commed 3 sy 2010 - 2011 estrella p. gonzaga m.d

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COMMED 3 SY 2010 -2011 Estrella P. Gonzaga M.D.

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SOCIAL MOBILIZATION. COMMED 3 SY 2010 - 2011 Estrella P. Gonzaga M.D. HEALTH PROVIDER. MANAGER. SOCIAL MOBILIZER. LS. EDUCATOR. RESEARCHER. 5- STAR Lasallian PHYSICIAN. FCM3 The Doctor as a Manager and Social Mobilizer. Lowest In Social hierarchy BIOPSYCHO-SOCIAL. PERSON. - PowerPoint PPT Presentation

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Social Mobilization2
3
PERSON
Lowest
In
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Critical recognition characterized by a sense of urgency that something must be done to improve the identified health problem
WHY
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Social mobilization...
term used by the United Nations International Children's Emergency Fund (UNICEF) to describe a comprehensive planning approach that emphasizes
a) political coalition building and
b) community action
Beginnings
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Process of bringing together all feasible and practical inter-sectoral social allies to
- raise people's awareness of and demand for a particular development program,
- assist in the delivery of resources and services and
- strengthen community participation for sustainability and self-reliance.
Source: Communication Initiative 2001 website
Beginnings
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a) the basis of mutual benefits of partners and
b) a decentralized structure.
…the more interested the partners are,
the more likely that a project of social mobilization can be sustained over time.
…does not require partners abandon their own interests and perceptions on a given issue
but are willing to coalesce around a certain problem
Beginnings
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* Uses various channels to elicit actions
* Among those who can contribute to the solution of a problem,
* more particularly
Changing the specific behavior of members of a society who can contribute to the achievement of a definite goal
(UNICEF)
WHAT
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Assures sustainability by providing a framework for action linking- up various sectors at all levels
i.e. Community,
International.
WHAT
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Definition 3 .
Social mobilization is a process that enables people in different sectors and at various levels of society to engage in dialogue, negotiation and collective action.
Purpose of social mobilization: bring together organizations, policymakers and communities to forge a collective identity and to work toward a goal.
WHAT
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Social development is linked to concerted public action. No matter how valid and worthy the cause, little progress is made in achieving it until a ground swell of public support is built and diverse sectors of society become actively involved in the process of change. - James Grant, UNICEF
(Source: Safe Motherhood)
WHO
HOW
* all relevant segments of society
community to national to international
DEFINITION: WHO – HOW – FOR WHAT
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NATIONAL
REGIONAL
PROVINCIAL
MUNICIPAL
BARANGAY
DEFINITION: WHO – HOW – FOR WHAT
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WHAT
* Create an enabling environment
* Successful transformation of development goals into social action
(Unicef)
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- participatory research, community surveys, dialogues, barangay assemblies and information from experts.
2. Determine factors affecting the identified health problem with key decision maker
HOW
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PROCESS FRAMEWORK
3. Describe the desirable action from these key contributors at various levels
a- Policy/ Program Decision-Making
b- Allocation of Resources
c- Delivery of Services
4. Plan, carry out and assess the desirable action for the desired changes.
HOW
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COMPONENTS
Advocacy
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-        
-        
o Education uses appropriate modes of teaching and learning;
Develops skills, attitudes and values to help people manage the environment that affects their situation.
Information
Education
Communication
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Calls for greater use of popular media – people’s theatre, folk songs, cultural competitions, social gatherings, community debates etc.
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Training
health sector workers and those of the other sectors
in undertaking the identified tasks from
resource sharing to
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ISSUE UNICEF’s experience in promoting a childfriendly approach to local governance… through development of four essential tools: 1) the Local Development Plan for Children, 2) the Local Investment Plan for Children, 3) the Local Legal Code for Children and 4) the Local Annual State of the Children Report In addition, emergency preparedness and response is best handled at local level
EXAMPLE: TRAINING FOR LOCAL GOVERNANCE
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Build the community’s capability for problem-solving, decision making and collective action
while developing and strengthening its own networks
Community
Organizing
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Babies
…Implementation required to identify and utilize village communication networks, train field workers, locate and mobilize opinion leaders, activate link persons, establish rotating peer group discussions, provide information and supplies at meetings .
“ Communication initiative Social Mobilization
Mobilization of communities should focus on building confidence, trust and respect, increasing knowledge base, and enabling community members to participate, and become more proactive with regard to their own health behavior.”
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o       Organization of information into arguments used to persuade or convince a specific group of people to take necessary action on a specific goal.
o    Involves the generation and utilization of reliable information to help national leaders, policy makers, and decision makers to help adopt necessary policies or programs.
Advocacy
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1. Study the key actors, particularly their needs
2. Establish mutual trust – cite mutual benefits, substantiate arguments with good examples
3. Provide positive reinforcement to sustain collaborative work
 
Indifference/ lukewarm response
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HOW
 
Impatience to accommodate and act on inquiry/ request
Indifference to initiate contact and follow – up ‘ningas cogon’; manana habit, neglect of appointments;
Inadequate preparation of community leaders before visit to GO/ NGO offices
Arrogance, aggravate community’s timidity/ lack of self confidence
Parochial context ‘Padrino’
Non-government Orgs
Government Orgs
Lack of knowledge of agencies assistance / procedures to avail of services
 
 
Newsletters, publications
Big Visit: Visits by national/ international leaders
Little Bang: “Kapihan”
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HOW
Four Basic rules in communication strategies.
Know the culture of your audience
Do not overload people with Data
People’s Preference for Testimony (Statistic of One)
Know the issue – roots of problem
Be as specific as possible in your call to action.
Slogans and Mascots: Packaging Campaigns
Let’s DOH it ! Dr. Juan M. Flavier pp 140- 144
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Few basic things that the private sector looks for in any partnership...
First, they want control of their own resources
Second .. is imagination and creativity.
Third… They look for a program’s potential benefit and advantage to themselves
Let’s DOH IT!
Dr. Juan M. Flavier
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o  Improve the implementer’s efficiency in advocating and mobilizing action (Monitoring)
Determine the effectiveness of the program (Evaluation)
Monitoring
Evaluation
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3. Shared ownership and responsibilities for health program
4. Capacity for joint planning, implementation and evaluation of health development program
5. Capacity to make effective and assertive presentation of programs to decision makers
SO WHAT
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Decision makers have to be aware that an Abundance of Resources and Technology does not guarantee good health
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it is up to governments to create an enabling environment in which civil society can participate. 
Measures that encourage such an environment include legal recognition, tax incentives, and agreement on the ground rules for accountability and transparency, and participation in decision making.  (Social Mobilization , Aids)
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International: Policy/ Program
Traditional/religious
- Comprehensive development policy; documented health status goals of children and mothers among stated prioritites
- Health policy; intersectoral and community involvement strategy objective
Public Agenda Setting
Resource commitment
International Council for the Control of Iodine Defiency
Designated Responsible Officers
Proper Orientation and Training
Manpower resources and skills
Advisory committee, Implementing committees
Organized and Demonstrated Intersectoral Support: Commerce, Industry, Agriculture, Education, Media, Sports Culture
Alliances
Professional support from NGOs, religious civic groups, women’s organiztions
Collaborations
Community decision input and participation
- identified community groups/ organizations
Evaluation
Individuals can break free
by stopping smoking, if necessary with the help of smoking cessation programs.
Families can break free
Communities can break free
by supporting legislation and ordinances of local governments that ban smoking in public places and ban advertising.
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The media can break free
by insisting that the issue of tobacco control is one that belongs to the arena of public policy.
The Department of Health and the World Health Organization are committed to supporting smoking cessation programs that are available, affordable and accessible.
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Countries can break free
by supporting national legislation such as SB 1554: STOP FOR HEALTH ACT (STOP TOBACCO AND OTHER PRODUCTS FOR HEALTH) that will restrict the legitimate use and sale of tobacco in the interest of public health through WHO's INTERNATIONAL FRAMEWORK CONVENTION FOR TOBACCO CONTROL (FCTC).
Together we can break free from this epidemic of addiction and disease.
Support this signature campaign by signing up now!
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Concerned with the ill effects and evil threats of tobacco use and its advertisements as well as the conspicuous sale of cigarettes to minors, we are affixing our signatures hereunder to manifest our pleadings to our legislators and other authorities
to enact a law that would prohibit cigarette and other tobacco product advertisement and its sale to minors; and
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- to support Senator Flavier's bill 1554: Stop for Health Act (Stop Tobacco and Other Products for Health) and the international framework convention on tobacco control (FCTC). …
or its equivalent in Filipino: "Warning" Cigarette Smoking is Dangerous to your Health". ...
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Sept 2003 UNICEF
The project activities
Begin with a child-led process of risk mapping and community mobilization. Groups of 8-10 children (7-12 years of age) and youth (12-18 years of age) draw a map of their village and locate the places that are dangerous or where accidents happen to children.
2. Then they choose the top two risks to young people and present their findings to village adults by means of a role play, which typically evokes keen interest and animated discussion.
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The project activities
3. Adults and young people who show strong interest in helping and who represent different groups in the community then form a CWBC.
4. Initially, the CWBCs focus on reducing physical risks such as open wells, landmines, or lack of public latrines for women.
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.
5. With additional experience and training, however, they also address emotional and social risks such as stigmatization, hopelessness, or continued association
of young people with a local commander.
6. The CWBCs also monitor children’s wellbeing and risks by means of a Child Protection and Monitoring Tool developed by Save Alliance with input from many partners.
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1) to reach the hard to reach,
2) improve district performance,
Civil society organizations
1990
2003
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FILM-MAKERS
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Wilmot a young Liberian boy describes the impact of war on children at a UN Security Council Meeting on Children and Armed Conflict. At the conclusion of the meeting, the Security Council committed to redoubling its efforts to protect children, affected by armed conflict, condemned the targeting or exploitation of children in armed conflict…
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3.Social mobilization and long term political sustainability of the Social Determinants of Health agenda, which is being organized through an extensive civil society lead process
Due 2008
health issues at 59th WHA
A delegation of People's Health Movement (PHM) activists attended the 59th World Health Assembly of the World Health Organization in Geneva in order to advocate relevant issues. They threw their support behind a proposed global framework on essential health research and development
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Not merely the absence of disease
SOCIAL MOBILIZATION
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A LEVEL OF HEALTH THAT PERMIT PEOPLE TO LEAD SOCIALLY AND ECONOMICALLY PRODUCTIVE LIVES
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