Women Health Programme and Advocacy on Right to Health
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- Women Health Programme and Advocacy on Right to Health
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1
Community Health Learning Programme
;
2009
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A Report ©on tfe® (Community
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Community Health Learning Programme
November 2009 to Febraury 2010
REPORT
Sowmya.K.R
intern,Community Health Cell
Introduction:
I joined the CULP programme of Community Health Cell as a fellow on November 3rJ, 2009. I
believe that this programme will lay the foundation for understanding social movements and health.
CHLP programme provided an opportunity of learning various facets of health. The parameters of
true health are influenced by the various decisions and determinants of life in health
An opportunity to leant about nutritious food, good drinking water, employment, good education,
shelter, environment, peaceful family and social life, cordiality, individual freedom, social justice,
equality, along with health system (Government related), and Janaarogya Aandolana - Karnataka
(People’s Health Movement) was provided during the programme.
I. 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?
•
3.
Read about RCH programme, involving NRHM programme, visit PPIC’s observing how
reproductive health are implemented, interview the women’s caste based discrimination in
the health care system.
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
II. 1. Learning about health as a right
1 have tried to describe my learning experiences of four months about health as a right.
a. Process and learning of health rights
l.
By reading various books published by Janaarogya Aandolana - Karnataka, it was possible
to learn about health as a right:
Learnings through books
•
•
•
It was possible to learn about the concept of health, the influence that Governments yield over
health
Health from the perspective of nature, the constitution and social justice, and, various Acts and
thinking regarding health
An understanding as to how globalization and privatization view health as an investment, rather
than a right and its commercialization at the global level.
l.b Learnings through active participation in the activities of JAAK
The Davanagere District Committee of JAAK organised a people’s dialogue on 23.12.2009 in
Rotary Balbhavan, Davanagere. During the programme, responsibilities of PHCs. rules and
regulations to be followed, facilities that need to be available, and those that are available in the
PHCs, and the manner in which the NRHM Draft Health Policy has upheld Health as a Right was
leamt. Later, clarity regarding the purpose of the Janata courts, its background, the need for such
courts was given.
In this programme, the documentation of the study of 11 PHCs was studied and various health
denials to patients were also discussed, with presentations from some of them.
Learnings
•
The health survey report of Davanagere district limits made it possible to know more
information regarding the district.
•
Through sharing of experiences of common people who were subject to health denials, it was
possible to team about the actual situation.
1. c Attempts at forming a Bangalore City District Committee of Janaarogya
Aandolana:
2 preparatory meetings were held by the leaders and workers of JAAK with a view to form the City
District Commmittee. A total of 13 Sanghas, organizations and groups participated in these
meetings. In order to continue the District Committee, few programmes that could be held in the
future were devised
3
2. Awareness regarding maintenance of health, health services and health rights
in the limits of the Bruhat /Greater Bangalore Metro City Corporation,
Bangalore city district:
Processes and learning regarding public health rights in urban areas
Globalisation, privatization and liberalization
processes have had a deep impact on the
situation in urban areas. This had a direct
impact on the slum dwellers living in cities and
consequently, their health.
2. Awareness regarding public health services in 198 wards of BBMP, with a
a.
population of 55,70,532. The wards have different kinds of health centres.
•
•
•
•
•
•
•
Health Centres - 9
Urban Family Welfare Centres - 19
Dispensaries - 9
Ayurvedic-2
Unani-1
Referral center -6
Maternity home -24
Totally 40 health centres provide public health services to the people, which include essential
services that have to be provided to the people.
Learnings:
•
•
•
It was possible to learn through field visits the nature and functioning of the public health
centres under BBMP limits, that were established by the Government Health Department
Level of awareness regarding the nature and services offered by public health centres among
the locals was low
There seems to be a need to create awareness regarding health rights and services among the
local people.
2.b Bangalore City District has a total population of 27,64,300, with rural areas
coming under its limits as well.
•
•
•
•
•
Primary Health Centre - 72
Under City limits - 43
Under Rural Area limit - 39
Taluk Hospital - 3
Community Health Centre - 5
4
Health Centre (East) - 19
Maternity Hospital under RCH Program - 3
There are a total of 72 primary health centres providing public health services to the people, these
are services which have to be provided by the Government. It is our fundamental right to avail and
get these services. A primary health centre for a population of 50,000 and a health sub-centre for a
population of 10,000 people is essential.
•
•
•
•
•
•
•
•
Health Education for People
Supply of the Nutritious Food
Drinking Water, Sanitation and Cleanliness
Mother and Child Health
Immunization
Control of Communicable Diseases
Treatment of Common Diseases
Availability of Essential Drugs
Learnings
•
•
•
•
Learnt about the 72 primary health centres providing public health services to the people
Leamt about the essential services that ought to be provided in the primary health centres
Leamt about certain programmes that were organised/provided as part of the public health
services
Learnings were also with regard to primary health care.
Situation of Primary Health Centres:
One can see the state of disarray many of the primary health centres in the city limits are in and as a
consequence, the denial of health rights to people. Health centres in urban areas is in doldrums. In
the light of this, a survey of 10 primary health centres which are part of the public health system of
Bangalore City district was done. Through this, it was possible to know the sendees available at
present, in Bangalore Urban District.
•
•
•
•
•
Health Centre - 2
Primary' Health Centre - 10
City Welfare Family Centre - 2
Maternity Health Centre - 2
Public Health Centre - 3
A survey of public health centres threw light on the following issues:
•
•
•
•
The health centres have not been established in a systematic manner, i.e., it has not been based
on the population of the specific geographical area
People are not getting information regarding availability of health centres and services thereof
Number of private hospitals and institutions in the city have increased
Government of Karnataka has not placed any checks and balances on these private hospitals
and organisations
•
•
•
•
•
Health service facilities arc not available in city health centres for people who have migrated to
the city
All departments of the hospital are filled with corruption and bribery
Lack of medicines
Lack of doctors and other staff
Governments are thrusting public-private partnership in the city’s governmental health sector.
Learnings
•
•
•
Earlier, 1 had merely heard health centres, but through this survey, 1 have learnt how these
health centres function
Due to this, I was able to know the number of people and the communities that were receiving
these services.
I was able to realize the differences between rural and urban areas.
2.C. Helping in drafting People’s Health Manifesto for the BBMP elections
In our attempts to bring in serious thinking about health rights and acceptance of the health rights
manifesto, Obalesh, the convenor of JAAK, and I together drafted the concise manifesto with
regards to public health information to be handed over to the political parties which were part of the
BBMP elections. This manifesto contains certain demands regarding information on the current
health situation, need for information on public health and remedies for related problems.
3 Conclusion:
The experiences of the 4 month training programme helped me to get clarity in my thoughts, and
also to verify my stands at a personal level. I was able to enhance my knowledge regarding health
rights through the surveys conducted, which threw light on the realities - this gave me inspiration
to be creative at an organizational level. At the same time, since 1 got an opportunity to interact
with other people’s organisations, struggles and programmes, it gave me an opportunity to enhance
my logical thinking, as well as creating awareness and providing the opportunity towards using my
efforts and energies for community development. The experiences, clarity and logical thinking
developed during the training programme, has inspired me to involve myself in a proactive manner
with organisations.
4 Annexures:
Public Health Rights manifesto and concerned report of the 2010 BBMP election
Comprehensive survey report of certain health centres which come under the limits of the
BBMP and Bangalore City district
3. A report regarding important discussions with respect to the attempts at setting up of JAAK’s
Bangalore City District Committee, projects and action plans.
1.
2.
6
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Community Health Cell (Functional Unit of SOCHARA)
■85/2, 1st Main, Maruthi Nagara, Madiwala,
Bengaluru - 56CC68
Tel: +91-8C-25531 518/25525372
Email: chinternship@sochara.org
Website: www.sdchara.org
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