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
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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