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Natur og Kultur som Folkehelse - NaKuHel

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INTERNATIONAL SYMPOSIUM<br />

Coping chronic disease – network in local community<br />

Heidi Kvalvaag<br />

An easy and feasible cooperation model with four<br />

main actors: municipality, medical centers, users<br />

and local community.<br />

Health political challenge:<br />

organizing local communities and health care system<br />

to cope NCDs, i.e. those in population identified<br />

to be on risk. Evidence base: Coping NCD<br />

do prevent serious illness which else will require<br />

treatments and care - determining the economy of<br />

municipalities 5-20 years ahead.<br />

Focus:<br />

What medical centers – being responsible for and<br />

in contact with all diagnosed with NCDs –can do<br />

28<br />

better, allocating small extra resources from the<br />

municipality.<br />

Action:<br />

Offer participation in coping group as standard<br />

health service, using dial<strong>og</strong> and praxis perspectives,<br />

organizing self-help networks.<br />

Expected results:<br />

Empowering individuals and releasing recourses<br />

to improve their own social conditions, evolving<br />

to pressure groups to fight toxic society locally,<br />

promoting healthy local societies – for their own<br />

health. Relieving GPs significantly and saving<br />

social costs.<br />

NaCuHeal / Senegal:<br />

An environmental vision but mainly concrete actions<br />

By dr. Mohamed Lamine Manga<br />

Today, West Africa faces numerous environmental<br />

challenges. But these have far-reaching consequences<br />

for local communities and they are not<br />

specific to this region. It affects the whole continent<br />

albeit with nuances, but with proven effects.<br />

Lake Chad has lost 90% of its water; the Niger<br />

River narrows from year to year. This poses a<br />

problem of navigability on its course, but also the<br />

difficulties of managing water resources shared by<br />

eight nations as for agriculture, energy and transport.<br />

Declining groundwater levels due to drying<br />

resulting from solar radiation and deforestation,<br />

which prevails throughout the Sahel, is causing<br />

many problems for both local farmers and pastoralists.<br />

It also results in many conflicts that affect<br />

the stability of our states and annihilate the efforts<br />

of sub-regional integration. However, the human<br />

responsibility is engaged at the forefront by malicious<br />

l<strong>og</strong>ging through decades causing the loss of<br />

large areas of forests that were contributing before<br />

in regulating local ecosystems.<br />

In Senegal, about 40 000 ha of forests are lost due<br />

to fires caused by human action every year. A paradigm<br />

shift is needed: sustainable management of<br />

forests still existing is more than necessary, which<br />

induces both their preservation, but also the reforestation<br />

of deforested areas and also an awareness<br />

of political leaders, stakeholders and individuals<br />

in their respective communities. The initiative<br />

taken by NaCuHeal / Senegal since 5 years<br />

in partnership with the Norwegian NGO, Women<br />

In Forestry (JiS), is aiming at a local awareness<br />

and collaborative management of the environment<br />

through a combination of the principles of sustainable<br />

development, green development and ecotourism.<br />

Key words:<br />

collaborative management, sustainable development,<br />

green development, ecotourism, and partnership.

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