Soc Mob 08-09
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COMMED 3 SY 2008 -2009
FCM3 The Doctor as a Manager and Social Mobilizer
5 STAR M.D.
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER Lasallian RESEARCHER
EDUCATOR
PERSON Highest in Organismic Hierarchy BIOMEDICAL
Lowest In Social hierarchy BIOPSYCHO -SOCIAL
A T O M S
BIOMEDICAL
BIOPSYCHOSOCIAL
BASIC/CLINICAL
FAMILY and COMMUNITY MEDICINE
M O L E C U L E S
C T E I L S L S S U E S
O R G A N S
ORGANISMI C hierarchy
O R G A N S Y S T E M S
F A M I L Y
C O M M U N I T Y
N A T I O N
SOCIAL Hierarchy
C U L T U R E
B I O S P H E R E
COMMUNITY HEALTH DEVELOPMENT PROCESSES
CO
PAR
SOC MOB
WHY
Critical recognition characterized by a sense of urgency that something must be done to improve the identified health problem
Beginnings Social mobilization... term used by the United Nations International Children's Emergency Fund (UNICEF) to describe a comprehensive planning approach that emphasizes a) political coalition building and b) community action (UNICEF 1993, Wallack 1989).
Source: Communication Initiative 2001 website
Beginnings Definition 1: Process of bringing together all feasible and practical inter-sectoral social allies to - raise people's awareness of and demand for a particular development program, - assist in the delivery of resources and services and - strengthen community participation for sustainability and self-reliance. Source: Communication Initiative 2001 website
Beginnings A successful mobilization must be built on: a) the basis of mutual benefits of partners and b) a decentralized structure. …the more interested the partners are, the more likely that a project of social mobilization can be sustained over time. …does not require partners abandon their own interests and perceptions on a given issue but are willing to coalesce around a certain problem
WHAT Definition 2: Deliberately planned strategy * Uses various channels to elicit actions * Among those who can contribute to the solution of a problem, * more particularly Changing the specific behavior of members of a society who can contribute to the achievement of a definite goal (UNICEF)
WHAT Assures sustainability by providing a framework for action linking- up various sectors at all levels i.e. Community, SubnationalMunicipal, Provincial, Regional), National and International.
WHAT Definition 3 . Social mobilization is a process that enables people in different sectors and at various levels of society to engage in dialogue, negotiation and collective action. Purpose of social mobilization: bring together organizations, policymakers and communities to forge a collective identity and to work toward a goal. (Social Mobilization for Safe Motherhood website)
WHAT Social development is linked to concerted public action. No matter how valid and worthy the cause, little progress is made in achieving it until a ground swell of public support is built and diverse sectors of society become actively involved in the process of change. - James Grant, UNICEF (Source: Safe Motherhood)
WHAT WHO People
Definition 4
HOW taking Action
FOR WHAT towards a Common Good
(WHO /WPRO Social Mobilization for Health Promotions)
WHAT
WHO – How – For What
PEOPLE- range of players * decision / policy makers, opinion leaders, religious, professionals, commerce/ industry,non- government orgs, community, individuals * all relevant segments of society community to national to international
NATIONAL REGIONAL PROVINCIAL MUNICIPAL BARANGAY
INTERNATIONAL DEPARTMENT OF HEALTH LOCAL GOVERNMENT UNITS GOVERNOR PHO/Hospital MAYOR RHU
BHS
Primary Care BHS
RHU
3o
2o MH
DH
PH
RH/MC
Private Clinics BARANGAY
REFERRAL SYSTEM
SELF-CARE LGU
Agriculturist Teacher
Engineer
Municipal-District-Provincial-Regional-National
WHAT
Who – HOW – For What
* Planned action * Deliberate strategy * Broad scale movement * Engage people’s participation * Interrelated and complementary efforts * Dialogue, negotiation and consensus for mobilizing action, * Take into account people’s felt needs
WHAT
Who – How – FOR WHAT
* Achieving a specific goal for common good * Create an enabling environment effect positive behavior and social change * Successful transformation of development goals into social action (Unicef)
HOW
PROCESS FRAMEWORK
Recognize critically a health problem - participatory research, community surveys, dialogues, barangay assemblies and information from experts. 2.
Determine factors affecting the identified health problem with key decision maker
HOW
PROCESS FRAMEWORK
3. Describe the desirable action from these key contributors at various levels a- Policy/ Program DecisionMaking b- Allocation of Resources c- Delivery of Services 4. Plan, carry out and assess the desirable action for the desired changes.
Commed 1: (HEALTH EDUCATION)
Commed 3
(HEALTH ADMINISTRATION)
Appropriate messages should be designed for a particular audience based on a particular problem.
Use of various mechanisms and forms of communication One-way communication: information dissemination and agenda- setting.
Education uses appropriate teaching and learning;
modes
of
Develops skills, attitudes and values to help people manage the environment that affects their situation.
Calls for greater use of popular media – people’s theatre, folk songs, cultural competitions, social gatherings, community debates etc.
Develop competencies of the community, health sector workers and those of the other sectors in undertaking the identified tasks from resource sharing to provision of specific health procedures.
EXAMPLE: TRAINING FOR LOCAL GOVERNANCE ISSUE UNICEF’s experience in promoting a childfriendly approach to local governance… through development of four essential tools: 1) the Local Development Plan for Children, 2) the Local Investment Plan for Children, 3) the Local Legal Code for Children and 4) the Local Annual State of the Children Report In addition, emergency preparedness and response is best handled at local level
Build the community’s capability for problem-solving, decision making and collective action while developing and strengthening its own networks
Individuals Babie s Child boy/gir l Teens boy/girl
HOUSEHOLDS Families Better Off Mediu m Poor
Adult Men/Wome n Older Men/Wome n
Barangay Management Bgy Council Health Committees Service Providers THP / BHW
Poores t Of Poor
People Organizations
Barangay Managed Health Care
…Implementation required to identify and utilize village communication networks, train field workers, locate and mobilize opinion leaders, activate link persons, establish rotating peer group discussions, provide information and supplies at meetings . “ Communication initiative Social Mobilization
Mobilization of communities should focus on building confidence, trust and respect, increasing knowledge base, and enabling community members to participate, and become more proactive with regard to their own health behavior.”
Improve the implementer’s efficiency in advocating and mobilizing action (Monitoring) o
Determine the effectiveness of the program (Evaluation)
o Organization of information into arguments used to persuade or convince a specific group of people to take necessary action on a specific goal. o Involves the generation and utilization of reliable information to help national leaders, policy makers, and decision makers to help adopt necessary policies or programs.
CONSIDERATIONS IN ADVOCACY
1. Study the key actors, particularly their needs 2. Establish mutual trust – cite mutual benefits, substantiate arguments with good examples 3. Provide positive reinforcement to sustain collaborative work
HOW
Some Adverse Characteristics of Stakeholders
Community
NGO’s
GO’s
Apathy, prejudice – result of past sad experiences
Apathy, Indifference result of past sad experience
Indifference/ lukewarm response
Over dependence
Tolerance of over dependency
Authority Conscious domineering attitude
HOW Community
Some Adverse Characteristics… NGO’S
Wait and see, timidity, lack self confidence Indifference to initiate contact and follow – up ‘ningas cogon’; manana habit, neglect of appointments;
Government Orgs
Impatience to accommodate and act on inquiry/ request Inadequate preparation of community leaders before visit to GO/ NGO offices
Arrogance, aggravate community’s timidity/ lack of self confidence Parochial context ‘Padrino’
HOW Some Adverse Characteristics… Community
Non-government Orgs
Lack of knowledge of agencies assistance / procedures to avail of services
Government Orgs
Unclear , complicated procedures, delay in processing, loss of papers, wrong information to clients Lack personnel/ logistics
HOW
TOOLS ONE WAY
Interpersonal
Newsletters, publications Radio, TV, websites; DVD
TWO WAY Face to face meetings, visits, conferences, “events” Correspondence E mails, telephones
HOW
TOOLS
“EVENTS ORGANIZING” Big Bang: Launching activities by high ranking officials Big Visit: Visits by national/ international leaders Little Bang: “Kapihan” “Having Champions” - NID - Kilatis Kutis Kit : Toni Rose Gayda
HOW
“Yosi Kadiri, Sangkap Pinoy, Kilatis Kutis, Oplan Alis Disease”
Four Basic rules in communication strategies. 3.Know the culture of your audience 4.Do not overload people with Data People’s Preference for Testimony (Statistic of One) 6.Know the issue – roots of problem 7.Be as specific as possible in your call to action.
Few basic things that the private sector looks for in any partnership... First, they want control of their own resources Second .. is imagination and creativity. Third… They look for a program’s potential benefit and advantage to themselves Let’s DOH IT! Dr. Juan M. Flavier
SO WHAT
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER
PERSON
RESEARCHER
EDUCATOR
SO WHAT Implications to Health Worker 2. Acceptance of concept of Total Health 3. Effective communication among and within agencies 3.
Shared ownership and responsibilities for health program
4. Capacity for joint planning, implementation and evaluation of health development program 5.
Capacity to make effective and assertive presentation of programs to decision
Decision makers have to be aware that an Abundance of Resources and Technology does not guarantee good health
it is up to governments to create an enabling environment in which civil society can participate. Measures that encourage such an environment include legal recognition, tax incentives, and agreement on the ground rules for accountability and transparency, and participation in decision making. (Social Mobilization , Aids)
Social Mobilization EPI ACTION LEVELS International: Policy/ Program WHO - technical UNICEF: refs, cold boxes ROTARY – vaccines National Executive Order DOH resources
LGU – local funds HEALTH WORKERS – training/ service delivery Traditional/religious leaders – IEC, CO BHW - service Parents – children
LOOK BACK
LOOK FORWARD
WHAT IS
WHAT WILL BE
WE ACT
NATIONAL Regional
WE SEE
Provincial I SEE
INTERNATIONAL
Municipal Barangay
Time 0
Time N
EXAMPLE:CONTROL OF IODINE DEFICIENCY ASSESSMENT INDICATORS BY LEVELS
I. Policy/ Political Level Formulated Policy/ Legislative Action - Comprehensive development policy; documented health status goals of children and mothers among stated prioritites - Health policy; intersectoral and community involvement strategy objective Public Agenda Setting - Appropriate media, modern and traditional for specific audiences Resource commitment - Approved budget items in national plan International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
II. Bureaucratic/ Technical Level National Plan of Action Guidelines that recognize inter and intra-sectoral collaboration Designated Responsible Officers Communication, advocacy, negotiation, community organizing and development skills Proper Orientation and Training Manpower resources and skills Advisory committee, Implementing committees International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
II. Bureaucratic/ Technical Level Technical Resources Information System Monitoring and Evaluation Media and message Production of Information Materials Interpersonal Communication Audience Response Sustainability International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
III. Professional, Civic and Social Levels Organized and Demonstrated Intersectoral Support: Commerce, Industry, Agriculture, Education, Media, Sports Culture Alliances Professional support from NGOs, religious civic groups, women’s organiztions Collaborations International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
IV. Community Level Assessment of Community Status Support of Government and Traditional Leaders Community decision input and participation - identified community groups/ organizations - community specific goals International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
IV. Community Level
Training Physical and Financial Support of Government and Traditional Leaders Evaluation
International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
V. Family / Individual Level
Capacity Required Social and Technical Support Behavioral Action
International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
EXAMPLES: CONTENT
TB IN THAILAND
TOBACCO FRAMEWORK
Our message is simple. We can break free Individuals can break free by stopping smoking, if necessary with the help of smoking cessation programs. Families can break free by parents setting an example for their children. Communities can break free by supporting legislation and ordinances of local governments that ban smoking in public places and ban advertising.
Our message is simple. We can break free. The media can break free by insisting that the issue of tobacco control is one that belongs to the arena of public policy. The Department of Health and the World Health Organization are committed to supporting smoking cessation programs that are
Countries can break free by supporting national legislation such as SB 1554: STOP FOR HEALTH ACT (STOP TOBACCO AND OTHER PRODUCTS FOR HEALTH) that will restrict the legitimate use and sale of tobacco in the interest of public health through WHO's INTERNATIONAL FRAMEWORK CONVENTION FOR TOBACCO CONTROL (FCTC). Together we can break free from this epidemic of addiction and disease. Support this signature campaign by signing up now!
Concerned with the ill effects and evil threats of tobacco use and its advertisements as well as the conspicuous sale of cigarettes to minors, we are affixing our signatures hereunder to manifest our pleadings to our legislators and other authorities – to enact a law that would prohibit cigarette and other tobacco product advertisement and its sale to minors; and
- to support Senator Flavier's bill 1554: Stop for Health Act (Stop Tobacco and Other Products for Health) and the international framework convention on tobacco control (FCTC). … or its equivalent in Filipino: "Warning" Cigarette Smoking is Dangerous to your Health". ...
EXAMPLE: Social Mobilization FOR/ OF CHILDREN
UNICEF ANNUAL REPORT 2003
MAP OF PROGRAMMES FOR ADOLESCENT PARTICIPATION DURING CONFLICT AND POSTCONFLICTSITUATIONS Sept 2003 UNICEF
The project activities 2. Begin with a child-led process of risk mapping and community mobilization. Groups of 8-10 children (7-12 years of age) and youth (12-18 years of age) draw a map of their village and locate the places that are dangerous or where accidents happen to children. 2. Then they choose the top two risks to young people and present their findings . to village adults by means of a role play, which typically evokes keen interest and animated discussion.
The project activities 3. Adults and young people who show strong interest in helping and who represent different groups in the community then form a CWBC. 4. Initially, the CWBCs focus on reducing physical risks such as open wells, landmines, or lack of . public latrines for women.
5. With additional experience and training, however, they also address emotional and social risks such as stigmatization, hopelessness, or continued association of young people with a local commander. 6. The CWBCs also monitor children’s wellbeing and risks by means of a Child Protection and Monitoring Tool . developed by Save Alliance with input from many partners.
Critical allies on the ground, especially in efforts 1) to reach the hard to reach, 2) improve district performance, 3) leverage resources 4) achieve optimum coordination
o Local governments, o Non-governmental organizations, o Traditional and religious leaders, and o Civil society organizations
Progress for Children, Report Card on ImmunizationNo.3 Sept 2005
1990
2 003
FILM-MAKERS
Wilmot a young Liberian boy describes the impact of war on children at a UN Security Council Meeting on Children and Armed Conflict. At the conclusion of the meeting, the Security Council committed to redoubling its efforts to protect children, affected by armed conflict, condemned the targeting or
Due 2008
3.Social mobilization and long term political sustainability of the Social Determinants of Health agenda, which is being organized through an extensive civil society lead process
PHM advocates people's health issues at 59th WHA health issues at 59th WHA A delegation of People's Health Movement (PHM) activists attended the 59th World Health Assembly of the World Health Organization in Geneva in order to advocate relevant issues. They threw their support behind a proposed global framework on essential health research and development
Health : physical, mental and social well –being Not merely the absence of disease
A LEVEL OF HEALTH THAT PERMIT PEOPLE TO LEAD SOCIALLY AND ECONOMICALLY PRODUCTIVE LIVES
5 STAR M.D.
EDUCATOR FCM 1
5 STAR M.D.
RESEARCHER FCM 2
EDUCATOR FCM 1
5 STAR M.D. MANAGER FCM 3
RESEARCHER FCM 2
HEALTH PROVIDER
SOCIAL MOBILIZER FCM 3
EDUCATOR FCM 1
5 STAR M.D.
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER DLS DLS
RESEARCHER
EDUCATOR
HOW
Social Mobilization in CM3
Recognize critically a problem - affecting CM3 2. Determine factors affecting the identified problem with key decision maker 3. Describe the desirable action from these key DECISION MAKERS at various levels
a- CHANGE IN Policy/ Program b- PROVIDE Resources (SPECIFY material, human, funds etc) c- PROVIDE SERVICES – training, manage,
HOW
Social Mobilization in CM3
L DECISION Desired evel MAKER Action from Decision Maker 1 2 3 4
Component to be used to get desired action: Describe/ specify
HOW
PROCESS FRAMEWORK
4. PLAN , carry out and assess the desirable elements for the desired changes. (random assignment of 5 groups) - Community Organizing - Information, Education, Communication - Training - Advocacy - Monitoring and Evaluation REPORT BY – 4:00 P.M.
FCM3 The Doctor as a Manager and Social Mobilizer
5 STAR M.D.
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER Lasallian RESEARCHER
EDUCATOR
PERSON Highest in Organismic Hierarchy BIOMEDICAL
Lowest In Social hierarchy BIOPSYCHO -SOCIAL
A T O M S
BIOMEDICAL
BIOPSYCHOSOCIAL
BASIC/CLINICAL
FAMILY and COMMUNITY MEDICINE
M O L E C U L E S
C T E I L S L S S U E S
O R G A N S
ORGANISMI C hierarchy
O R G A N S Y S T E M S
F A M I L Y
C O M M U N I T Y
N A T I O N
SOCIAL Hierarchy
C U L T U R E
B I O S P H E R E
COMMUNITY HEALTH DEVELOPMENT PROCESSES
CO
PAR
SOC MOB
WHY
Critical recognition characterized by a sense of urgency that something must be done to improve the identified health problem
Beginnings Social mobilization... term used by the United Nations International Children's Emergency Fund (UNICEF) to describe a comprehensive planning approach that emphasizes a) political coalition building and b) community action (UNICEF 1993, Wallack 1989).
Source: Communication Initiative 2001 website
Beginnings Definition 1: Process of bringing together all feasible and practical inter-sectoral social allies to - raise people's awareness of and demand for a particular development program, - assist in the delivery of resources and services and - strengthen community participation for sustainability and self-reliance. Source: Communication Initiative 2001 website
Beginnings A successful mobilization must be built on: a) the basis of mutual benefits of partners and b) a decentralized structure. …the more interested the partners are, the more likely that a project of social mobilization can be sustained over time. …does not require partners abandon their own interests and perceptions on a given issue but are willing to coalesce around a certain problem
WHAT Definition 2: Deliberately planned strategy * Uses various channels to elicit actions * Among those who can contribute to the solution of a problem, * more particularly Changing the specific behavior of members of a society who can contribute to the achievement of a definite goal (UNICEF)
WHAT Assures sustainability by providing a framework for action linking- up various sectors at all levels i.e. Community, SubnationalMunicipal, Provincial, Regional), National and International.
WHAT Definition 3 . Social mobilization is a process that enables people in different sectors and at various levels of society to engage in dialogue, negotiation and collective action. Purpose of social mobilization: bring together organizations, policymakers and communities to forge a collective identity and to work toward a goal. (Social Mobilization for Safe Motherhood website)
WHAT Social development is linked to concerted public action. No matter how valid and worthy the cause, little progress is made in achieving it until a ground swell of public support is built and diverse sectors of society become actively involved in the process of change. - James Grant, UNICEF (Source: Safe Motherhood)
WHAT WHO People
Definition 4
HOW taking Action
FOR WHAT towards a Common Good
(WHO /WPRO Social Mobilization for Health Promotions)
WHAT
WHO – How – For What
PEOPLE- range of players * decision / policy makers, opinion leaders, religious, professionals, commerce/ industry,non- government orgs, community, individuals * all relevant segments of society community to national to international
NATIONAL REGIONAL PROVINCIAL MUNICIPAL BARANGAY
INTERNATIONAL DEPARTMENT OF HEALTH LOCAL GOVERNMENT UNITS GOVERNOR PHO/Hospital MAYOR RHU
BHS
Primary Care BHS
RHU
3o
2o MH
DH
PH
RH/MC
Private Clinics BARANGAY
REFERRAL SYSTEM
SELF-CARE LGU
Agriculturist Teacher
Engineer
Municipal-District-Provincial-Regional-National
WHAT
Who – HOW – For What
* Planned action * Deliberate strategy * Broad scale movement * Engage people’s participation * Interrelated and complementary efforts * Dialogue, negotiation and consensus for mobilizing action, * Take into account people’s felt needs
WHAT
Who – How – FOR WHAT
* Achieving a specific goal for common good * Create an enabling environment effect positive behavior and social change * Successful transformation of development goals into social action (Unicef)
HOW
PROCESS FRAMEWORK
Recognize critically a health problem - participatory research, community surveys, dialogues, barangay assemblies and information from experts. 2.
Determine factors affecting the identified health problem with key decision maker
HOW
PROCESS FRAMEWORK
3. Describe the desirable action from these key contributors at various levels a- Policy/ Program DecisionMaking b- Allocation of Resources c- Delivery of Services 4. Plan, carry out and assess the desirable action for the desired changes.
Commed 1: (HEALTH EDUCATION)
Commed 3
(HEALTH ADMINISTRATION)
Appropriate messages should be designed for a particular audience based on a particular problem.
Use of various mechanisms and forms of communication One-way communication: information dissemination and agenda- setting.
Education uses appropriate teaching and learning;
modes
of
Develops skills, attitudes and values to help people manage the environment that affects their situation.
Calls for greater use of popular media – people’s theatre, folk songs, cultural competitions, social gatherings, community debates etc.
Develop competencies of the community, health sector workers and those of the other sectors in undertaking the identified tasks from resource sharing to provision of specific health procedures.
EXAMPLE: TRAINING FOR LOCAL GOVERNANCE ISSUE UNICEF’s experience in promoting a childfriendly approach to local governance… through development of four essential tools: 1) the Local Development Plan for Children, 2) the Local Investment Plan for Children, 3) the Local Legal Code for Children and 4) the Local Annual State of the Children Report In addition, emergency preparedness and response is best handled at local level
Build the community’s capability for problem-solving, decision making and collective action while developing and strengthening its own networks
Individuals Babie s Child boy/gir l Teens boy/girl
HOUSEHOLDS Families Better Off Mediu m Poor
Adult Men/Wome n Older Men/Wome n
Barangay Management Bgy Council Health Committees Service Providers THP / BHW
Poores t Of Poor
People Organizations
Barangay Managed Health Care
…Implementation required to identify and utilize village communication networks, train field workers, locate and mobilize opinion leaders, activate link persons, establish rotating peer group discussions, provide information and supplies at meetings . “ Communication initiative Social Mobilization
Mobilization of communities should focus on building confidence, trust and respect, increasing knowledge base, and enabling community members to participate, and become more proactive with regard to their own health behavior.”
Improve the implementer’s efficiency in advocating and mobilizing action (Monitoring) o
Determine the effectiveness of the program (Evaluation)
o Organization of information into arguments used to persuade or convince a specific group of people to take necessary action on a specific goal. o Involves the generation and utilization of reliable information to help national leaders, policy makers, and decision makers to help adopt necessary policies or programs.
CONSIDERATIONS IN ADVOCACY
1. Study the key actors, particularly their needs 2. Establish mutual trust – cite mutual benefits, substantiate arguments with good examples 3. Provide positive reinforcement to sustain collaborative work
HOW
Some Adverse Characteristics of Stakeholders
Community
NGO’s
GO’s
Apathy, prejudice – result of past sad experiences
Apathy, Indifference result of past sad experience
Indifference/ lukewarm response
Over dependence
Tolerance of over dependency
Authority Conscious domineering attitude
HOW Community
Some Adverse Characteristics… NGO’S
Wait and see, timidity, lack self confidence Indifference to initiate contact and follow – up ‘ningas cogon’; manana habit, neglect of appointments;
Government Orgs
Impatience to accommodate and act on inquiry/ request Inadequate preparation of community leaders before visit to GO/ NGO offices
Arrogance, aggravate community’s timidity/ lack of self confidence Parochial context ‘Padrino’
HOW Some Adverse Characteristics… Community
Non-government Orgs
Lack of knowledge of agencies assistance / procedures to avail of services
Government Orgs
Unclear , complicated procedures, delay in processing, loss of papers, wrong information to clients Lack personnel/ logistics
HOW
TOOLS ONE WAY
Interpersonal
Newsletters, publications Radio, TV, websites; DVD
TWO WAY Face to face meetings, visits, conferences, “events” Correspondence E mails, telephones
HOW
TOOLS
“EVENTS ORGANIZING” Big Bang: Launching activities by high ranking officials Big Visit: Visits by national/ international leaders Little Bang: “Kapihan” “Having Champions” - NID - Kilatis Kutis Kit : Toni Rose Gayda
HOW
“Yosi Kadiri, Sangkap Pinoy, Kilatis Kutis, Oplan Alis Disease”
Four Basic rules in communication strategies. 3.Know the culture of your audience 4.Do not overload people with Data People’s Preference for Testimony (Statistic of One) 6.Know the issue – roots of problem 7.Be as specific as possible in your call to action.
Few basic things that the private sector looks for in any partnership... First, they want control of their own resources Second .. is imagination and creativity. Third… They look for a program’s potential benefit and advantage to themselves Let’s DOH IT! Dr. Juan M. Flavier
SO WHAT
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER
PERSON
RESEARCHER
EDUCATOR
SO WHAT Implications to Health Worker 2. Acceptance of concept of Total Health 3. Effective communication among and within agencies 3.
Shared ownership and responsibilities for health program
4. Capacity for joint planning, implementation and evaluation of health development program 5.
Capacity to make effective and assertive presentation of programs to decision
Decision makers have to be aware that an Abundance of Resources and Technology does not guarantee good health
it is up to governments to create an enabling environment in which civil society can participate. Measures that encourage such an environment include legal recognition, tax incentives, and agreement on the ground rules for accountability and transparency, and participation in decision making. (Social Mobilization , Aids)
Social Mobilization EPI ACTION LEVELS International: Policy/ Program WHO - technical UNICEF: refs, cold boxes ROTARY – vaccines National Executive Order DOH resources
LGU – local funds HEALTH WORKERS – training/ service delivery Traditional/religious leaders – IEC, CO BHW - service Parents – children
LOOK BACK
LOOK FORWARD
WHAT IS
WHAT WILL BE
WE ACT
NATIONAL Regional
WE SEE
Provincial I SEE
INTERNATIONAL
Municipal Barangay
Time 0
Time N
EXAMPLE:CONTROL OF IODINE DEFICIENCY ASSESSMENT INDICATORS BY LEVELS
I. Policy/ Political Level Formulated Policy/ Legislative Action - Comprehensive development policy; documented health status goals of children and mothers among stated prioritites - Health policy; intersectoral and community involvement strategy objective Public Agenda Setting - Appropriate media, modern and traditional for specific audiences Resource commitment - Approved budget items in national plan International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
II. Bureaucratic/ Technical Level National Plan of Action Guidelines that recognize inter and intra-sectoral collaboration Designated Responsible Officers Communication, advocacy, negotiation, community organizing and development skills Proper Orientation and Training Manpower resources and skills Advisory committee, Implementing committees International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
II. Bureaucratic/ Technical Level Technical Resources Information System Monitoring and Evaluation Media and message Production of Information Materials Interpersonal Communication Audience Response Sustainability International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
III. Professional, Civic and Social Levels Organized and Demonstrated Intersectoral Support: Commerce, Industry, Agriculture, Education, Media, Sports Culture Alliances Professional support from NGOs, religious civic groups, women’s organiztions Collaborations International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
IV. Community Level Assessment of Community Status Support of Government and Traditional Leaders Community decision input and participation - identified community groups/ organizations - community specific goals International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
IV. Community Level
Training Physical and Financial Support of Government and Traditional Leaders Evaluation
International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
V. Family / Individual Level
Capacity Required Social and Technical Support Behavioral Action
International Council for the Control of Iodine Defiency http://iccidd.server295/.com/pages/technical resources
EXAMPLES: CONTENT
TB IN THAILAND
TOBACCO FRAMEWORK
Our message is simple. We can break free Individuals can break free by stopping smoking, if necessary with the help of smoking cessation programs. Families can break free by parents setting an example for their children. Communities can break free by supporting legislation and ordinances of local governments that ban smoking in public places and ban advertising.
Our message is simple. We can break free. The media can break free by insisting that the issue of tobacco control is one that belongs to the arena of public policy. The Department of Health and the World Health Organization are committed to supporting smoking cessation programs that are
Countries can break free by supporting national legislation such as SB 1554: STOP FOR HEALTH ACT (STOP TOBACCO AND OTHER PRODUCTS FOR HEALTH) that will restrict the legitimate use and sale of tobacco in the interest of public health through WHO's INTERNATIONAL FRAMEWORK CONVENTION FOR TOBACCO CONTROL (FCTC). Together we can break free from this epidemic of addiction and disease. Support this signature campaign by signing up now!
Concerned with the ill effects and evil threats of tobacco use and its advertisements as well as the conspicuous sale of cigarettes to minors, we are affixing our signatures hereunder to manifest our pleadings to our legislators and other authorities – to enact a law that would prohibit cigarette and other tobacco product advertisement and its sale to minors; and
- to support Senator Flavier's bill 1554: Stop for Health Act (Stop Tobacco and Other Products for Health) and the international framework convention on tobacco control (FCTC). … or its equivalent in Filipino: "Warning" Cigarette Smoking is Dangerous to your Health". ...
EXAMPLE: Social Mobilization FOR/ OF CHILDREN
UNICEF ANNUAL REPORT 2003
MAP OF PROGRAMMES FOR ADOLESCENT PARTICIPATION DURING CONFLICT AND POSTCONFLICTSITUATIONS Sept 2003 UNICEF
The project activities 2. Begin with a child-led process of risk mapping and community mobilization. Groups of 8-10 children (7-12 years of age) and youth (12-18 years of age) draw a map of their village and locate the places that are dangerous or where accidents happen to children. 2. Then they choose the top two risks to young people and present their findings . to village adults by means of a role play, which typically evokes keen interest and animated discussion.
The project activities 3. Adults and young people who show strong interest in helping and who represent different groups in the community then form a CWBC. 4. Initially, the CWBCs focus on reducing physical risks such as open wells, landmines, or lack of . public latrines for women.
5. With additional experience and training, however, they also address emotional and social risks such as stigmatization, hopelessness, or continued association of young people with a local commander. 6. The CWBCs also monitor children’s wellbeing and risks by means of a Child Protection and Monitoring Tool . developed by Save Alliance with input from many partners.
Critical allies on the ground, especially in efforts 1) to reach the hard to reach, 2) improve district performance, 3) leverage resources 4) achieve optimum coordination
o Local governments, o Non-governmental organizations, o Traditional and religious leaders, and o Civil society organizations
Progress for Children, Report Card on ImmunizationNo.3 Sept 2005
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FILM-MAKERS
Wilmot a young Liberian boy describes the impact of war on children at a UN Security Council Meeting on Children and Armed Conflict. At the conclusion of the meeting, the Security Council committed to redoubling its efforts to protect children, affected by armed conflict, condemned the targeting or
Due 2008
3.Social mobilization and long term political sustainability of the Social Determinants of Health agenda, which is being organized through an extensive civil society lead process
PHM advocates people's health issues at 59th WHA health issues at 59th WHA A delegation of People's Health Movement (PHM) activists attended the 59th World Health Assembly of the World Health Organization in Geneva in order to advocate relevant issues. They threw their support behind a proposed global framework on essential health research and development
Health : physical, mental and social well –being Not merely the absence of disease
A LEVEL OF HEALTH THAT PERMIT PEOPLE TO LEAD SOCIALLY AND ECONOMICALLY PRODUCTIVE LIVES
5 STAR M.D.
EDUCATOR FCM 1
5 STAR M.D.
RESEARCHER FCM 2
EDUCATOR FCM 1
5 STAR M.D. MANAGER FCM 3
RESEARCHER FCM 2
HEALTH PROVIDER
SOCIAL MOBILIZER FCM 3
EDUCATOR FCM 1
5 STAR M.D.
HEALTH PROVIDER
SOCIAL MOBILIZER
MANAGER DLS DLS
RESEARCHER
EDUCATOR
HOW
Social Mobilization in CM3
Recognize critically a problem - affecting CM3 2. Determine factors affecting the identified problem with key decision maker 3. Describe the desirable action from these key DECISION MAKERS at various levels
a- CHANGE IN Policy/ Program b- PROVIDE Resources (SPECIFY material, human, funds etc) c- PROVIDE SERVICES – training, manage,
HOW
Social Mobilization in CM3
L DECISION Desired evel MAKER Action from Decision Maker 1 2 3 4
Component to be used to get desired action: Describe/ specify
HOW
PROCESS FRAMEWORK
4. PLAN , carry out and assess the desirable elements for the desired changes. (random assignment of 5 groups) - Community Organizing - Information, Education, Communication - Training - Advocacy - Monitoring and Evaluation REPORT BY – 4:00 P.M.
