IV Workshop Internacional - Apresentação Matilde Maddaleno

ALLIANCES AND PARTNERSHIP MOBILIZED FOR CHILD HEALTH AND DEVELOPMENT

IV WORKSHOP ON CHILD DEVELOPMENT M.C. SOUTO VIDIGAL FOUNDATION Dra Matilde Maddaleno Coordinator Healthy Life Course

PAHO as a Specialized Agency of the UN and Inter–American System Specialized Agency of the Organization of American States

Inter-American System

PAHO Regional Office of the World Health Organization

UN System

MISSION 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.

PAHO’s Structure PAN 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

Presence of PAHO in the Region

*

Technical representative CFNI CAREC

INCAP

CEPIS Headquarters

INPPAZ

Country Offices Centers

PANAFTOSA BIREME CLAP

Journey is Based on Our Core Commitments We are an organization with • A vision of health in the Americas • Values of Equity and PanAmericanism • A triple focus on • Key Countries • Special Populations • Technical Priorities

Technical Priorities

Equity PAHO Vision PanAmericanism

Special Populations

Key Countries

We Are Not Alone On Our Journey…

Our integration with WHO has strengthened, and coordination has increased World Health Organization

OAS Bi/MultiLaterals Technical Priorities

Equity

Key Countries

PAHO Vision PanAmericanism Special Populations

Foundations/ Private sector

NGO’s

PAHO CHILD HEALTH AND DEVELOPMENT

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

Strategic Alliances in Child Health and Development

ECD - An Integrated Scientific Framework Could Drive More Effective Investment and Innovation Across Sectors

Health Education

Science Economic Development

Child Protection

ECD- Multiple Sources of Knowledge Currently Inform Policies in Poorly Connected Sectors Science & Experience

Science & Experience

Science & Experience

Education

Health

Economic Development

Child Protection

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 Health Comprehensive-Integrated Policies Family and life course approach Community participation New model of health services deliever Trained Human resources

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

Governmental

Public Resources/ Ideas

Resources/ Ideas Establishment of Roles and Responsibilities

Joint Strategy

Long Term Goals

Interactions of Alliances Inconsistent use of terms: • Cooperation • Coordination • Collaboration

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 Private

Governmental

Public Resources/ Ideas

Resources/ Ideas

Establishment of Roles and Responsibilities

Joint Strategy

Long Term Goals

Cooperation 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 Multiple partners

Objectives: challenging and long-term in nature

Span national borders

Expectations ECD Strategic Alliance

Decision-making

Pooling Resources Commitment v. Control

Managing risk and relationships

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

SOME LESSONS LEARNED

Mejoras laborales: subsidios para jóvenes, subcontratos Educación

Reforma sistema previsional

Protección de Infancia

Código Trabajo

Chile Solidario

Seguridad Social

Salud de los Trabajadores

Subsidios sociales

Protección del Adulto Mayor

Acceso universal a la salud: Profundizar la Reforma

Vivienda Social 200 Barrios: Política de Vivienda y Urbanismo

Sistema Integral de Protección Social Construcción de un sistema de protección social que establece garantías sociales para las condiciones básicas esenciales para el desarrollo humano

Lessons Learned Chile Crece Contigo Share a conceptual framework ( social determinants, equity and human’s right ) One image – different ministries and ministers.

Strategic planning based on rights and guarantees over supply side of the program.

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 of Chile Public recognition

Lessons Learned…….

•

Flexibility of different actors

•

Better use of available public and private resources.

•

Community participation in the management, deliver and monitoring of the system.

•

Result based management to improve development of children based in Standards for universal and comprehensive Development Quality assurance of programs and interventions Monitoring and evaluation of processes and results Accountability .

EVOLVING MODEL OF CHILDREN’S HEALTH AND DEVELOPMENT . KALEIDOSCOPE MODEL

IM, MCH 2010

NEW PARADIGM preconceptional stage “ Every Child Wanted in the Americas”

EVOLVING MODEL OF CHILDREN’S HEALTH AMD DEVELOPMENT. KALEIDOSCOPE MODEL

IM, MCH 2010

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

LIFE COURSE APPROACH AND CHD P R E C O N C E P T I O N A L

Gestaci贸n

Nacimiento

DURING PREGNANCY

DELIVERY NEONATAL

Primeros 4 a帽os de vida

SERVICES TO CHILDHOOD

Programa de Apoyo al Desarrollo Biopsicosocial

LIFE COURSE

NEXT STEPS PAHO NEW STRATEGY AND PLAN OF ACTION FOR CHILD HEALTH AND DEVELOPMENT STRATEGIC ALLIANCES FOR COLLABORATION WITH UNICEF AND UNFPA SUPPORT COUNTRY EFFORTS IN ECD ( HEALTH COMPONENT) 0-3 YEARS