Kerala People

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Kerala Peoples Campaign for Decentralised
Planning
Dr. Joy Elamon Dr. B. Ekbal
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Peoples Campaign forDecentralised
PlanningObjectives

• Strengthen the Local Governments
• Solve Developmental Crisis
• Initiate a New Development Culture

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Local Self Government Institutions1214

• Grama (Village) Panchayaths
• 991 Population 20,000
• Block Panchayaths
• 152 Population150,000
• District Panchayaths
• 14 Population2 Million
• Urban Bodies
• Municipalities (54) Population100,000
• Corporations(3) Population1 Million

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Peoples PlanningStrategy

• Plan Allocation
• Peoples Movement
• Rules and Regulation

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Peoples Campaign for Decentralised Planning
Gramasabha (Village Assembly
Development Seminar Report
Task Forces
Projects
Plan Document
Gramasabha
Implementation
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Peoples Campaign for Decentralised Planning

• Massive Devolution of Resources and Power

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Achievements

• Participatory Planning and Development
• Devolution of Resources and
  Power
• Empowerment of Women
• Transparency in governance
• Physical achievements

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Kerala Model of Health

• High Health Status
• Low Economic Development

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Kerala Model of Health

• Good Health at Low Cost
• Good Health with Social Justice

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Kerala Health ModelFrom Success to Crisis

• Low Mortality High Morbidity Syndrome
• Resurgence of Infectious Diseases
• Rise in Life Style Diseases
• Stagnation of Public Health System
• Rising Health Expenditure
• Marginalisation of the Poor

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Kerala Health Reform Goals

• Control of Infectious Diseases
• Control of LSD
• Revamping of Public Health System
• Social Control of Private Sector
• Control of Health Expenditure
• Protection of the poor

Community involvement in Health
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Decentralisation and Health

• Health Care institutions to local bodies
• Power and resources transferred
• Mandate to plan and implement locally
• Human resource development

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Decentralisation and Health Sector Achievements

• Integrated Disease control programmes
• Specific disease detection camps
• School health programmes
• Nutrition programmes
• Geriatric care
• Rural Sanitation
• Water Supply
• Health Survey
• Strengthening Hospital Infrastructure

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Kerala Experiment Uniqueness

• Thrust on preventive and promotive health
• Innovative health programmes
• Better working partnership health workers and the
  people
• Reallocation and availability of Health Resources
• Improvement of Primary and Secondary Health
  Systems

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Peoples Campaign Health

• Case Studies

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Erattupettah Grama PanchayathIntegrated Health
Development

• Healthy Village Project
• Drinking Water
• Sanitation
• School Health Programme
• Health Cards to citizens
• Healthy Hotels
• Primary Health Centre Strengthening

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Ponnani Block PanchayathCommunity Mental Health
Programme

• School Mental Health Programme
• Teenage Marriage Prevent ion
• Mental Health Survey
• Suicide Prevention
• Dementia Care
• Pain and Palliative Care

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Nedumangad MunicipalityModel Hospital
Development

• Infrastructure
• Blood Bank and Mortuary
• Fair price medical shop
• Hospital Sanitation

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Chembilod Grama PanchayathStudy on Gender
Status in Health

• Local Womens Health Cell
• Sex Ratio
• Education Status
• Sanitation, Toilet and Bathing Facilities
• Household work burden
• Health Care Facilities
• Health and Sex Education