1. Prosperous Village Programme
Jathika Saviya & Gama Neguma Programme

2. Government of the people by the people for the people
- Abraham Lincoln

3. Thailand Experience
1960s - Initiation of community participation in health development programme through village volunteers
Creation of a nation-wide village volunteers system to form the backbone of the National Primary Health Care Programme
village self managed Primary Health Care Programme
1983 “Basic Minimum Needs” programme to improve the quality of life of people

4. “Basic Minimum Needs” Programme
Slogan “ Health is a part of socio-economic development”
Village is the key development unit
Eight basic minimum needs with 32 indicators
Management of micro development projects by the people
Inter-sectoral action
Health
Agriculture
Education
Interior

5. Pillars of Self-Reliance in BMN

6. Experiences of Other Countries
China
Community led management
India
Kerala
Tamilnadu
Indonesia
Women’s organisation

7. Sri Lanka Change agent programmes
Participatory rural development programmes
Family health action programme - HEB
Mahaweli volunteer programme
Model health village programme - Anuradhapura
Mother’s society programme – Hambantota
Sabaragamuwa Suwasetha – Ratnapura
ECCD community action plans
Etc.

9. Delivery of Health Services
Equity
Right based approach
Responsiveness
Community mobilisation & empowerment

10. What is new Political leadership Holistic approach
Spiritual development
Infra structure development
Social and economic development
Participation of the community
Janasaba concept
Cost reduction by using local manpower, other resources and technology

11. “GAMA NEGUMA” Development Programme
A project of paramount importance as envisioned in Mahinda Chinthana.
Ministry of Rural Livelihood Development co-ordinates with line Ministries, state institutions, provincial councils, local government bodies and community based organizations with the active participation of the rural community
Planning and implementation commenced on 24th March 2006

12. Vision
To develop the village as the centre of national development

13. Mission
To create comprehensive development in the villages through a network of community based organizations formed in the rural community with active participation of its members and to implement them with proper coordination and transparently

14. Objectives
To ensure community participation by motivation, organization, and community empowerment for total development of the rural community based on self reliance
To introduce a formal mechanism for participatory decision making and project planning at village level
To obtain optimum benefits from the development programme by implementing integrated village development plans to avoid duplication

15. Objectives
Co-ordination of human resources which is crucial for rural development, other rural, and external resources, through an efficient mechanism of resource allocation
To introduce a results based participatory progress review and evaluation mechanism at village level
To ensure improvement of living standards of the village communities through development of the physical, economic, social and cultural environment
To create total development of the village under a community based, planned development programme

16. Development Strategy
To prepare integrated village development plans with community participation targeting all development efforts to achieve a common objective
To make opportunities for the rural community to participate actively in their economic, social, cultural and spiritual development efforts
To organize and empower rural community to ensure their total commitment and contribution in the development process
To pool all resources utilized in village development, and implement productive transparent integrated village development plans for proper co-ordination at village and divisional level

17. Development Strategy (contd.)
To transform the rural community to a group of activists with ideological and comparative thinking abilities and enhance self determination by developing their abilities and skills demand for sustainable development dependant on self help, while changing the subsistent mentality with an orientation towards achieving targets.
Simultaneous rural livelihood development, with infrastructure development for economic resurgence and social development

18. GAMA NEGUMA Community Activities
To educate all state officers at village level and the rural community on GAMA NEGUMA Development strategy
To identify village level problems, disparities, local resources, livelihood development, opportunities using surveys of resources and information, the methodology of participatory rural appraisal
To establish a data base of
Rural needs
Rural resources / scarcities
Identification of required external assistance
Preparation of rural development plans

19. GAMA NEGUMA Community Activities (contd.)
Preparation / updating of profiles of families and village resources
Co-ordination of financial allocations for project proposals
Establishment of suitable mechanisms for implementation, evaluation and review of development projects
Co-ordination of institutions involved in project implementation with Divisional and District Secretariats.
9. Establishment of ‘JANA SABHA’

20. JANA SABHA
The principal organization responsible for implementation of ‘GAMA NEGUMA’
A JANA SABHA will be established in every village with the participation of
- religious leadership
- community based organizations
- political leadership
- state officials
- rural community
Drafting of statutory laws for establishment of JANA SABHA is in progress

21. Community Action Planning Model
‘Janasaba’
Training of Community Health workers
(Praja Saukkya Sevika)
Assessment of the needs
Decide on the objectives
Assessment of the available resources
Identify the activities & responsibilities
Identification of resources & time-frame
Develop an action plan for holistic development
Implementation & coordination
Directing & logistics
Monitoring and evaluation

22. Five Precepts of Sanitation
Ensure access to supply of safe water and the use of boiled cooled water to drink for all
Ensure home gardening of the households
Ensure sanitary disposal and recycling of waste
Ensure the use of sanitary toilets by all including children
Ensure a clean, smoke free house with adequate light & ventilation

23. Maternal and Child Health
Ensure adequate care is received by mothers and children
Ensure proper nutrition including breast feeding and complementary feeding of children
Assist in conducting Growth Promotion centres and MCH clinics
Follow-up of advice given by health workers to ensure health of mothers and children
Assist the health education programmes conducted in the community

24. Maternal and Child Health
Ensure adequate post-partum care is received by the post partum mothers
Ensure all the children are receiving adequate early Childhood Care for their optimal growth and development
Assist in providing / strengthening of infrastructure, equipment and consumables
Promote child friendly environment within the family and the community
Prevent child abuse
Ensure adequate participation of male in MCH care

25. Environmental health Assist health workers in educating the community
Monitor the adequacy of the measures taken by the community to prevent communicable diseases in the community
Assist prevention of communicable diseases including diarrhoeal diseases and dengue
Inform health workers on the spread of communicable diseases promptly
Develop the occupational settings in the community to be health promotive
Create an animal friendly environment by motivating people to care responsibly for the animals such as dogs and cats by facilitating immunisation of the dogs, family planning & encouraging caring practices etc.

26. Food Hygiene
Assist health workers to educate workers working in food processing establishments and people about proper food hygiene
Monitor food hygiene of the food processing establishments
Promote locally available home based food

27. Prevention of Non-Communicable Diseases
Assist health workers in educating public on non- communicable diseases
Ensure prevention of abusive substances such as alcohol and tobacco in the community
Ensure reduction of home and other accidents
Promote mental health and prevent suicides in the community
Assist health workers in screening the community for non-communicable diseases and referral of the patients
Follow-up of patients with non communicable diseases to prevent complications

28. Promoting Health of the Youth
Promote health of youth by forming youth clubs and sport clubs
Facilitate empowerment of youth to improve their own health
Create supportive environment for development of youth in the community

29. Care of the Elderly
Promote health of the elders by facilitating day care centres
Facilitate empowerment of the elders to improve their own health
Create supportive environment for the care of elders in the family and the community

30. Rehabilitation of the Differently Abled Persons
Assist health workers in rehabilitation of the differently abled persons
Facilitate services provided by the Department of Social Services, other sectors and NGOs to improve the health of differently abled persons
Facilitate income generating activities by differently abled persons to improve their status of living

31. Other Social Development
Facilitate other social and economic development of the community to improve their health
Liaise with other sectors and NGOs to improve social and economic development

32. Improve Access to Health Services
Filling of the vacancies of the public health personnel in selected villages
Ensure easy access to MCH clinics
Ensure basic facilities in PHC hospitals and easy access to high quality curative care
Filling of the vacancies of PHC hospitals
Screen people for chronic diseases
Follow-up of people with chronic diseases to ensure regular treatment

33. Improve Access to Health Services
Ensure access to health information through planned regular health talks, night film shows etc.
Ensure access to screening of school children and proper follow-up to ensure proper care
Promote the school as a health promotive school and empowerment of school children through school health societies

34. Next step Educate all MOOH and district level staff - Feb.2007
Survey of physical infrastructure/ equipment needs of the selected villages – Feb. 2007
Develop an action plan to improve physical infrastructure with a budget – Feb. 2007
Communicate infrastructure development plan with the Janasaba, local political leadership and Divisional Secretary – March. 2007
Training of Community health workers
Family survey – Feb-March. 2007
Formation of a Janasaba sub committee on health
Develop an action plan for the holistic development of the village – March 2007
Implementation of the action plan – March – Dec 2007
Monitoring and review
Monthly review of the programme at the Janasaba sub committee on health
Monthly conference
Monthly review at the Janasaba meeting
Monthly Divisional level meeting
Monthly District level reviews of the health sector
Monthly District level meeting with the District coordinating committee
Bi-monthly Provincial level reviews

35. Ministry of Healthcare & Nutrition
Coordination of Jathica Saviya and Gama Neguma at national level
Issuing of policy direction
Conduct quarterly review at National level
Participate in Provincial level review programme

36. We have done it ourselves !
Go to the people
Live among them
Learn from them
Love them
Start with what they have
Build on what they have
But of the best leaders
When their task is accomplished
Their work is done
The people all remark
We have done it ourselves !
- Ancient proverb