The Vrinda project 

Script

The Vrinda project    index-                           

Documentary Script Episodes

The Vrinda Handbook

Issues
Projects
Backstage

Pundits
MDGs presentations
Countries presentations

 

 

Episode 5 - MDG 5: Improve maternal health 

 

Issue 8 -
What did we learn from the projects about coherence and incoherence of international policies?
How to achieve Policy Coherence for Development.?
How to design and manage successful cooperation programmes?

 

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Video

audio

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To be recorded

 

Backstage

Stefano asks  e Vrinda replies

 impact

 

To be recorded

 

   

Goal 5: Improve maternal health

 

Each year, hundreds of thousands of women die of childbirth in developing regions. The number of women dying of childbirth in the poorest countries is 200 times higher than those dying in developed countries.

The MDG 5 is about reducing maternal mortality rates through greater access to reproductive health services, reducing adolescent birth rates and promoting the use of contraceptives.

The inability of some governments to provide free basic medical services not only impacts the health and mortality of its citizens but also their wealth since they have to spend much of their money on health.   

The target set for this goal was to reduce the annual maternal mortality by 5.5.%. Due to insufficient funds for actions taken to achieve this goal, the current decline in the annual mortality rates is less than even 1%.

 

 

 

 

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 Vrinda explains  what are the challenges of  

 

 

    Manoj Kumar Country Director of Concern Worldwide 

was interviewed  by Stefano De Santis on December 2010   in River N 2, Freetown Peninsula, Sierra Leone.

  •  What is Concern  (and who is Manoj): "Our prime partners are the communities themselves. The entire focus of Concern is build capacities of the most vulnerable communities"

  • NGO role and challenges

  • The factors creating poverty    "When we are talking about access to resources, we are talking about access to resources that are available in the country...and optimization of resources"

   

 

 

Concern  project

Sierra Leone - Primary Health in Matholley Village

Sierra Leone - Primary Health in Matholley Village

 

 

 

 

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 The participatory approach

 

 

    Jyoti Sapru      

 

 

Aidos  project

 Syria - Counselling Centres for Women - Damascus

 

It is rare to find counselling centres for women in Syria. And even rarer to find centres where women can receive assistance that ranges from legal counselling to pre-natal and post-natal assistance. The counselling centre that we visited in Damascus was established in 2005 by AIDOS, an Italian non-government organisation, in cooperation with the Syrian Family Planning Association and funded by the European Commission. AIDOS works for the economic empowerment of women and promotion of women's rights across the world. In Syria, its program aims at improving the physical, psychological and social well being of the Syrian women.

 

Lola who is a Syrian lawyer working in women’s rights and Valentina, the project manager for AIDOS, accompanied us to the counselling centre, called the Halbuni clinic. Here, educated Syrian women - lawyers, doctors, students, health counsellors, assist other women to know more about their rights, in better child care, combating domestic violence, resolving conflicts in marriages, and accessing justice. The presence of women staff encourages women to avail the services of the centre since they find it easier to communicate their problems to other women. Through pregnancy and post-natal monitoring, counselling on family planning, sexual behaviours, and HIV/AIDS, the Halbuni Clinic provides gynaecological counselling to reduce maternal and neonatal mortality. Here, the AIDOS team conducts individual and group counselling, community-based workshops, home-visits and formal training courses for women. The centre serves the needs and rights of women - young and old, married and single, from urban and rural Damascus.

 

This counselling centre is based on a model that AIDOS has successfully tested over the past decade, in six other countries - Gaza Strip, Jordan, Venezuela, Argentina, Nepal, Burkina Faso. In all six countries, the centres established by AIDOS are successful and have become focal points for women’s assistance and counselling. The centre has now been handed over to the Syrian Family Planning Association and is being supported by the Syrian government.

 

 

 

 

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 Aid effectiveness: Evaluating the impact of aid

 

 

 

 

 Syria - EC-Syria Cooperation Day

 

 

 

 

 

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 How do we Monitor and Evaluate Projects and Programmes?

 

 

 

 

 Backstage - Italy 2 - At the RAI studios in Rome 

  Backstage - Italy 2 - At the RAI studios in Rome 

 

 

 

 

Special Tg1 on Syria

 

 

 

 

 

Backstage - Italy 1 - Armadilla Office in Rome

Comments on the TV7 seen

On the Armadilla studio

 

 

 

 

 

Olivier Consolo  the Director of CONCORD,      

 

 

 

 

Development Education

Select the right passages

·         Lappalainen - Etikwa Ikutu -talking of disaster but not on prevention

·         Lappalainen - Etikwa Ikutu - Media (and ONGs) stereotypes and the resulting disinformation

·         Lappalainen - Etikwa Ikutu - Media (and ONGs) media uninterested on the real policy issues – why?

 

 

    The Vrinda project approach:  keeping the plurality of the points of view without establishing a final “truth”.  Is it possible in television?  Is it better done with the Web media?      

 

 

 

 

 

 
Testimonials
Jean Drèze  Is a development economist teaching and working in India. He was interviewed in Allahabad, India on the 23rd February 2011

Growth will not take Care of Social Welfare

Q: The general perception of media people about India is that India is growing and they expect this growth of the economy to gradually pull the people out of the poverty. And this is a good thing, because it is a natural growth, and if we interfere with that growth, if we take away the resources from this growing business and we give directly to the poorer, that means we involve the State. And the State is very famous for corruption, inefficiency. So, if we let the spontaneous growth where the business is driving, it will percolate down to everybody. If instead we divert the resources to assist the poor person, it will drag the growth. What do you think about it?

A: I think your …. of the mean stream …..of lead … of what is happening is quite correct. There is a doing well in growing and things will take care themselves. But I thing it is really disconnected from reality and if you look at the progress of social indicators and the space of poverty reduction in the last twenty years when India has being enjoying… growth, it is being really dismal for them, (for the nutrition) indicators and barely improved over twenty years of rapid growth. Is not that things are not improving at all, they are improving, I mean after all even in war time people’s living condition sometimes improves. So the fact that they are improving is not a vindication of the current (economic) policy. The policy is how fast are improving and what is the living condition of the people still today. And I think if you look at the experience, when you look at the (competitive) experience of (the States) in India, you look around in South Asia, you compare India with China or you look even at the historical experiences of the rich Country, of the so called capitalist Country of today, the message comes again and again, that if you want rapid improvement in people’s living condition, in education, heath, nutrition and so on, than there has to be a huge amount of State involvement and a fair politic intervention. That comes out even in the history of the rich Countries, look at the health care systems: all of the so called capitalist Countries of western Europe and North America, with the partial exception of the United States, have hugely develop health care system with virtually universal accesses and the share of public health expenditure in total is very large, usually more than fifty percent going up to eighty or ninety percent, in some Countries, where in India the share of the public sector in health expenditure is only about fifteen to twenty percent. Even in the … Socialist Countries. So whether you look at those historical principles or you compare India with China or even with the South Asian neighbours, whether you look at the comparative experiences within India, for example with the State of Kerala, which was, not so long ago, as poor as most of the States in India, but vastly better social indicators, in terms of life expectancy, of child mortality, of education, of nutrition and so on, or the States like Himachal Pradesh in the north of India which now has good indicators as Kerala, in spite of being very poor, not so long ago, you look at these comparative experiences is the same issue again, that public intervention is fundamental if you want to achieve rapid improvement in living conditions and development in the full sense of the term. And I think today there is a great danger of forgetting that historical lesson, and of having this illusion which you are describe very well, that growth has to solve all the problems. And if we count on growth alone, I think we are going to see the continuation of these really small patterns, where the minority of the population is enjoying transformation of living conditions they would not dreamed of twenty or thirty years ago, while, for the large majority of the people, things will continue much as before. We called it the welfare state and it has a kind of paternalistic (ring). Don’t call it welfare state, call it social solidarity, call it we will bring every one at least to have unconditional access to the basics, to health, to education, to social security, some form of nutrition support. These thing has to be provided through some kind of political intervention. There is no alternative to that 

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see full interview: http://www.youtube.com/playlist?list=PL46EDF7CD88112E51  

 

 
 
Testimonials
Julian Parr,  Regional Manager, South East Asia for Oxfam GB.

What are the factors establishing Coherence for Development?    It's about supply and demand. There is no point in putting together a robust act or legislation to bring about change if you cannot implement the act. You need to educate the population.  If you look at the domestic violence bill against women, there is not point in educating a population of what their rights are if those rights are not supported and recognized by police station, by local magistrates, you have almost achieved nothing. In fact, you have given knowledge out, but you have raised exceptions to that without any realization of change and that will create frustration.  The challenge is to look at both sides of the value chain... so you have to look at national and state policies but in order for them to be effective  you need to educate the public about their rights and the access to their rights.

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see full interview: http://www.youtube.com/playlist?list=PLF143F55954667298

 

 

 
Testimonials
Jyoti Sapru was interviewed by Fausto Aarya De Santis in May 2010  in New Delhi, India
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see full interview: http://www.youtube.com/playlist?list=PL8D888077C6583305

 

 
 
Testimonials
Montek Singh Ahluwalia is the Deputy Chairman of the Planning Commission, Government of India. He was interviewed in Delhi on the second week of April 2010 by Fausto Aarya De Santis
  • Why do you think certain governments in the world are steadfast in their commitments and others aren't?  We are committed to our goals. MDGs is an UN terminology; if you want to describe our goals as MDGs that is a different issue. I'm making this distinction because in our program we acknowledge the importance of MDGs but we don't call this a commitment because of MDGs... this has been a been part of our planning process for years. Across the world some governments are commitment some our not; in our own country also some state are committed and some are not. Ultimately in a democratic environment whatever a government does is because that is what the people who elected it wanted it to do... because if the government recognizes that if carries on doing this it won't be elected again, it won't do it

  • Does the Government give importance to the inputs and suggestion given by Civil Society? It listens all the time, but what do civil society organizations have to suggest? Usually their suggestion is:  (a) You must have involvement with the local community. We completely agree with that. The central government keeps telling the state "please empower your local community". The central government doe snot have the power to do that, only the stare government has. (b) You should involve the NGOs, and we agree with that too. When good NGOs get involved they improve the quality of implementation and we encourage people to involve good NGOs. But the central government cannot start saying that this NGO is better than that NGO; it is the local body which controls the decision which has to choose the NGO. The problem is that if local bodies don't want change they will surely not choose NGOs which want change... that is social capital, social harmony.

  •   Difficulties in achieving Human Developments Goals in a Democracy  You must not think of setting right defects as a mechanical task. Many of the human development goals can be achieved top down in an Autocracy, because you can just enforce things. In a democracy you cannot do that. The other way you do that is social mobilization and social pressure. That requires participation, empowerment, capacity building and social homogeneity.

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see full interview:   http://www.youtube.com/playlist?list=PL073E7C62882137D9

 

 

 

 

Testimonials

A.K. Shiva Kumar Is a development economist and Adviser to UNICEF, India. He was interviewed in New Delhi, India on the second week of February 2011 by Stefano De Santis

  • 4   When you invest in public institution, the faith of people goes up    These are the very investments, better health, better education, better nutrition, that you need to accelerate economic growth. The traditional way is to see that when countries become more richer, people will have more income with which to buy more food, more housing, better education and so on and so forth. But there is a very strong connection the other way. Unless the people’s health condition improve and education improves, you are not going to be able to improve productivity and growth.  India spends 5% of GDP on health, which is what China spends, what Thailand spends, that many countries spend. But what is striking about the patterns of health expenditure in India is: 1% is spent by the Government and 4% is private out of pocket. This percent is unusual in most developed countries, if you go to Europe it is the opposite; 80% is covered by the government and 20% is out of pocket. So if you trace back on why is India doing so poorly and why are these MDGs on health so fundamental, I would say, because the Government of India, like in basic education, public spending is one of the lowest in the world. Government of India has committed to increase public spending from 1% to 3% of GDP, they made the commitment in 2005 but we have hardly gone to 1.2% of GDP.  (importance of investing in the government and the responsibility of the government to provide for basic needs and rights)
    Faith of People in the Government is reinforced by greater investment in it facilities.  In 2005 India launched something called the National Rural Health Mission. And here again you find that in the last 5 years, a great increase the utilization of public health facilities. When you invest in public institution, the faith of people goes up. (example of his faith in Government Health System and People). We are always doing this, check with the government first, get the diagnose right and then get a treatment from the private sector. So the faith of people in the government is phenomenally high and, I think, the government needs to realize that that faith will be reinforced , needs to be reinforced and strengthen, but only if they are accountable.  You cannot talk about development without talking about corruption.  The second problem, if you ask anybody is corruption. And that today across the world you cannot talk about development unless you talk about corruption. I often ask the question, yes, corruption is important; but do you think corruption really accounts for differential performances across countries? So if you take a table and say, here is China, here is India, here is Nicaragua, here is this this… why are the level of life expectancy, opportunity of schooling or maternal mortality rates so different? Can corruption explain the differences across these nations? And I ask these questions always, can we explain, in a way, the difference in human development outcomes only because of corruption? The answer is certainly no. But having said that, it’s equally important for us to say that public resources are very scares, especially in developing countries like India, these public resources must be used efficiently, must yield effective outcomes, must be invested in sustainable initiatives … so how do you ensure that and why is it not happening?

  • A.K. Shiva Kumar 5   How do we Monitor and Evaluate Projects and Programmes?

 

see full interview:  http://www.youtube.com/playlist?list=PLF5005627AE37A91A

 

 
 
Testimonials
Anurag Behar was interviewed in Bangalore, India on the first week of March 2010 by Fausto Aarya De Santis . At that time he was is the Co-CEO of the Azim Premji Foundation and the Chief Sustainability Officer of WIPRO  and the leader of the sustainability initiatives of Wipro

if there is a coherence then there will be sustained good effect and if there is no coherence, then there will be sustained good effect. If there is no coherence then there will only be replication. I think at the core of this there are two issues and they are inter-related: - The first issue, and it applies to all the stakeholders: civil society, government, corporate, etc. is that of an openness of mind about intentions, about trust. Too long have we looked at each other as adversaries. We think that the government is bad, the government does not do. Somebody in the government might think that the civil society people are here only to protest and the only thing they know is the activist form of doing things and they cannot contribute. This atmosphere of miss-trust is the first thing that has to be eliminated because that is the heart of the second issue, which is - That if you have mistrust you don’t have dialogue. If you have trust that which builds continuous dialogue, I think that is the simplest, and I would say it is the only mechanism, which makes sure that we are not doing the same thing over and over again with very limited success, but that we are doing things in a coordinated fashion, we are doing things which are complimentary and supplementary, rather than repeating the same things. 

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see full interview: http://www.youtube.com/playlist?list=PL172C9F96542248DD

 

 

 

 

 

 

Testimonials

Manoj Kumar  Country Director of Concern Worldwide  was interviewd  by Stefano De Santis on December 2010   in River N 2, Freetown Peninsula, Sierra Leone.

  •  What is Concernn  (and who is Manoj): "Our prime partners are the communities themselves. The entire focus of Concern is build capacities of the most vulnerable communities"

  • NGO role and challenges

  • The factors creating poverty    "When we are talking about access to resources, we are talking about access to resources that are available in the country...and optimization of resources"

Image:Media.png

http://i3.ytimg.com/vi/279Lxmaz3MQ/default.jpg

see full interview: http://www.youtube.com/playlist?list=PLB670B648F6840C29

 

 

 

Testimonials

Dilip Kumar is the Founder Member of Pravah. He was interviewed on the 3rd of April 2010 by Fausto Aarya De Santis

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see full interview:  ttp://www.youtube.com/playlist?list=PL1BF1E6742830DB62

 

 

 

Testimonials

Danièle Smadja is the EU Ambassador to India. She was interviewed in Delhi on the 12th May 2010 by Fausto Aarya De Santis 

What are the factors which create poverty?  The first two things which come to my mind, since i am in India is 'Inclusion'. What strikes me here is that even thought there is a very high economic growth for many years but they do not manage to make the benefit of this growth inclusive and as a result there are 400 million people under 1 dollar a day. The second thing is education. So many people are uneducated, the illiteracy rate is quite high. In addition to this there are also so many disparities between people. There are other factors too, but inclusion and education are the most important which come to my mind. 

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see full interview:   http://www.youtube.com/playlist?list=PLAD2368FBDC1A2719

 

 

 
Testimonials
Jyoti Sapru was interviewed by Fausto Aarya De Santis in May 2010  in New Delhi, India
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see full interview: http://www.youtube.com/playlist?list=PL8D888077C6583305

 

 

 
Testimonials
P. Krishna is the Rector of the Krishnamurti Foundation India, Varanasi. He was interviewed in Delhi on the 24th of March 2010 by Fausto Aarya De Santis
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see full interview: :http://www.youtube.com/playlist?list=PL19CD1F8E78885101