
Public health dialogue on public health issues is becoming increasingly important today in the world. Health which is the most buzz word today in the domain of global development agenda remains largely the principal factor for human progress and prosperity. If we look at the Millennium Development Goals, out of the eight four MDGs such as: 1) reduce child mortality rates, 2) improve maternal health, 3) Combat HIV/AIDS, malaria and other diseases, and 4) ensure environmental health and sustainability; fall within the purview of health. And global partnership for development (MDG 8 ) is the synergising factor for realisation of all MDGs.
If one analyses this reality, it would not be inapt to state that health is not only the local issue but also the global phenomenon, the improvement and attainment of which would determine the local as well as global progress. Nationally and internationally the UN bodies, governments, aid organisations, local NGOs and civil society organisations employ different strategies and deploy sizeable amount of financial as well as human resource to address numerous health issues. “Health on Stage” spearheaded by Asia Europe Foundation (ASEF) and implemented in India in partnership with Field Services and Intercultural Learning (FSL India), is one of such local and global efforts to mobilise community efforts for public health dialogue on public health issues.
What is Health on Stage and how does it relate to public health dialogue on public health issue is the question one needs to raise. “Health on Stage” is nothing but the 10th edition of the Asia-Europe Young Volunteers Exchange (AEYVE) programme, and is the theme promoted by ASEF. Although Health on Stage as a developmentally appropriate strategy is not a new conceptual framework for enhancing the health status of the people, the theme promoted by Asia Europe Foundation (ASEF) in partnership FSL India is certainly a unique and new people-based development paradigm innovated for development actors to replicate. It is a unique model because, a group of young Eurasian Volunteers with linguistic and cultural diversity facilitated Health on Stage and disseminated information and engaged in intensive dialogue with local community by using “forum theatre” as the medium for communication.
Hosted for the first time in India, Health on stage was implemented in three different locations such as the slums in Bangalore, rural areas in Mysore and the eight model villages promoted by FSL India in Chennai suburban. Water, water related issues and water borne disease are important components of Health on Stage programme. Working in three groups, the 21 Eurasian Volunteers visited the slum-dwellers in Bangalore, workers in an industrial belt in Chennai and villagers in Mysore and performed forum theatre and promoted Health on Stage.
After a week-long inter-cultural exchange and learning the applications of ‘forum theatre’, these young volunteers of “Health on Stage” performed for one month. They were trained by Jaya Iyer, Indian forum theatre trainer. Health on Stage volunteers focused on public health, with all its social and cultural dimensions in the specific locations. The performances were indeed unique and enriching and above all original in its creativity. Its impact is significant as it opened up new avenues for health seeking behaviors of the local community. Under the broader framework of Water and Public Health, a wide range of local issues were taken up for dialogue and seek solutions. Hygiene and sanitation, waterborne diseases, preventive and curative aspects of health, water and environment, water conservation, indigenous water purification measures etc. are some of the issues dealt with.
They did not speak the local language. They were not familiar with the local issues and the local culture. How did manage to make a significant impact? But surprisingly language and cultural issues did not pose a formidable challenge for these young and enthusiastic volunteers. The forum theatre was not so much with language based. It was predominantly body language and action based communications. Initially the young development artist used to spend time in social mapping to identify the local water and health issues and through forum theatres analyzed the issues with the community to design locally available solutions. People did not take initiative to find the local solutions. They did criticize the government and someone will come and do – this was the kind of mind set. But this has triggered the thought of the people and now they have realized that it is the people who are principally responsible to find out locally available solutions to their numerous water and public health problems.
As these volunteers assembly in Bangalore for a three days evaluation which culminates in addressing the international media on 30th September, Miss Debasmita the Media Coordinator form Singapore says that the movement has created a ripple effect and the global issues are converged with the local issues and the local issues with the global. With a scaling up measures these volunteers as they return to their respective countries, would mobilize the local mass and continue to identify and address local issues pertaining to water and health.
Whether Health on Stage or health off the stage; sustainability is supremely important in any development intervention. This is only the pilot phase and it is expected that with replications and ripple effects this effort will continue to make the headway to address water and public health issue. Mr. Rakesh S Soans, the President of FSL India says that “now it is the responsibility of FSL India to take this agenda forward and reach out to the other parts of the country for engaging the people on public health dialogue.”
In India there has been overwhelming response. NGOs and civil society organisations have been approaching to integrate Health on Stage strategy to address water and public health issues. And therefore, Health on Stage and public health dialogue is a new people-based development paradigm for the global community for applications and replication to address the community issues and problems.