the role of civil society in the commission on social … - sewa's... · for risk, post-natal...
TRANSCRIPT
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The Role of Civil Society in theCommission on Social Determinants of Health
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Self-Employed Women’s Association (SEWA)
SEWA is a trade Union of 700,000 women workers in the informal economy in Gujarat and 7 other states.
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SEWA’s MAIN GOALS• Full Employment
• Work Security• Income Security• Food Security• Social Security
• Self- Reliance
SOCIAL SECURITY:• Health Care• Insurance• Child Care• Housing
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Informal Workers in India-93% of the work force
The four majorcategories of workers are :
a. Home-based workersb. Vendors (of all types
of wares)c. Manual labourers and
service providersd. Producers
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OUR APPROACHOUR APPROACH• Need-based, at doorsteps• Decentralized – through local teams,
associations• Women – led, community – based organising• Self – reliant
- contributory- through workers’ organisations
• Holistic and Integrated - with work security- with other services- within a service
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OUR APPROACHOUR APPROACH
• Promotes organizing, entry of newmembers
• Partnerships - with other People’s Organizations,
NGOs- government- private sector
• grassroots work policy action
CONVERGENCE WITH CSDH APPROACH
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SEWA SOCIAL SECURITY SEWA SOCIAL SECURITY –– OUTREACH (2004)OUTREACH (2004)
A. Health Care - Health Education - 23,730- Camps - 44,469- Sale of Low cost
Drugs - Rs. 13,731,701- T.B. Screeing - 4,517
Team:Staff - 100Aagewans & Health workers - 500
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SEWA SOCIAL SECURITY SEWA SOCIAL SECURITY –– OUTREACH (2004)OUTREACH (2004)
B.Child Care- Children - 8662- Mothers - 7919- Teachers - 520
Team:Staff - 20Aagewans - 25Teachers - 520
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SEWA SOCIAL SECURITY SEWA SOCIAL SECURITY –– OUTREACH (2004)OUTREACH (2004)
C. InsuranceWomen - 80,389, Men- 34,753 Children - 18,541 Total Insured - 133,683
Team:
Staff - 68
Aagewans - 120
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SEWA SOCIAL SECURITYSEWA SOCIAL SECURITY–– OUTREACH (2004)OUTREACH (2004)
D. Housing
Urban 52 slums 7500 families
Rural 5345 houses
Team:
Staff - 60
Aagewans - 495
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SEWA Health•• PREVENTIVE AND PROMOTIVE HEALTH CAREPREVENTIVE AND PROMOTIVE HEALTH CARE•• Health Education (including HIV / AIDS). Health Education (including HIV / AIDS). •• Maternal Health Care Maternal Health Care –– anteante--natal care, screening natal care, screening for risk, postfor risk, post--natal and neonatal and neo--natal.natal.
•• Immunization, micronutrient Immunization, micronutrient supplementation. supplementation.
•• Contraception. Contraception. •• Reproductive Health Care. Reproductive Health Care. •• Assisting in provision of Assisting in provision of basic amenities basic amenities –– water and water and sanitation. sanitation.
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SEWA HealthSEWA Health
• Intensive health
training, including
midwives
• Health information to
women, family
members - including
men, adolescents
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SEWA Health SEWA Health
CURATIVE HEALTH CARE• Low cost medicines• Tuberculosis treatment
• Mobile RCH Care• Acupressure• Traditional
medicines –Referral
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Population Coverage (SEWA Health)
Ward / Village Population
Urban 30 12,00,000
Rural 500 15,00,000
• Work Areas- Urban : Ahmedabad, VadodaraSurat- Rural Gujarat : 14 Districts- Bihar Rural : 2 Districts(SEWA Bharat)
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How SEWA Can Work With CSDH
• Experience sharing: of ground realities and what works
• Organising for work and social security - how
• Partnership with government and other stake-holders – and what works
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How SEWA Can Work With CSDH
• Monitoring policy at
country and state level
action for pro – poor
policies• Building sustainable
people’s organisations –
how• Building a movement for change - how
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How Can CSDH Strengthen SEWA’s, other Civil Society’s efforts
• Provide evidence for holistic, integrated (social determinants) approach to push forappropriate policies
• Support people’s organisations (MBOs) and NGOs to implement social determinantsapproach
• Promote examples of best practices byMBOs, NGOs
• Support MBOs, NGOs efforts to gain voice andrepresentation at policy table (especiallyplanning, budgeting).
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