HEALTH CENTRE
FPFW POSYANDU
(INTEGRATED POST)
KADAR (Volunteer)
MIS (Management information system) of National Family Welfare programme is very effective. Every month reports are not only being collected & forwarded to National level but also discussed at every level. Recently this has been computerized from level to national level. Format of report is of 84 columns. Families are categorized into five groups according to socioeconomic status.1. Pre –Prosperous Family2. Pre –Prosperous Family Stage I3. Prosperous Family Stage II4. Prosperous Family Stage III5. Prosperous Family Stage III Plus
COMMUNITY PARTICPATION.
VOLUNTREES (KADER)
FAMILY ENUMERATION-Record – Motivation.Organising monthly meetings.
POSYANDU.
HEALTH TALKS
INCOME GENERATION FELCITATION
HELPS TO ANC&PNC CASES>
COMMUNITY DELIVERY PLACE.
At every Ward /Village Lavel Managed By ANM
Place is Called BIDANDESA.
ANM
TBA
COMMUNITY FUND – DANASEHAT.
The community participation is not confined to one area it has been observed almost uniform in different part of the country seen in Java, Sumatra and Bali. Community groups in BALI are called BANJAR while in SUMATRA it is called as BUDOCONDOS
C All Industrial, Business and cooperate sector are also caring their staff regarding Reproductive Health by organizing meetings, health talks and health checkup. Most important point is that these units are maintaining records similarly through Voluntary Organization .
Private Medical Sectors are equally participating in safe motherhood & reproductive health Most of clinics have displayed one sign board the Logo of RCH with either Yellow or Blue Ring. Indicating
A Yellow Ring - means complete range of RCH facility is available.
A Blue Ring - means partial RCH facility is available .Only non operative type.
E. Safe Mother Hood through Women Empowerment; - At every block level a self help group (Cooperative) has been established to ensure empowerment of women through income generation schemes. Loan under TAKESRA or KUKESRA scheme are being provided. These are linked with Family welfare programme.F. Youth Groups – are another example of community participation. As all adolescent interact with health voluntaries / Health worker and freely discuss all issues related to sex. They are organizing pre marriage counseling with the aim for safe parenthood.