health-care

Co-production catalogue by Nesta

Authors

Nesta

Co-production is potentially transformative and its power comes from re-framing the problem and re-establishing relationships to enable more holistic and people-centred approaches.

Co-production can also tackle the lack of trust between some users and professionals, a dependency culture where people look to the state to solve their problems and a culture of expertise where professionals are trained to be the sole source of solutions. At its best, co-production can build people’s capacity to live the life they want, in the community where they live.

HEALTH: Co-creating Services

This paper looks at the new challenges facing public services, taking health as a case study. Chronic disease presents a new and growing health challenge.This paper argues that reform to the health services currently on offer cannot address either the management of chronic diseases or the broader lifestyle issues that might promote better health. The authors argue for a new approach which they call co-creation since a set of new relationships between users, workers and professionals lies at its heart. Many of the seeds of this new approach can be found within the current system.

COMMUNITY HEALTHCARE UNIT ÁGUA SANTA

Countries

Brazil
Stakeholders / Promoters: 
Promoters: The main leader is Mother Tânia , who has a place where many times the meetings occur, and she organizes the courses of formation of health agents. Alongside her there are diverse women ( communitarian leaders) that work in the community where they live as health agents. Providers: As in this case it is information that is given by the communitarian agents it almost does not have providers or supply material. The little material of information and awareness which is used, beyond condoms is supplied by the NGO CRIOLA. Other people and organisations involved: NGo CRIOLA (Institution that fights for the rights of black women) is the main partner of the health nucleus, it provides material and small financial aid. It also has the support of the ABIA Association that provides the qualification courses of health agents. Users: The women of the community who are instructed, acquire knowledge and mobilized in the health question. Networks: constitution of an integrated health nucleus to other communitarian health nuclei of other quarters.
Background/ Context: 
The nucleus is formed by a net of women who developsr activities of education, awareness and orientation in the area of woman health. They mobilize diverse communities (cabeça de porco, vinte e sete, slum 18,matriz slum, caixa d´água among others) of the Água Santa neighborhood, for the auto-examination and the accomplishment of diagnostic, independently of the public and/or private health service networks, spreading new practical habits for the collective health, mainly in the areas of sexually transmissible diseases, precocious pregnancy and breast cancer.
Case Description: 

 

The support groupworks trough  lectures and meetings of the members of the nucleus and the community, and  visits of the communitarian agents to the houses of the inhabitants of the Água Santa Community. They give clarifications, awareness and self aid in - the diagnostic of illnesses and in health habits.

Benefits (Social, and environmental benefits): 

The initiative effectively started of a group of people in the ÀguaSanta community, that got tired to wait for some action of the government in the area of the health, and the communities in the neighborhood had to organize themselves to obtain improvement of health to all. The health is a sustainability element that is present in the daily life of all.

ActivMob

Countries

United Kingdom
Stakeholders / Promoters: 
Kent County Council, The Design Council
Background/ Context: 
The project started with a pilot involving Kent County Council, the Design Council and social housing residents in Maidstone. Through consultation and workshops, residents reported barriers that stopped them getting active in traditional settings. They said that new services should be integrated into their everyday lives. Activmob is the response. The initiative is designed to support people with shared interests. It helps link people up and gets them to help each other in being active.
Case Description: 

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Activmob is a scheme for everyone, which is being established by Kent County Council and The Design Council and contributes to KCC’s targets to engaging the public in more physical activity. The scheme helps people to exercise within their everyday lives. Anyone can get together a group of friends, family or colleagues and start and ‘activmob’ providing the activity improves wellbeing. You may want to start a running mob, a walking mob, a get-off-the-bus-two-stops-early-mob, a lunch time yoga club or a pram pushing mob; activmobs don’t have to do things that would traditionally be called ’sport’.

Benefits (Social, and environmental benefits): 

• Social benefits: As it was the need of residents in Kent, all the activities of mobs were designed to promote socialization of the residents. For example, by walking together for an hour, people not only get fitter but also get closer.

• Economical benefits: It is free to register and join a mob although some mobs require small fee to organize activities. Most of activities of the mobs are very economic - e.g. running, walking, jogging, playing soccer and singing. Another economical benefit is a side effect. It doesn’t seem to be just the mobbers who are benefiting from this new activity – the organisation is too through increased productivity.