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A Reason to Hope… Capacity Building for Health Equity in India A Reason to Hope… Meeting of Fellows, Alumni, Mentors at the SOCHARA Silver Jubilee - April 2016 Jubilee - April at the SOCHARA Silver Alumni, Mentors Meeting of Fellows, SOCHARA – SOPHEA TEAM 2016 Objectives of SOCHARA The Constitution of India, 1950, followed by other national policy documents and five year plans, have made important social commitments to the To create awareness regarding the principles and practice of community citizens of the country. SOCHARA through the Community Health Learning health among all people involved and interested in health and related sectors. Programme and other initiatives makes a contribution to enable citizens to realise these Constitutional rights. To promote and support community health action through voluntary as well as governmental initiatives. Constitutional Pledge “The State shall regard the raising of the level of nutrition, and the standard of To undertake research in community health policy issues, particularly in living of its people and the improvement of public health as among its primary areas of: duties. It shall ensure o Community health care strategies that the health and strength of worker’s, men and women, and the tender age of o Health personnel training strategies children are not abused, that children are given opportunities and facilities to develop in a healthy manner o Integration of medical and health systems It shall make To evolve educational strategies that will enhance the knowledge, skill and attitudes of persons involved in community health and development. provision for securing just and humane conditions of work and for maternity relief, and for public assistance in cases of unemployment, old age, sickness, and To dialogue and participate with health planners, decision-makers and disablement, and in other cases of undeserved want.” implementers to enable the formulation and implementation of community oriented health policies. Constitution of India, 1950 To establish a library, documentation and interactive information centre in community health. Printed by Matha Printers and Publishers, Bangalore Mob: 9886809060 The SOChARA – SOPheA COMMUNITY heALTh LeARNING PROGRAMMe PhASe III RePORT CAPACITY BUILDING FOR HEALTH EQUITY IN INDIA A Reason to Hope… SOCHARA TEAM hTTP://www.SOChARA.org SOChARA – SChOOL OF PUbLIC health eqUITY ANd ACTION (SOPheA) 2016 COMMUNITY heALTh LeARNING PROGRAMMe PhASe III RePORT CAPACITY BUILDING FOR HEALTH EQUITY IN INDIA A Reason to Hope… AUThORS: Thelma Narayan, Rahul ASGR, Janelle De Sa Fernandes, S.J. Chander we gratefully acknowledge inputs by other team members in the preparation of the ChLP report: Ravi Narayan, As Mohammad with administrative support by. Mathew Alex, HR Mahadevaswamy, Maria Dorothy Stella SOCHARA TEAM SOChARA – SChOOL OF PUbLIC heALTh EQUITY ANd ACTION (SOPheA) OCTObeR 2016 For Copies contact SOCHARA- SOPHEA, 359, Srinivasa Nilaya, 1st Block, 1st Main, Koramangala Bangalore – 560034, Email: [email protected]; Phone: 080-25531518/ 25630934, www.sochara.org Contents EXECUTIVE SUMMARY .........................................................................................................................5 BACKGROUND ...........................................................................................................................................7 INTRODUCTION.....................................................................................................................................13 1. What is the Community Health Learning Programme? 1.1 History of the community Health Learning Programme (CHLP) ..............18 1.2 Establishment of SOPHEA and Phase Three of the CHLP ............................20 1.3 Vision, Mission, Goals and Objectives of Phase Three of CHLP ..................22 1.4 Selection processes of participants for the CHLP .............................................24 1.5 The selection of team members ................................................................................26 1.6 Team work and management ....................................................................................26 1.7 The Programme Design, Structure and Learning Methods of the CHLP .....................................................................................................27 1.8 Perspectives, Content and Curriculum of the CHLP Phase Three ..............34 1.9 The Academic and Research Council (ARC) ........................................................39 Ethics Committee (SISEC) .........................................................................................42 1.10 The SOCHARA Institutional Scientific and 1.11 The Community Health Library and Information Centre (CLIC) ...............44 1.12 Video-documentation of the CHLP ..........................................................................48 1.13 Publications - E-SOCHARA Newsletters ................................................................48 2. what is the need for the Community health Learning Programme? 2.1 Human Resources for Health ....................................................................................51 2.2 Human resources – neglected and maldistributed ........................................51 2.3 Changing dynamics in development of Health Human Resources ...........51 2.4 Building a critical mass of ‘Scholar Activists’ ....................................................52 2.5 Community Health Fellowship Project Experience (2003- 2011) ..........................................................................................53 3. The CHLP Fellows and Who They Are 3.1 Full-Time Fellows ............................................................................................................56 3.2 Short-Term Stipendiary Fellows .............................................................................60 3.3 Flexi Fellows .....................................................................................................................62 3.4 Post graduates and Students on Placements: ....................................................65 4. The SOChARA-SOPheA ChLP Mentoring Network 5. NeTwORKING ANd dISSeMINATION 6. MAINSTREAMING 7. ChLP Phase III – Midterm and end reviews 8. CONCLUSIONS ReFeReNCeS ANNEXURE I : The 52 week curriculum .................................................................... 115 ANNEXURE II : Learning activities outside classrooms ....................................... 122 ANNEXURE III : Background reading material .......................................................... 131 ....................................................... 142 ......................................................... 151 ANNEXURE IV : Checklists for field placements ANNEXURE VI : CHLP mentoring organisations ....................................................... 153 ANNEXURE V : Batch 12 topics for field study Annexure VII : Lists of CHLP pariticipants ............................................................ 173 ANNEXURE VIII : SOCHARA team members ................................................................. 187 ANNEXURE IX : SOCHARA EC and GB members ...................................................... 189 ANNEXURE X : SOCHARA logo ........................................................................................ 190 ANNEXURE XI : SOCHARA organogram ....................................................................... 191 4 EXECUTIVE SUMMARY The community health learning programme (CHLP) during its third phase broke new ground. The general body and executive committee of the Society have taken keen interest in this initiative since its commencement in 2003, and during this phase mandated the Secretary and team to initiate the SOCHARA School of Public Health, Equity and Action (SOPHEA). This led to the formation and functioning of the Academic and Research Council (ARC) from April 2012 and of research proposals from 2014. These groupings of resource persons with the SOCHARA Institutional Scientific and Ethics Committee (SISEC) for review sounding board and were part of the governance mechanisms for the initiative. Themulti-disciplinary Society also developed backgrounds several functioned operational as an policies academic, and scientific mechanisms and ethicalduring the period. while team SOCHARA had a small group based in Bengaluru, taking prime responsibility for the day to day functioning of the CHLP, the entire group in all the three clusters contributed greatly to the initiative. Regular team meetings, annual team retreats, specialised workshops for the team, participation in other meetings were efforts at team development. The CHLP over phase three nurtured 171 young persons in community health. These 70 postgraduate students on placement for varying periods of time. The team providedincluded 56each full of time them participants, personalised 17 shortattention term andparticipants, mentorship. 28 flexi A well interns thought and out semi-structured 52 week programme has been developed and implemented. Several mechanisms from selection to assessment have evolved further in the period. Very many partner NGOs supported the initiative by hosting participants feedback during mentor’s workshops. Alumni join a growing group of community healthfor community fellows asplacements part of the and collective field work journey for the towardsfull time participantsHealth for All. providing Annual alumni meetings and an active CH Friends What’s App group provide occasion for the group to build solidarity and share experiences.
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