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Health Policy Issues and Health Programmes in ... - Amazon S3

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IEC for <strong>Health</strong> <strong>Programmes</strong> <strong>in</strong> Uttaranchal<strong>in</strong>dividual expertise, <strong>in</strong>stitutional experience, <strong>and</strong> research f<strong>in</strong>d<strong>in</strong>gs. The strategy should ensurethat communication plays the dual role of provid<strong>in</strong>g support <strong>and</strong> reassurance to those who havealready adopted the desired behaviour change <strong>and</strong> simultaneously creat<strong>in</strong>g dem<strong>and</strong> for healthservices <strong>and</strong> address<strong>in</strong>g specific fears, obstacles, <strong>and</strong> barriers to the same. Promotion offacilities, tra<strong>in</strong>ed providers, <strong>and</strong> appropriate behaviours would be a crucial aspect of this role.The IEC strategy should specifically focus on the follow<strong>in</strong>g.l Look<strong>in</strong>g at exist<strong>in</strong>g research to determ<strong>in</strong>e specific communication needs as well asmethodology of commission<strong>in</strong>g additional studies to test themes, ideas, <strong>and</strong> materials.l Segment<strong>in</strong>g the population accord<strong>in</strong>g to its needs <strong>and</strong> <strong>in</strong> the context of objectives <strong>and</strong>priorities of various health programmes.l Identify<strong>in</strong>g barriers <strong>and</strong> specific methods of overcom<strong>in</strong>g obstacles to move to the desiredbehaviour.l Work<strong>in</strong>g out specific messages for each of the above desired changes.l Develop<strong>in</strong>g <strong>in</strong>dicators for monitor<strong>in</strong>g <strong>and</strong> assessment of each <strong>in</strong>tervention <strong>and</strong> a system offeedback <strong>and</strong> assessment of impact.l Establish<strong>in</strong>g a system of selection of experts or agencies <strong>and</strong> production of communicationmaterial.An operational plan should also be prepared to phase out activities over different time periods<strong>and</strong> to quickly move from strategy to action.Establish a Multi-sectoral IEC BureauAn IEC bureau should be established at the state level to plan, coord<strong>in</strong>ate, <strong>and</strong> implement variousactivities under the state IEC strategy. This bureau should have the capacity to plan <strong>and</strong> executemultimedia campaigns at state <strong>and</strong> district levels. Ideally, this organization should be responsiblefor all IEC activities related to public health, family plann<strong>in</strong>g, nutrition, disease control, education,<strong>and</strong> welfare to justify adequate outlays for the small state of Uttaranchal. This would also providefor the <strong>in</strong>tegration <strong>and</strong> efficiency <strong>in</strong> research, media buy<strong>in</strong>g, <strong>and</strong> implementation campaigns <strong>and</strong>ensure consistency of themes, designs, <strong>and</strong> messages across various sectors.The IEC bureau should also have a Media <strong>and</strong> Materials Resource Centre (MMRC) to scan <strong>and</strong>house IEC materials produced by the Government of India, state governments, other<strong>in</strong>stitutions or NGOs; <strong>and</strong> those materials be<strong>in</strong>g used <strong>in</strong> different programmes <strong>and</strong> states,especially the H<strong>in</strong>di-speak<strong>in</strong>g ones. The centre should have the capacity to duplicate, produce,<strong>and</strong> distribute these items to those who need them. This would obviate the need for “re<strong>in</strong>vent<strong>in</strong>gthe wheel,” <strong>and</strong> lots of good quality material be<strong>in</strong>g used elsewhere could become available foruse <strong>in</strong> Uttaranchal immediately. The MMRC should also perform the functions of a mass-mail<strong>in</strong>gunit to periodically address providers, village pradhans, <strong>and</strong> so forth, <strong>and</strong> publish <strong>and</strong> distributenewsletters.Involve Private Sector Organizations <strong>and</strong> ProfessionalsGovernments have to recognize that while they deal with some of the most importantprogrammes, which can make a difference to the lives of their citizens, they do not have much93

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