Social innovations in Health

Item

Title: Social innovations in Health
extracted text: k
SDA-RF-AT-3.3

Social innovations in Health:
An overview and some challenging
questions

Dr. Ravi Narayan,
Community Health Advisor
Centre for Public Health and Equity, SOCHARA, Bangalore

November 2009

Overview of' Innovation
(Global Forum)
■ Innovation encompasses the entire process
from the generation of new ideas to their
to their
transformation into useful things
implementation
■ Innovation may involve
new products,

manufacturing processes

services,

management structures

methods,

policy

1

Overview of Soeial Innovation in
I leallh (Global I'oriiin)
■ Social innovation involves new ways to
manage people, processes and information,
while technological innovation involves
material invention
■ The technological and social aspects of
innovation are intertwined and
complementary- eg when drugs are made
available to poor people through
innovative schemes like pooled
purchasing, social marketing, community
health action groups etc

Social Innovation:
for Whom? and What?
■ From whose perspective is it being
evaluated?
Producers- Researcher/ industry
Policy makers/ Program Planners
r- Service providers (govt/pnvate/cso)
r People - Community, and or Patient
■ What Parameter is being used to
assess innovation
Economic9
Biomedical ?
Techno- managerial ? Political9
Ecological9
Socio-cultural ?

2

Social innovation : Why
■ Why is something called innovative?
Promotes Health for All?
Increases personal /family/community
autonomy?
Prevention/promotion rather than
curative?
or
Promotes health for those who can pay
(Market)?
Promotes producers/innovators interest?
Promotes providers interests?

SocioJinnovation- How
■ How does the so called innovation work?
Enhances Autonomy?

Facilitates Control ?
Promotes Well being ?
Promotes Public good?
Sometimes we miss the innovation - Why?
Tradition or Cultural innovation?

Local creative adaptation?
Eco sensitivity and Harmony?
No do ‘innovation’ ( Acts of Omission) ?

3

Dimension of Social Innovation-!
(From a Health for All Perspective)
Product Innovation & Appropriate Technology

-

o

■ Appropriate economically ( Low cost)
■ Appropriate techno-managerially ( Effective)
■ Appropriate culturally ( Synergistic with local
beliefs)
■ Appropriate socially ( Access and Equities )
■ Appropriate politically ( Control and
Demystification)
■ Appropriate ecologically ( Green and in
Harmony)

Dimension of Social Innovation II
(From a Health for All Perspective)

t

Process Innovation
■ Enhancing Equity/ Access
■ Community Participation/ownership

/

■ Community Monitoring/watching/
evaluation
■ Community Monitoring/watching/
■ Community Monitoring/watching/
i~! I4co<i Kn

4

Dimension of Social Innovation-Ill
(From a Health for All Perspective)
Communication Innovation

r r

■ Low cost communication

p-

■ Decentralized /communication
■ Autonomous communication ( Folk
Theatre)

I

■ Community of learning ( IPHUZ CHFP)
■ Communication for advocacy/change
(Culture of protest)

Dimension of Social Innovalion-I V
(From a Health for All Perspective)
Distribution Innovation

■ Self help groups
■ Community based
organ ization/association
■ Community Networking

■ Cooperatives

5

Dimension of Social Innovation-V
(From a Health for All Perspective)
Economics Innovation
_——-——

r

——■■

—

■ Micro Credit
■ Health Cooperative
■ Community Health Insurance
■ Cost Sharing Partnerships
■ Demand side and Supply side initiatives

Dimension of Social Innovation-VI
(f rom a Health for All Perspective)
Paradigmatic Innovation
■ Medicine

health

■ Individual

' community

■ Provision and product distribution
Education and social processes
■ Molecular Biology (intracellular)
Balloonist/social/community action
■ Professional control
autonomy

community

6

Media: SDA-RF-AT-3.3.pdf

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