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An aspiration to equity
SADEC – FEMAP 31 years serving the communities of Ciudad Juarez, Chihuahua
Annual Report 2004
Health and Community Development of Cd. Juarez
An aspiration to equity
Institutional mission
“Contribute to improve the quality of life of people living in
poverty”
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Practice of SADEC’s institutional mission
SADEC’s mission, sustained on research, education and community participation is carried out through the provision of health services, the promotion of environmental
health and sanitation and the establishment of actions to facilitate the
individual, economic and social development of SADEC’s target population.
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Family income of people living in urban-marginated areas of Juarez municipality
3 & + MW,
7.6%<1 MW,
2.4%
2 a 2.99 MW,
47.3%
1 a 1.99 MW,
42.7%
Sample: 500 home units of Juarez municipality. Urban Poverty. SADEC-SEDESOL, 2003
MW= Minimum Wage = US $117.43 dollars (P$11.30 x US $1.00)
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Health Coverage 2000: Mexico
31.5
7.6
58.3
Co
vera
ge
IMSS Other SS Institutions Population with out access to SS
Millions of people
XII General Census of Population and Housing 2000, INEGI, Mexico. 2001. SS: Social Security
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SADEC’s target population
Juarez population growth during the last decade was 52.6% from 798,499 in 1990 to 1,218,817 inhabitants in 2000.
In the year 2000, Juarez represented 40% of the total population of Chihuahua state.
During the 90’s Juarez received an average of 42,000 immigrants per year, in search of better living conditions.
In the year 2000, 40% of Juarez’s total population was 19 years old or less (485,804 inhabitants).
It is estimated that 43% of the Juarez total population live in poverty and social marginalization (524,091 inhabitants) and 17% do not have access to health services (207,199 inhabitants).
17% (207,199 inhabitants) had limited access to health services.
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SADEC’s Geographical & population coverage
Guadalupe
Praxedis G. Guerrero
Porvenir
Zaragoza
During the year 2004, SADEC cover with information, education and services to an estimated population of 298,732 inhabitants.
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Areas of urban poverty
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Program's
Coordination
House Improvement
Program
Progresive Housing
Program
Community Banks
Seeds Across
the Border
Microenterprise
Program
Economic
Development
Reproductive
Health Program
HELP Community
Based Program
Referal to
Medical Services
Community Based
Health
Program
Nursing School
Biomedical
Research
Medical Services
HELP Program
Family
Hospital
Environmental
Education
Solid Waste
Recycling Program
Maq. Industry
ECOTEC
STD, HIV/AIDS
Prevention Program
Comunidad
Alcohol & Tobacco
Prevention Program
Community Based
Prevention
Programs
Drug Stores
Cafetería
Social Marketing
Maquiladora
Industry
Sale of Services
and Products
MAFE Group
Border Profile
Development Index
of the Mex-US Border
Social & Economic
Research
INFOMEXUS
Juarenses for a
Healthy Youth
SADEC
for a
Healthy Youth
Excecutive Direction Administration &
Finances
President
Guadalupe Arizpe de De La Vega
Board of Directors
SADEC
SADEC’s organizational chart
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SADEC has 31 years promoting the community development and empowerment through:
Access to health care.
Involvement in informal education processes.
Development of a sense of social responsibility.
Access to formal education.
Improvement of the environment.
Access to micro-loans.
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Service delivery infrastructure
1,311 Volunteers: (Outreach Worker Coordinators, Health Outreach Workers,
Youth Outreach Worker Coordinators, Youth Outreach Workers).
421 Employees: 390 (92.6%) working at Family Hospital & Santa
Maria-SADEC Hospital. 31 working in Community Based Programs 400 (95%) are service providers and 21 (5%)
administrative employees. Dos Hospitals.
One outpatient care clinic. One nursing school with 200 students (SADEC-UACJ) Two Drug Stores.
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Volunteer community health workers “Promotoras”
The founding members of the first “Promotora Model” in Mexico (1973):
•Licha Ibarra,
•Licha Castro,
•Naty López,
•Bruna Díaz,
•Evangelina Martínez,
•Guadalupe Arizpe de De La Vega
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SADEC’s “Promotora Model”
1 Social Worker
8 Coordinators of Promotoras
160 Promotoras (20/Coordinator)
4,000 Families (25/Promotora)
Clinics y Hospitals
Health Information
Early Cancer Detection (Ca CU & B)
Early Detection of Chronic Degenerative Illnesses
Oral Re-hydration Salts
Immunization Campaigns
Family Planning
Quality of Health Services
Other Community “Problems”
Health Demands and Needs
Referral to Health Services
Promotora Training
Promotora Follow-Up & Supervision
Coordinator Training
Coordinator Follow-Up & Supervision
Referral for Community Follow-Up
Administrative
Offices
Presidency
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Promotora participation in institutional events
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Coordinators of Promotoras
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Community health promoters
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Community health services delivered by health promoters, 2004
Service Number
One to One information 131,400
Family planning active users* 30,108*
Pediatric immunizations 10,492
Oral Re-Hydratation salts distribution 7,861
References to health services 39,082
Early detection and prevention 2,624
*Include other family planning users from other SADEC’s community based programs & social marketing
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Holistic health and health promoters community based organization for commercial sex workers
Holistic health community based program. 48 training workshops (2 hours per week).
Scholarships for employment education (4).
Adult education (basic level). Health brochure, design, promotion
and communication. Coordination activities with other
social organizations and informal groups.
48 Yoga workshops for health promoters.
12 training meetings for health promoters.
Other workshops: The inner child. Violence & family structure I y II. Family development I, II y III. Alcohol prevention.
Organization of 3 micro-enterprises.
Coverage with community based programs of information, education and training
Coverage: 219,895 inhabitants
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Research results that justify an immediate health intervention with health education, prevention and early screening of diseases*
* Suárez, Enrique. Health situation of women living in urban-poverty areas of Juarez municipality, SADEC – SEDESOL, 2002.
Condition Percentage
BMI <18.5 Kg./m² (malnourished) 1.2%
BMI 18.5 a 24.9 Kg./m² (normal) 20.0%
BMI 25.0 a 29.9 Kg./m² (overweight) 34.0%
BMI 30.0 Kg./m² & more (obesity) 44.8%
Hypertension 15.2%
Hyperglycemic (fasting) of 110 mg. & more 23.8%
Hypercholesterolemia of 200 mg. & more 43.6%
Hiperlipidemia of 150 mg. & more 48.0%
Hypocromic anemia 17.7%
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Community information, education and training
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Community information, education and training
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Community based program of prevention of chronic degenerative diseases, and early cancer detection
Activity Achievement
Trained persons 257
Nutrition workshops 71
Participants in nutrition workshops 1,552
Health fairs 46
Participants in health fairs 24,978
Distribution of educational brochures 46,326
Risk evaluation:
Nutrition
Diabetes mellitus
Cardiovascular risk
34,136
12,543
11,023
10,570
Early detections:
Cardiovascular risk and hypertension
Diabetes mellitus
Nutritional situation (body mass index)
Ervical cancer
Breast cancer
Prostate cancer
36,973
6,110
6,746
6,886
8,691
7,778
762
Reference of people in high risk to health services 9,523
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Health fairs
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Health fairs
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Health fairs
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Juarenses for a healthy youth (action for youth)
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Juarenses for a healthy youth
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Juarenses for a healthy youth
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SADEC along three other organizations integrate the initiative Juarenses for a healthy youth (action for youth).
Action for youth is supported by El Paso del Norte Health Foundation.
Volunteer youth promoters (125). 39 planning, follow-up and evaluation meetings. 8 local community committees. 262 training session (2 hours per activity) with a coverage
of 2,731 youngsters and 237 adults. Community promotion of Juarenses for a healthy youth
program through 11 events with 6,711 participants. 13 sport, cultural and recreational activities with the
participation of 798 adolescents and 86 adults. Evaluation of “Juarenses for a healthy youth” initiative.
Juarenses for a healthy youth, SADEC activities 2004
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Juarenses for a healthy youth
Development Assets
Before and after evaluation: Program’s impact on attitudes and risk behavior of youth: 1999 vs. 2004
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15.916.9
16.4
20.4 20.6 20.5
0
5
10
15
20
25
1999 2004
Male Female Total
Number of Assets
33%
22%
25%
Development assets by gender
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External assets*: Male Female Total Dif.
Category (average) 1999 2004 1999 2004 1999 2004 99-04
Support 42.1% 63.2% 43.8% 53.6% 42.3% 58.6% + 16.3%
Empowerment 41.0% 48.9% 40.0% 39.7% 40.5% 44.1% +3.6%
Limits and expectations 51.8% 70.4% 57.0% 73.5% 54.4% 72.0% + 17.6%
Constructive use of free time 16.1% 29.0% 18.9% 27.5% 17.4% 28.1% +10.7%
Internal assets*:
Commitment to learning 34.7% 59.9% 38.4% 62.1% 36.5% 61.1% + 24.6%
Positive values 46.2% 64.6% 49.2% 71.6% 47.6% 67.2% + 19.6%
Social competence 20.0% 48.8% 28.2% 56.7% 23.8% 53.0% +29.2%
Positive identity 51.2% 75.3% 45.7% 67.6% 48.6% 70.7% + 22.1%
Categories of external and internal assets: 1999 vs. 2004
* % of youngsters with assets
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Risk behavior: 1999 vs. 2004
Male Female General
Risk behavior 1999 2004 1999 2004 1999 2004
Tobacco use or abuse* 30.9% 17.2% 20.9% 19.7% 25.9% 18.5%
Alcoholism** 32.0% 26.5% 23.9% 24.8% 28.1% 25.6%
Drug use or abuse* 18.5% 9.3% 15.2% 5.8% 16.9% 7.4%
Reproductive risk* 73.4% 18.2% 94.7% 20.0% 77.2% 18.9%
Violence behavior* 27.2% 23.2% 14.7% 9.2% 21.2% 15.7%
Bulimia* 24.1% 9.3% 28.0% 21.4% 26.0% 15.7%
Depression* 16.8% 11.9% 23.8% 22.5% 20.3% 17.6%
Suicide attempt* 14.0% 9.9% 24.1% 19.1% 18.8% 14.8%
*During the last year
**Five or mere alcohol beverages, in one or more occasions during the last two weeks
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Development Assets, 2004,
accordingly to his/her participation in the initiative
19.2318.98
19.32
19.93
22.34
18
19
20
21
22
23
None 1 to 2 3 to 4 5 to 6 7 to 8
Assets
Number of Assets
Participation
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Deficits (factors that facilitate the emerging of risk conducts)
Home alone.
Over exposition to TV.
Family violence (some time in life):
Parents.
Siblings.
Others (non family).
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Average of deficits, 2004, accordingly to his/her participation in the initiative
2.482.44
2.28
2.01
1.89
1.7
1.9
2.1
2.3
2.5
0 1 to 2 3 to 4 5 to 6 7 & +
Deficits
Número de Déficits
Participation
Deficits:
Maxim = 3
Minimum = 0
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Factors that promote development
School achievements.
Helping others.
Values diversity.
Keep good health.
Leadership.
Resist danger.
Control of impulses, defer gratification.
Overcome adversity.
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Average of development factors, 2004, accordingly to his/her participation in the initiative
4.51
4.05
3.893.823.8
3.6
3.8
4
4.2
4.4
4.6
4.8
0 1 to 2 3 to 4 5 to 6 7 & +
Factors
Number of factors
Participación
General average: 3.99
Range: 0 a 7 factors
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Drug use/tobacco use by number of assets, 2004
0
10
20
30
40
50
60
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
Drug use Tobacco use
Percentage
0
10
20
30
40
50
60
70
80
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
Percentage
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Carrying weapons for protection/deliberated skipping days of school during the last year, by number of assets, 2004
Carrying weapons for protection Deliberated skipping days of school
Percentage Percentage
0
10
20
30
40
50
60
70
80
90
100
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
0
10
20
30
40
50
60
70
80
90
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
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Depression/suicide attempts during the last year by number of assets, 2004
Depression Suicide attempts
Percentage Percentage
0
5
10
15
20
25
30
35
40
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
0
5
10
15
20
25
30
35
40
45
10 & - 11 to 20 21 to 30 31 to 40
Male Female General
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From the street to life: Constructive use of free time
Supported by DIF, this project was carried-out from september to december 2004 covering 70 children and 21 youngsters.
Activities: School counseling: 57 sessions (240 hours). Reading circles: 10 sessions (40 hours). Theater introduction: 7 sessions (14 hours). Table games: 16 sessions (64 hours). Handcraft workshops: 7 sessions (14 hours). Attitudes and behavior evaluation: 1 session (1
hour).
In conclusion: 6 activities including 97 sessions carried out through 23 hours per week for 4 months (total: 372 hours).
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From the street to life
Sustainable community development
Colonia Tierra Nueva I
SADEC - SEDESOL – INDESOL - FECHAC
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Phase II results, 2004
Health project: Health promotion, early cáncer detections and
nutritional situation evaluation.
Sport activities: Sport tournaments with 180 participants. Team sport promotion with 45 children and 10
youngsters.
Community park remodeling: Park #1: Painting, cleaning, water system
installation. Park #2: Priority definition.
Health education: Training of volunteers (5 participants). Educational talks to 50 students.
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Sustainable community development, Tierra Nueva I
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Economic development program
Education, training technical assistance and transfer of technology.
Community banks.
Seeds across the border program: Community banks in the U.S.A: (Sunland
Park, NM, El Paso, TX., Socorro TX., San Elizario TX., Mc
Allen, TX., Edinburgh, TX., and Brownsville TX.).
Micro-enterprises.
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Community banks
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Community banks
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Community banks
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Economic development program Results: 1987-2003 y 2003 vs. 2004
Cumulative:
1987-2003 2003 2004
No. of community banks 332 43 73
No. of participants 4,090 646 829
No. of loans 19,097 1,959 2,269
Capital loaned US $1,931,469.98 US $226,784.95* US $300,587.79*
Loan average US $105.01 US $115.76 US $132.48
Persons trained 6,311 982 659
Families benefited 3,995 633 789
Female participation 93.5% 94.5% 95.0%
* Exchange rate: 2003 = P $11.10 x US $1.00; 2004 = P $11.22 x US $1.00
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Community banks: 2003 vs. 2004
2003 2004 Variation
2003/2004
No. of community banks:
Juarez municipality:
El Paso, Texas:
43
19
24
73
44
29
69.8%
131.6%
20.8%
Number of participants
Juarez municipality:
El Paso, Texas:
646
412
234
829
514
315
28.3%
24.8%
34.6%
Number of loans 1,959 2,269 15.8%
Capital loaned P $1,920,491 P $2,996,840 56%
Average loan per participant P $2,972.90 P $3,615.01 21.6%
Average per loan P $980.34 P $1,320.78 34.7%
% of defaults 4.9% 3.9% -1.0%
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The Mexican northern border profile (2004). INFOMEXUS, SADEC-FEMAP. Development, well being and quality of life index of the mexican northern
border (2004). INFOMEXUS, SADEC-FEMAP. The children counts in the Mexican northern border. (2004). INFOMEXUS,
SADEC-FEMAP Behavior risk factors survey in Juarez, Chihuahua. (BRFSS). SADEC, PDNHF,
CBHR, TTUHSC at El Paso. “Encuentros” Lead prevalence study in the Paso del Norte Region (2003-
2004). NIEHS, SADEC, AYUDA, OPI, The FEMAP Foundation. Hypertension and risk reduction factors in Juarez, Chihuahua, México.
(2004). Beneficencia Pública de la SSA, Centro Nacional de Vigilancia Epidemiológica y Enfermedades no Transmisibles, SADEC.
Fetal monitoring during pregnancy. (2003-2004). SEDESOL, Hospital de la Familia, SADEC.
Reduction of risk factors in women with 19 years old or less. (2003-2004). Hospital de la Familia, SADEC.
Design of delivery (partum) planning. (2003-2004). SADEC-FEMAP, The Population Council.
Oral Contraceptive Users at Juarez, Chihuahua & El Paso, Texas. Pilot Project. (2003-2004) SADEC-FEMAP, The Population Council.
Research studies I: 2004
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Research studies II: 2004
Condom Use Satisfaction in three population segments. Commercial sex workers, plant operatives and students). (2003-2004) SADEC-FEMAP, The Population Council.
Impact evaluation of the Values Education Program (2004). SADEC, PEV.
Community action to prevent infection due to West Nile virus in the Paso del Norte Region. (Mexico y EUA). (2004). Consorcio Centro Fronterizo de Promoción de la Salud, PDNHF, NMSU at Las Cruces, SADEC, UACJ.
Physical activities promotion in the Paso del Norte Region (Mexico y EUA). (2004). Consorcio Centro Fronterizo de Promoción de la Salud, PDNHF, UTEP, SADEC, UACJ.
Share safe sex…, Intervention in high risk female (sex workers) on the Mexico’s northern border. (2004-2005). SADEC, UACJ, UAT, UABC, UCSD, UC Davis, SSA del Estado de Baja California (ISESALUD).
Binational tracking system for respiratory diseases related to the environment. (2004-2005). SADEC, PAHO, Thomason Hospital, TTHSC at El Paso, EPA, The FEMAP Foundation.
Evaluation of a tool accuracy to assess risk of breast cancer in Juarez, Chihuahua. (2004-2005). Beneficencia Pública de la SSA, Centro Nacional de Vigilancia Epidemiológica y Enfermedades no Transmisibles, SADEC.
SADEC’s medical units
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SADEC increased its hospital installed capacity
Health and Community Development of Cd. Juárez A.C., increasing its hospital capacity by 54.5%, from 110 to 170 hospital beds in 2004. This growing was possible tanks to the
signing of an strategic alliance between Desarrollo Comunitario Santa María, A.C., represented by Aristeo Trinidad Baca Baca and Salud y Desarrollo Comunitario de Cd. Juárez, A.C., represented by Guadalupe Arizpe de De La Vega. The central objective of
this alliance is to assure the continuity of medical service delivery to the population living in poverty, especially those who live in the south-west area of the city. Through this
alliance Santa Maria Community Development confer SADEC the Santa Maria Hospital for his administration.
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SADEC medical units installed capacity, 2004:
Family hospital with 110 hospital beds (Ave. Malecón, Centro).
Santa Maria-SADEC with 60 hospital beds (Prolongación Boulevard Zaragoza s/n, Colonia Cd. Moderna).
One out-patient care clinic (Perim. Carlos Amaya y Cartagena).
125 medical doctors, 76% of the total, 95, are specialized doctors.
150 nurses. 170 hospital beds. 6 surgical rooms 6 delivery rooms. 12 labor beds equiped with fetal
monitoring units. Two emergency units with 14 beds. Two ambulances. Two neonatology units with:
14 incubators. 8 neonatal intensive care units.
One clinic for fetal monitoring during the prenatal care.
Two units for preventive medicine. One clinic for diagnosis and treatment
for cervical cancer: Colposcopy. Cryosurgery. Electro surgery.
Two clinical analysis laboratories with a capacity to perform over 60,000 exams per month.
Two imagenology units with: One X ray equipment with
fluoroscopy. One X ray equipment Three portable X ray equipments. Four ultrasound equipment. Two mammography equipments.
One dental unit. 32 medical offices. The two hospitals have, 24 hours a
day in house gynecologist, pediatrician and anesthesiologist.
15 medical specialties.
9 medical sub-specialties.
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Medical services delivered: 2004
Family Hospital,
611.905
90.4%
Clinic #1,
16,550
2.4%
Santa Maria H,
48,456
7.2%
Total: 676,911 medical services
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Services Persons Services Persons
General consultations 123 Early detection of breast cancer 23
Prenatal care 47 Early detection of cervical cancer 25
Pediatric consultations 82 Gynecology consultations 68
Immunizations 38 Early detection of CDD 70
Other specialty consultations 43 Urgencies 63
Ultrasound studios 79 X Rays 53
Laboratory studies 133 Deliveries 15
Surgeries 14 Hospitalizations 94
Other services:** 71 Persons per day 1,041
Services per day 1,863 Average of services/person 1.79
* CDD: Chronic degenerative diseases.
** Other: preventive medicine, cryosurgery, electro surgery, ECG, etc.
Services delivered, and persons attended per day
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Out-patient care and hospital services
0
100000
200000
300000
400000
500000
600000
Ambulatory 555971 44236 16560
Hospital 55934 4220 0
Family Hospital Santa Maria Hospital Clinic # 1
Ambulatory services: 616,767
Hospital services: 60,154
Relation ambulat./hospital: 10.3 a 1.
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Deliveries per year: 1976 a 2004
0
1
2
3
4
5
6
Deliveries 0.5 1.4 2.5 2.8 2.6 2.4 1.9 1.5 1.7 2.2 3.3 4.1 4.8 4.6 5.5
76 78 80 82 84 86 88 90 92 94 96 98 0 2 4
Number of deliveries (thousands)
Total 1976-2004: 79,308 deliveries
Community based health education program, its impact
Maternal & child prevention services, early detection of chronic degenerative diseases, and
cervical, breast and prostate cancer.
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SADEC &
Services 2001 2002 2003 2004* Total
Pregestacional care 833 1,931 1,898 2,135 6,797
Prenatal care 10,823 9,851 12,915 17,004 50,593
Early detection of high risk pregnancy
559 778 903 1,051 3,291
Early detection of gestacional diabetes
840 974 789 1,259 3,862
Deliveries 4,655 4,551 4,450 5,465 19,121
Postnatal care (child) 11,637 11,377 12,670 13,893 68,698
Postnatal care (mother) 5,586 6,023 5,839 7,992 25,440
Breastfeeding support 5,934 5,342 5,749 7,043 24,068
Pediatric Immunizations 12,243 14,236 13,244 13,821 53,544
* Include, Family hospital, Clinic # 1 and Santa Maria hospital, 2004
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Early detection of chronic degenerative diseases, and cervical, breast & prostate cancer
Services 2001 2002 2003 2004 Total
Papanicolau studies
Colposcopy studies
Cervical cancer detections:
4,001
2,896
6,897
5,949
3,085
9,034
4,362
2,908
7,270
5,972
3,190
9,162
20,284
12,079
32,363
Electro and cryosurgery of premalignant and malignant cervical lesions:
277 314 509 629 1,729
Mammography's
Mammary ultrasounds
Physical breast explorations
Breast cancer detections:
892
1,493
2,167
4,552
1,883
1,474
2,096
6,140
2,407
1,648
2,791
6,846
2,487
2,505
4,038
9,030
7,669
7,120
11,092
25,881
Biopsy and/or breast surgery: 89 136 142 174 541
Prostate antigen: 59 134 356 762 1,311
Early detection of C. Degenerat. Diseases 27,085 17,085 17,480 25,765 87,415
References for medical care*: 10,292 6,934 6,992 12,949 37,167
*People in high risk: nutritional problems, overweight obesity, diabetes and cardiovascular risk.
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Pediatric orthopedic clinic
Dr Jacob Heydemann Group: 19 years of continuous work 26,654 consultations. 21,303 therapy sessions. 696 surgical procedures in 613 children.
The prestige of this clinic is attracting children from other municipalities of the State of Chihuahua, and from Coahuila, Durango, Sinaloa y Sonora States.
Dr. Jacob S. Heydemann was honored with the “Orden Mexicana del Águila Azteca en grado de Insignia”. This was published in the official dairy of the Mexican Federation the 21 of April of 2004. The award was granted to him for its altruistic work favoring thousand of Mexican children.
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Dr. Jacob Heydemann clinic
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Patch Adams and his team, visit Family Hospital
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Stanford University and The Family Hospital
SADEC and The Family Hospital continues during 2004 its relationship with Stanford University.
Two third year medical residents (obstetrics and gynecology) from Stanford University had, each one, a 15 day rotation in The Family Hospital.
Four medical doctor from The Family Hospital (two gynecologist, one anesthesiologist and one neonatologist) had a 7 day observational visit to the department of Maternal-Fetal of the Stanford University.
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Population access to high level medical technology
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Juarez, Chihuahua has 0.85 nurses/doctor.
The school was established in 1990.
It is affiliated with Juarez Autonomous University
200 students with the highest enrollment in the State of Chihuahua.
During the year 2004, the school reached its economic self-sufficiency, facilitationg its sustainable development
SADEC’s nursing school
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2004 graduation of SADEC nursing school
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Pre-graduate Medicine Internship
Hospital de la Familia, certified by Mexico’s Health Department, is providing education and training to fifth grade school medicine students for one full year.
Since the year 2000, Family Hospital is receiving an average of 12 students per year.
The hospital is receiving medical students from the Mexican states of Chihuahua, Durango, Sinaloa, Guerrero and Oaxaca.
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Participation of medical interns in health fairs
Hospital delivery statistics
Statistics that shows SADEC’s programs impact on population’s
health
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Age at first pregnancy 1982-2004
17.1
17.8
19.5
19.3
19.4
19.41919.3
19.2
19.118.7
17.5
17
17.5
18
18.5
19
19.5
20
82 84 86 88 90 92 94 96 98 0 2 4
Age
Years of age
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% of women having prenatal care 1982-2004
40.4
83.6
80.4
80.2
83.8
83.4
79.6
78.6
78.3
78.4
68.1
56.8
40
50
60
70
80
90
82 84 86 88 90 92 94 96 98 0 2 4
% women
Percentage
An aspiration to equity
Infant mortality and miscarriages, 1982-2004
0
10
20
30
40
50
60
70
80
90
100
0
10
20
30
40
50
60
Infant Mortality 96 63 45 43 39 39 38 35 34 24 24 21
Miscarriages 54 36 29 19 17 16 16 16 14 13 13 12
82 84 86 88 90 92 94 96 98 0 2 4
Infant deaths per 1,000 born alive Miscarriages per 1,000 born alive
An aspiration to equity
FEMAP Foundation
The FEMAP Foundation is a U.S. based public charity, chartered as a Texas nonprofit corporation on July 13, 1992.
It is exempt under section 501(c)(3) of the Internal Revenue Code.
The FEMAP Foundation was established to provide support for particular projects of SADEC and FEMAP.
Located on the border in El Paso, Texas.
the FEMAP Foundation, in conjunction with FEMAP and SADEC, headquartered in Ciudad Juarez, Mexico, provides links between the two cities and countries in order to address mutual economic needs and public health concerns.
The FEMAP Foundation has grown over the past decade into an organization that is a strong advocate for the U.S./Mexico border region, and is an example of the goodwill that exists between both countries and peoples.
The FEMAP Foundation is equally committed to improving conditions on both sides of the border, through the support of many of SADEC’s - FEMAP programs.
An aspiration to equity
Projects supported by The FEMAP Foundation during 2004
Seeds across the border (economic development project in the south border of the State of Texas).
Action for youth (Juarenses for a healthy youth). “Encuentros”, lead levels in the Paso del Norte region. Prevalence of violence in Ciudad Juarez. Binational tracking system of respiratory diseases and its
correlation to environmental situations. Medical equipment for the Family Hospital. Border diabetes in the Paso del Norte region. Scholarships for commercial sex workers. Qué sabrosa vida. Physical activity promotion. Community action to prevent West-Nile virus infection in the Paso
del Norte region.
An aspiration to equity
SADEC international donors
The FEMAP Foundation. Paso del Norte Health Foundation. Center for Border Health Research. Cooper Industries. Johnson & Johnson. Dean Foods. National Institute for Environmental Health
Sciences (NIEHS) & UTEP. The Population Council. El Paso Empowerment Zone. El Paso Community Foundation/Leon Apteckar
An aspiration to equity
SADEC’s national donors
Patrimonio de la Beneficencia Pública. Gas Natural de Juárez, S.A. de C.V. Desarrollo Integral de la Familia (DIF). Fundación del Empresariado Chihuahuense, A.C. (FECHAC). Secretaría de Desarrollo Social (SEDESOL).
Instituto Nacional de Desarrollo Social (INDESOL).
Fundación Wal-Mart de México, A.C. Fundación Comunitaria de la Frontera Norte, A.C. Distribuidora de Medicamentos y Servicios del Norte, S.A. Sra. Elsa Chávez de Barraza. Grupo Pisis, S.A. de C.V. Sra. Guadalupe Arizpe de De La Vega Operadora ALPI de Ciudad Juárez, S.A. de C.V. Almacenes Distribuidores de la Frontera, S.A. de C.V. Carta Blanca de Ciudad Juárez, S.A. de C.V. Electro-Tec, S.A.
Binational programs, 2004
Paso del Norte Region (Ciudad Juárez, El Paso, Sunland y Las Cruces)
An aspiration to equity
Training in the “Promotora Model”
Promotora Program, Dona Anna County, Nuevo Mexico.
Center for Community Advocacy, Salinas, California.
An aspiration to equity
Binational programs FEMAP Foundation. Action for Youth (Juarenses for a Healthy Youth). HELP program (PDNHF Border Fund Cooper Industries)
“Encuentros” lead prevalence in the Paso del Norte region. Seeds across the border. Binational coalitions:
Paso del Norte Air Quality Task Force. Paso del Norte Environmental Health Task Force. Paso del Norte Water Quality Task Force.
Border diabetes. Binational tracking system of respiratory diseases and its
correlation with the quality of air. Qué sabrosa vida. Physical activity promotion. Community action to prevent Wets-Nile virus infection in the Paso
del Norte region. Violence prevalence in Ciudad Juárez.
Finances
Income and Expenses SADEC: 2004
An aspiration to equity
SADEC income, 2004
Finance products
$527,262
0.7%
SADEC Board
$5,909,025
8.3%
International donors
$2,786,918
3.9%
National donors
$1,204,798
1.7%
Generated Income
$61,054,258
85.4%
Ingresos totales: $71,482,260 pesos
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SADEC expenses, 2004
Ingresos totales: $75,121,741.00 pesos
Administration
$1,000,908
1.4%
Equipment &
construction
$3,639,480
5.1%
Community
Programs
$7,317,074
10.2%
Medical Units
$59,524,798
83.3%
Expenses: P $71,482,260 (pesos)
An aspiration to equity
Operational cost of SADEC’s medial units
$37,830,907
$44,382,401
$48,020,923
$52,469,973
$59,524,798
2000
2001
2002
2003
2004
2000 2001 2002 2003 2004
An aspiration to equity
SADEC medical units expenses: 2004
Construction &
equipment
$3,639,480
5.8%
Family H.,
$55,013,030
87.2%
Clinic #1
$1,285,243
2%
Santa María H.,
$2,554,656
4%
Nursing School
$671,869
1%
Expenses: P $63,164,278.00 pesos
An aspiration to equity
Average of expenses per service provided, SADEC’ medical units: 2004
0
10
20
30
40
50
60
70
80
90
Expense/Service 70.08 76.63 79.02 83.81 87.94
2000 2001 2002 2003 2004
An aspiration to equity
Cost per service provided: SADEC vs. Public Sector
0
50
100
150
200
250
300
350
400
450
500
SADEC 70.08 76.63 79.02 83.81 87.94
Public Sector 281.7 346.49 396.46 470.19 492.68
2000 2001 2002 2003 2004
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Economic cost of SADEC’s medical services if those where provided by the Public Sector
$152.43
$200.61
$242.10
$297.82
$333.50
$0.00
$50.00
$100.00
$150.00
$200.00
$250.00
$300.00
$350.00
Millones
2000 2001 2002 2003 2004
Average cost per service in the Public Sector (in Mexican Pesos): 2000=$281.70, 2001=$346.49, 2002=$396.46, 2003=$470.19,2004=$492.68
2000-2004: P $1,226.46 millions of pesos
An aspiration to equity
Economic cost of medical services not charged in The Family Hospital of SADEC
$2.94
$4.20$4.46
$5.27
$7.26
$0.00
$1.00
$2.00
$3.00
$4.00
$5.00
$6.00
$7.00
$8.00
Millones
2000 2001 2002 2003 2004
2000-2004: P $24.13 millions of pesos
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