Transcript Kerala People’s Campaign for Decentralised Planning Dr. Joy Elamon Dr. B. Ekbal

Kerala People’s Campaign for
Decentralised Planning
Dr. Joy Elamon
Dr. B. Ekbal
People’s Campaign for
Decentralised Planning:
Objectives
• Strengthen the Local Governments
• Solve Developmental Crisis
• Initiate a New Development Culture
Local Self Government
Institutions:1214
• Grama (Village) Panchayaths
– 991: Population: 20,000
• Block Panchayaths
– 152: Population:150,000
• District Panchayaths
– 14: Population:2 Million
• Urban Bodies
– Municipalities (54) Population:100,000
– Corporations(3) Population:1 Million
Peoples Planning
Strategy
Plan Allocation
Peoples Movement
Rules and Regulation
World Bank
Peoples Plan Campaign
 Downsize Government
 Involve local self
Involvement in development
government in local
development
 Market Centered
 Resource mobilization in
social sectors: User Fees
 Peoples Participation:
Individuals, NGOs,
Apolitical
 Local planning and
Social Control
 Devolution of
resources from the
centralized agencies
to local bodies
 Involvement of Class
and Mass
organization:
Political Movement
Peoples Campaign for Decentralised Planning
Gramasabha
(Village Assembly
Development Seminar
Report
Task Forces
Projects
Plan Document
Gramasabha
Implementation
Peoples Campaign for Decentralised
Planning
Massive Devolution of
Resources and Power
Achievements
• Participatory Planning and Development
• Devolution of Resources and
Power
• Empowerment of Women
• Transparency in governance
• Physical achievements
ALL-KERALA TRENDS IN ATTENDANCE AT GRAMA SABHAS
HELD IN AUGUST–OCTOBER 1996 (GRAMA SABHA 1), DECEMBER–
MARCH 1997 (GRAMA SABHA 2) JULY-SEPTEMBER 1997
(GRAMA SABHA 3)
Percent of Voting Age
Adults
GS 2
GS 3
GS 1
N=712 N=901
N=972
11.4
Female % of
Attendees
GS 2
GS3
GS 1
N=673 N=901
N=925
10.1
11.9
26.2
SC/ST as % of
Attendees
GS2
GS3
GS1
N=673 N=866
N=408
30.3
38.3
8.8
18.3
17.5
Kerala Model of Health
High Health Status
Low Economic Development
Kerala Model of Health
Good Health at Low Cost
Good Health with Social Justice
Kerala Health Model
From Success to Crisis
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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
Kerala Health Reform: Goals
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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
Decentralisation and Health
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Health Care institutions to local bodies
Power and resources transferred
Mandate to plan and implement locally
Human resource development
Decentralisation and Health Sector:
Achievements
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Integrated Disease control programmes
Specific disease detection camps
School health programmes
Nutrition programmes
Geriatric care
Rural Sanitation
Water Supply
Health Survey
Strengthening Hospital Infrastructure
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
Peoples Campaign: Health
Case Studies
Erattupettah: Grama Panchayath
Integrated Health Development
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Healthy Village Project
Drinking Water
Sanitation
School Health Programme
Health Cards to citizens
Healthy Hotels
Primary Health Centre Strengthening
Ponnani: Block Panchayath
Community Mental Health Programme
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School Mental Health Programme
Teenage Marriage Prevent ion
Mental Health Survey
Suicide Prevention
Dementia Care
Pain and Palliative Care
Nedumangad: Municipality
Model Hospital Development
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Infrastructure
Blood Bank and Mortuary
Fair price medical shop
Hospital Sanitation
Chembilod: Grama Panchayath
Study on Gender Status in Health
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Local Women’s Health Cell
Sex Ratio
Education Status
Sanitation, Toilet and Bathing Facilities
Household work burden
Health Care Facilities
Health and Sex Education