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INTERSECTORAL COLLABORATION (ISC) FOR ACCELERATED HEALTH IMPROVEMENT IN GHANA

INTERSECTORAL COLLABORATION (ISC) FOR ACCELERATED HEALTH IMPROVEMENT IN GHANA. A DISCUSSION PAPER PRESENTED AT THE HEALTH SUMMIT AT GIMPA: 19 – 23 NOV. 2007. DR. YAO YEBOAH. METHODOLOGY Review of Relevant Literature Key Informants Interview MDAs Covered: Min. of Food & Agric.

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INTERSECTORAL COLLABORATION (ISC) FOR ACCELERATED HEALTH IMPROVEMENT IN GHANA

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  1. INTERSECTORAL COLLABORATION (ISC)FOR ACCELERATED HEALTH IMPROVEMENT IN GHANA

  2. A DISCUSSION PAPER PRESENTED AT THE HEALTH SUMMIT AT GIMPA: 19 – 23 NOV. 2007 DR. YAO YEBOAH

  3. METHODOLOGY • Review of Relevant Literature • Key Informants Interview MDAs Covered: • Min. of Food & Agric. • Min. of Water Resources, Works & Housing. • Min. of Local Gov, Rural Dev. & Environment. • Ghana Education Service

  4. National Dev. Planning Commission (NDPC) • Christian Health Association of Ghana (CHAG) • Ministry of Health • Ghana Health Service • Food & Drugs Board

  5. OPERATIONAL DEFINITION OF INTER-SECTORAL COLLABORATION Collaboration: • An Invitation to Participate • Consensus Building • Promoting the building of Strategies • Facilitating Coordinated Actions • Bringing Resources for Mutual Benefit • Inter-dependence

  6. INTER-SECTORAL FOR HEALTH Includes: • MDAs • The Private Sector • Development Partners • Civil Society • Religious Bodies/FBOs • NGOs • CBOs & The Local Community • The Mass Media

  7. ISC FOR HEALTH DEFINED A voluntary alliance or cooperative working relationship of Parties who are committed to share responsibilities, resources, risks and benefits based on transparency and mutual trust in a mutually interdependent fashion to improve the Health Status of a defined population.

  8. LIFESTYLE/BEHAVIORAL FACTORS Values, Beliefs, Knowledge, Attitude, Practice, Health Seeking Behaviour • FIGURE 1. DETERMINANTS OF HEALTH GENETIC/HEREDICTORY/ACQUIRED FACTORS • HEALTH SERVICE FACTORS • Policies • Programs • Organisation • Financing • Delivery • Regulation Household & Community Health • ENVIRONMENTAL FACTORS • Governance • Global Community • Culture • Infrastructure • Income • Food/Nutrition • Water • Sanitation • Education • Security • Housing

  9. Some Reasons why Past Efforts at ISC for Health did not work well: • Health is not considered as a key factor in Development • Health Services are perceived as Health & the prerogative of MoH • Vertical Health Programmes • Health Sector alone should Fund ISC • NDPC not well resource to Lead ISC • No Incentives for ISC • DA Act 462 & GHS Act 525 • DAs not adequately oriented on ISC.

  10. ISC FOR HEALTH – THE WAY OUT • MoH – Lead the process & Invest more in Advocacy • Bring on Board MDAs like Food &Agric., Local Gov.,Water Resources, Works & Housing, Education, Roard & Transport, Standards Board. • Re-define ISC to include Private Sector, Dev. Partners, FBOs, NGOs, CBOs, Mass Media etc. • MoH invest in changing the mind-set on Health & ISC

  11. MoH lead in organizing Stakeholders Consensus Building at National, Regional & District Levels • Govt. build the Capacity of NDPC to lead ISC for Health • Cabinet lead in the formation of Inter-Ministerial Committee on Health & Dev. (IMCHD) • MoH & GHS use existing structures & mechanisms at Regional & District Levels for ISC. • Gov. make Policy on Food Safety • GHS lobby DAs to form District Health & Dev. Planning Committees for ISC.

  12. THANKYOU!

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