Samagra Arogya is a long-term place-based collaborative engagement to understand and respond to Social Determinants of Health at the Gram Panchayat level. First phase is situated in 7 Grama Panchayats in Kundapura Taluk namely Vandse, Idur Kunjnady, Hemmadi, Hakladi, Chittur, Aluru, and Keradi. The first phase focused on establishing local infrastructure, building networks, and understanding the place and its social determinants of health.

Objectives of Project 02

• Integrate the Samagra Arogya structure within the Vandse cluster.
• Empower communities to design, build, and maintain infrastructure related to health initiatives (called Local Infrastructure for Knowledge Exchange or LIKE).
• Focus on specific social determinants of health (SDoH) that affect:
  • Mental wellbeing
  • Adolescent health
  • Occupational health
  • Tuberculosis
• Explore how these SDoH can be addressed at the cluster level (all Gram Panchayats working together).
• Develop methods for sharing learnings and best practices to enable future expansion of the Samagra Arogya approach.

Samagra Arogya Work Structure

Working Groups (WGs):

1. WG1: Observatory
   • Establish location-based observatories for SDoH.
   • Identify and expand understanding of “Micro-contexts” to guide interventions.
2. WG2: Care-based Interventions
   • Build networks with specific communities.
   • Prototype and implement local interventions in collaboration with WG1.
3. WG3: LeAd Advocacy - Learning Adaptation & Advocacy
   • Create resources and activities to translate WG1 & WG2's work into action.
   • Advocate for the sustainability and financial autonomy of interventions.
4. WG4: Orientation, Ethics & Refusal
   • Foster ethical research practices.
   • Ensure data protection and safe practices.
5. WG5: Coordination, Reporting & Management
   • Oversee project management, staffing, and resource allocation.
   • Facilitate periodic oversight and strategic utilisation of documentation.

Work Packages (WPs):

1. WP01: Community Led Actions
   • Foster community-led actions to integrate the Samagra Arogya vision.
   • Develop components like the Place-based Glossary of SDoH, GP Dashboard, and Lived Experiences Library.
2. WP02: Cluster Level Governance
   • Facilitate cluster-level initiatives to address SDoH.
   • Enable inclusive and transparent decision-making processes.
3. WP03: Scaling-out of SA Structure
   • Initiate scaling-out within Vandse and other districts.
   • Establish collaborations and maintain a repository of methods for continuous learning.

Collaborators of SA