iv workshop internacional - apresentação matilde maddaleno
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IV Workshop Internacional - Apresentação Matilde MaddalenoTRANSCRIPT
ALLIANCES AND PARTNERSHIP MOBILIZEDFOR CHILD HEALTH AND DEVELOPMENT
IV WORKSHOP ON CHILD DEVELOPMENTM.C. SOUTO VIDIGAL FOUNDATION
Dra Matilde MaddalenoCoordinator
Healthy Life Course
PAHO as a Specialized Agency of the UN and Inter–American System
RegionalOffice of theWorld HealthOrganization
SpecializedAgency of the
Organization ofAmerican States
UN SystemPAHOPAHOInter-AmericanSystem
To lead strategic collaborative efforts among
Member States and other partners to
promote equity in health, to combat disease,
and to improve the quality of, and lengthen,
the lives of the peoples of the Americas .
MISSION
PAHO’s StructurePAN AMERICAN SANITARY CONFERENCE
•PAHO’s maximum authority
•All Member States are represented
•Meets every five years
•Elects the Director
•Sets overall strategy and policy for the Organization( NEW STRATEGY FOR CHILD HEALTH AND DEVELOPMENT 2011)
DIRECTING COUNCIL
•Meets each year when there is no Conference
•All Member States are represented
•Approves programs and budgets
EXECUTIVE COMMITTEE
•Prepares the agendas, documents, and resolutions for the Conference and the Council
PAN AMERICAN SANITARY BUREAU
•Secretariat
Headquarters
Country OfficesCenters
CFNI
CAREC
PANAFTOSABIREME
CLAPINPPAZ
CEPIS
INCAP
Presence of PAHO in the Region
** Technical representative
Journey is Based on Our Core Commitments
Special Populations
Key
Countries
PAHO
Vision
Equity
Pan-
Americanism
Technical
Priorities
We are an organization with
• A vision of health in the Americas
• Values of Equity and Pan-Americanism
• A triple focus on • Key Countries• Special Populations• Technical Priorities
We Are Not Alone On Our Journey…
Our integration with WHO has strengthened, and coordination has increased
WorldHealth
Organization
NGO’s
OAS
Bi/Multi-Laterals
Foundations/ Private sector
Special Populations
Key
Countries
PAHO
Vision
Equity
Pan-
Americanism
Technical
Priorities
Child Health in LAC• 350,000 children die before the age of 5
• Under 5:– 44% of deaths are due to infectious diseases
– 16% suffer from chronic malnutrition
– 29% suffer from anemia
– In 40% of the municipalities, only 5% under the age of 1 are DTP3 vaccinated
Child Health and Development on the Global Agenda
• CHD LESS VISIBLE
• Diminishment of allocation of financial resources
• Effective low cost interventions community and family level are not delivered or with low coverage
• Need for coordination, greater attention, increase of resources, community outreach
ECD - An Integrated Scientific Framework Could Drive More Effective Investment
and Innovation Across Sectors
Education
Health
Economic Development
Child Protection
Science
ECD- Multiple Sources of Knowledge Currently Inform Policies in Poorly
Connected Sectors
Education
Economic Development
Child Protection
Health
Science &Experience
Science &Experience
Science &Experience
Science &Experience
Challenges ECD for the Health Sector
• New paradigm
• From child survival to child development
• Social determinants and quality of life
• Multi- professional
• Inter sectorial
• Trans- disciplines
• Comprehensive-Integrated Policies
• Family and life course approach
• Community participation
• New model of health services deliever
• Trained Human resources
Health
Importance of Strategic Alliances for ECD
“ Strategic alliances have the potential to accelerate the development, deployment, and sustainable delivery of tools and technologies that will ( PROMOTE HEALTH AND DEVELOPMENT?) , save lives and dramatically reduce the disease burden in the world”
~Bill and Melinda Gates
Strategic Alliances for ECD
• 2 or more organization come together and mutually pool their resources and ideas for long-term purpose/goal
• Comprised of two components:
– Strategy
– Relationship
Components for Building an ECD Strategic Alliance
Private
Joint Strategy
Establishment of Roles and Responsibilities
Resources/ Ideas
Governmental Public
Long Term Goals
Resources/ Ideas
Interactions of Alliances
Cooperation : fully autonomous entities share information to support each other’s organizational activities (UN and partners, ECD networks, )
Interactions of Alliances
• Coordination : autonomous groups align activities, sponsor particular events, or deliver targeted services in pursuit of compatible goals.
• Harvard University , ALAS Foundation, ECD Networks, PAHO/WHO.
Interactions of Alliances
• Collaboration parties work collectively through common strategies. Each relinquishes some degree of autonomy toward the realization of a jointly determined purpose.
• ECD PROJECTS CHILE CRECE CONTIGO, MEXICO, COLOMBIA
• GLOBAL (The Global Alliance for Vaccines and Immunizations GAVI
Components for Building a Strategic Alliance
Governmental Public
Long Term Goals
Private
Joint Strategy
Establishment of Roles and Responsibilities
Resources/ Ideas Resources/ IdeasCooperation
Coordination
Collaboration
Keys to Building Successful Strategic Alliances / PAHO
• Clearly define goals and objectives
• Allocate sufficient resources
• Define accountability
• Monitor progress through regular reporting
• Management of Alliances needs
Advantages Strategic Alliances
• Prevent duplication of activities and investment, contain costs AND MORE EFFECTIVE USE OF PUBLIC RESOURCES
• Greater than the sum of their parts• Secure critical resources ( human and
capital)• Strengthen position in governments
But……
• Coordination and collaboration increases the costs of the information systems
• Sectors have been programmed to compete for limited resources and funds
• Decision process more difficult
Challenges to ECD Strategic Alliances
Objectives: challenging and long-term in nature
Span national borders
Decision-making
Managing risk and relationships
Expectations
Pooling Resources
Commitment v. Control
Multiple partners
ECD Strategic Alliance
CHALLENGES ECD COLLABORATION
• Differing goals and understanding of the problem
• Stakeholders often focus on only a few influences that contributes to ECD
• Multiple personal and environmental factors• Multiple ecological level interventions• Social determinants have different areas of
policy action and related actors.• Requires flexibility of stakeholders organizations
and those who fund them• Monitoring and evaluation
Construcción de un sistema de protección social que establece garantías sociales para las condiciones básicas esenciales pa ra el desarrollo humano
Sistema Integral de Protección Social
SOME LESSONS LEARNEDSOME LESSONS LEARNED
Vivienda Social
Educación Chile
Solidario
Seguridad Social
Acceso universal a
la salud:Profundizar la Reforma
Código Trabajo
Salud de los Trabajadores
Reforma sistema
previsional
Subsidios sociales
Protección del Adulto Mayor
Protección de Infancia
Mejoras laborales: subsidios para
jóvenes, subcontratos
200 Barrios: Política de Vivienda
y Urbanismo
Lessons Learned Chile Crece Contigo
Share a conceptual framework ( social determinants, equity andhuman’s right )
One image – different ministries and ministers.
Strategic planning based on rights and guarantees over supply side of theprogram.
One fund and several implementers.
Population approach with emphasis in most vulnerable.
Strong support for local implementation
Leadership and political support of Dra. Michelle Bachelet President ofChile
Public recognition
Lessons Learned…….• Flexibility of different actors
• Better use of available public and private resources.
• Community participation in the management, deliver andmonitoring of the system.
• Result based management to improve development of childrenbased in
� Standards for universal and comprehensive Development
� Quality assurance of programs and interventions
� Monitoring and evaluation of processes and results
� Accountability .
EVOLVING MODEL CHD
• INFLUENCES OVERLAP AND INTERACT
• INFLUENCES CHANGE OVER TIME• HEALTH AND DEVELOPMENT
RESULTS FROM A DYNAMIC INTERACTION OF DIFFERENT FACTORS
• REPRESENTED BY A KALEIDOSCOPE• CRITICAL AND SENSITIVE PERIODS • LONGITUDINAL APPROACH. NEW
INFORMATION SYSTEM
Gestación
DELIVERY NEONATAL
Programa de Apoyo al Desarrollo Biopsicosocial
Nacimiento
SERVICES TO CHILDHOOD
DURING PREGNANCY
Primeros 4 años de vida
LIFE COURSE APPROACH AND CHD
LIFE COURSE
PRECONCEPTIONAL