Kerala People’s Campaign for Decentralised Planning Dr. Joy Elamon is executive director of the Kerala Health Studies and Research Centre (an NGO) which has its office in Trivandrum. Dr. B. Ekbal (hyperlink) is a Health Activist and Neurosurgeon. He was recently appointed Vice Chancellor: of the University of Kerala, in the capital city of Trivandrum. Kerala University is the premier institution of higher learning in Kerala, a state of India with 31 million inhabitants. 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

Implementation 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

High Health Status Low Economic Development Kerala Model of Health High Health Status Low Economic Development

Good Health at Low Cost Good Health with Social Justice Kerala Model of Health Good Health at Low Cost Good Health with Social Justice

Kerala Health Model From Success to Crisis 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 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 Health Care institutions to local bodies Power and resources transferred Mandate to plan and implement locally Human resource development

Decentralisation and Health Sector: Achievements 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 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 School Mental Health Programme Teenage Marriage Prevent ion Mental Health Survey Suicide Prevention Dementia Care Pain and Palliative Care

Nedumangad: Municipality Model Hospital Development Infrastructure Blood Bank and Mortuary Fair price medical shop Hospital Sanitation

Chembilod: Grama Panchayath Study on Gender Status in Health Local Women’s Health Cell Sex Ratio Education Status Sanitation, Toilet and Bathing Facilities Household work burden Health Care Facilities Health and Sex Education