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
 1975 - Creation of a nation-wide village
volunteers system to form the
backbone of the National Primary
Health Care Programme
 1982 - 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
Community Community
manpower organisation
Community
Financing
system

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.

8. PATHWAYS TO IMPROVED OUTCOMES
Healt h out Households Healt h syst em Gover nm ent
com es com m unit ies & ot her policies &
sect ors
or s act ions
Household Health
behaviours service
& risk supply Health
factors reforms
Other parts
Health Household of health
outcomes resources system
Actions in
Supply in other
Community related sectors
factors sectors

9. Delivery of Health Services
 Equity
 Rightbased approach
 Responsiveness
 Community mobilisation &
empowerment

10. What is new
 Politicalleadership
 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
1. To prepare integrated village development plans
with community participation targeting all
development efforts to achieve a common
objective
2. To make opportunities for the rural community to
participate actively in their economic, social,
cultural and spiritual development efforts
3. To organize and empower rural community to
ensure their total commitment and contribution in
the development process
4. 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.)
5. 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.
6. Simultaneous rural livelihood development, with
infrastructure development for economic
resurgence and social development

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

19. GAMA NEGUMA Community
Activities (contd.)
5. Preparation / updating of profiles of families and village
resources
6. Co-ordination of financial allocations for project
proposals
7. Establishment of suitable mechanisms for
implementation, evaluation and review of development
projects
8. 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. 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