My understanding of Health and Community Health
Item
- Title
- My understanding of Health and Community Health
- extracted text
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'Community Health Learning Programme
2
2009
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•
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A Report on the Community
Health Learning
i>
Experience
9
Community Health Cell
Community Health Learning Programme
May 2009 to February 2010
REPORT
Snehalatha.D
Intern, Community Health Cell
1. Learning process:
Reasons for joining the Community Health Learning Programme (CHLP)
1.1
A lot social issues still plague the people of India. About 70% of the country’s population is
denied basic health facilities and suffer from various illnesses and diseases; addition, when the
birth and death rates among children, women and dalit communities is looked at, the effects of
ill-health are clearly seen.
For communities which have been denied education since ages, the scenario is no different with
respect to health. The field of health and awareness which would help in the progress of these
communities is close to my heart. I chose the fellowship programme since 1 felt that it would fill
me with more energy and knowledge on my attempts to integrate them with the mainstream,
1.2
Learning objectives
To understand the reproductive and sexual health issues of women.
l.
How?
• Reading books, training discussion, interviews with women and community based health
programmes on Reprodective and sexul Health
2. To learn how public rural health care system addresses reproductive health issues and
understand the limitations.
How?
• Read about RCH programme, involving NRHM programme, visit PHC’s observing how
reproductive health are implemented, interview the women’s caste based discrimination in
the health care system.
3.
To learn training strategies on health issues
How?
• Map out different kinds of training strategies on reproductive and sexual health.
4.
To develop leadership skills and training skill for advocacy on right to health.
How?
• Use a participatory method of trainings, involving in the JAK programmes; interact with
Dalit Women’s leaders.
PERSONAL OBJECTIVES:
Learn to speak and write in English fluently.
To leant and use computer and applications
MY LONG TERM GOALS:
To work on the empowerment of Dalit Women, not only health issues, but also their
social, political, educational issues
2
1.3
•
Important aspects of my learning
(Orientation) My learning from the sessions - Orientation:
It increased my knowledge regarding issues related to health. We had an opportunity to discuss
about what we knew and understand the same better. As this was a entirely participatary
programme, everyone got an opportunity to express their feelings, opinions. Learning was not
only through reading and writing, but also through group discussions, social play, a photo
exhibition of real situations, and so on. On the whole, I was able to understand various aspects
of health like health as a human right, community participation in procuring health as a right.
effects of globalization on health, gender discrimination, etc.
•
Use of resources:
When we understand how resources are to be used, we are able to reach our goals.
Unfortunately, power and resources rest with only a few people in the country. I realized that
these could be reached to the disadvantaged communities. Resources are distributed on the basis
of caste and class - 20% of the people make use of 80% of the resources. 80% of the people
have access to merely 20% of the resources.
•
Effects of globalization on health:
Globalization has brought along with it industrialization, privatization, and consumerism. One
sees that a number of people have lost their jobs. Recently due to recession and it is easy to
understand its impact on mental and emotional health. This has had an adverse effect on the
economic situation, throwing life out of gear. Globalisation has not only affected health, but
social, political, cultural, agricultural systems as well.
•
Group learning:
1 had an opportunity to leant a lot from the group. Since my friends were from different states, I
got to know a lot about their language, arts, society, economy and culture. Their experiences in
their field of work will help me in future, in my area of work as well. Though I did not know
how to speak Engllish well, my co-leamers tried to understand my opinions and aspirations. We
would freely discuss on all topics. Mutual dependence, assistance, respect, friendship, trust,
responding to others’ feelings were values that I learnt in good measure from the group.
•
Individual learning:
Before I joined this fellowship programme, I was not aware of my own problems. Earlier, 1
would not take decisions on the spur of the moment, without thinking of the consequences; nor
would I take anybod’s advice. Now, I consult people before i take a decision. I have problems
adjusting to a new setting, which has sometimes affected my health too. When we are working
with the community, we should be able to adjust to the environment there, the language, people,
food, situation, and so on. This was an important learning for me.
Earlier, I would not travel alone. But, I can do so now. My perspective on things has broadened
- I have learned to look at the larger picture, rather than limiting myself to what is perceived in
that particular situation.
•
Reflection:
This opportunity has not only increased my knowledge but self-confidence as well. Before
joining the Fellowship programme, I knew only a few things regarding health. But after coming
here, I have learnt a lot of things related to health. The things 1 learnt here have been very useful
while working with the community. In whatever field one works in, being informed and
3
learning to use new technologies is important. I have got a working knowledge of computers
during the programme.
•
My understanding of health and community health
Health is not only about physical ill-health, doctor, medicines. Health is comprehensive and
includes physical, mental, social, economic aspects of health. Only if all the parameters are
right will the concept of health be complete. With regards to the community, it is not a mere
group of people living in a geographical area - it consists of people of various caste, religion,
language, beliefs, practices and so on. This has mechanisms unique to it. Whenever we work
with any community, we have to keep these things in mind.
With respect to community health, community participation in issues related to health is
important. The community should be aware of its rights and execute its duties. To get health as
a right, the community should be united. On the whole, for a healthy community, there should
be equitable distribution of opportunities and rights. In view of this, to know more about of
community health, 1 visited the following organisations:
Organisations I visited
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Jaagrut Mahila Sanghatan, Potnal
Swami Vivekananda Youth Movement Saragur {Mysore District)
DEEDS (Hunsur) Organisation
Navjeevan Womens' Federation (Raichur)
Roovari (Raichur)
Head Streams (Badami)
CARDS (Badami)
Antyodaya (Mudhol)
In all these organisations, I got an opportunity to learn about community health, health system,
and the attempts and struggles they were undergoing while trying to get health as a right for the
local communities.
I had read the following books:
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Where there is no doctor (Kannada)
Where women have no doctor (Kannada)
National Rural Health Mission - Document (Kannada)
Damanita danigala chintane (Kannada)
Sthreevaada (Kannada)
Idu sadhya panchayat Raj mahila pratinidhigaligaagi sampanmula pusthaka (Kannada)
Sabaleekarana (dalitara mundiruva savaalugalu) (Kannada)
Khailangee (Kannada)
Jailenba narakadalli (Kannada)
Reproductive and Child Health (Kannada)
Pooraka pausttika ahara (Kannada)
Samate matin asamate (Kannada)
Arogya vyavastheya mele rajakeeya odetha (Kannada)
Health Rights (Kannada)
Anemia (Kannada)
4
Participated the following workshops, assembly, training programs
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*
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Daughters offire
Slum and Urban Development
Special Economic Zone (Medha Patkar)
NREGA (Nikhil Dey)
Jana Arogya Andolana (Uttara Karnataka) Assembly ofTirulu Group (Badami)
Jana Arogya Andolana (Bagalkote) Assembly
Jana Arogya Andolana Training - Haveri
Jana Arogya Andolana - public hearing - Davanagere
Jana Arogya Andolana Training - Mudhola
Conclusion
On the whole, this Fellowship helped a lot in my personal growth. The things I leamt about
issues related to health, and the experiences thereof will play a major role in shaping my future.
5
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Community Health Cell (Functional Unit of SDCHARA)
85/2, 1st Main, Maruthi nagara, Madiwala,
Bengaluru - 56DD68
Tel: +91-8C-25531 518/25525372
Email: chinternship@sodhara.org
Website: www.sochara.org
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