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Family and Community Health Area Assistant Director Office

. . Family and Community Health Area Assistant Director Office. Sequence. Situation Analysis Cooperation Strategy Resources Suggested Steps Challenges Issues Discussion Points. SITUATION ANALYSIS BY MDG. Materna l Mortality in the Am e ricas (MDG 5). Maternal mortality rates.

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Family and Community Health Area Assistant Director Office

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  1. . . Family and Community Health Area Assistant Director Office

  2. Sequence • Situation Analysis • Cooperation Strategy • Resources • Suggested Steps • Challenges • Issues • Discussion Points

  3. SITUATION ANALYSIS BY MDG

  4. Maternal Mortality in the Americas(MDG 5) Maternal mortality rates < 50 per 100,000 51-99 per 100,000 100 - 523 per 100,000 Source: PAHO Basic Indicators 2001

  5. Key Priority Countries (MDG 4 & 5) CHILD HEALTH INDICATORS ADOLESCENT HEALTH INDICATORS

  6. Percent municipalities with measles vaccination coverage < 95%, priority countries, 2002(MDG 4) Percent municipalities with measles vaccination coverage <95%

  7. Prevalence of underweight (low weight-for-age, <2 SD)(MDG 1)

  8. Bahamas Barbados Costa Rica Panama GF Argentina Brazil Chile Ecuador Mexico Paraguay Venezuela GF GF GF GF Eastern Caribbean States(OECS) GF CARICOM GF 50 % HIV+ under treatment GF GF GF GF Bolivia Colombia Nicaragua Peru GF GF GF GF GF GF GF GF 1,00 % of people with HIV

  9. Neonates MDG 6: Combat HIV/AIDS, Malaria& other Diseases 3 x 5 Initiative Pregnancies Infants AI MDG 4: Reduce Child Mortality MDG 5: Improve Maternal Health Children Priority Countries The Elderly WM CA MDG 3: Gender Equality and Empower Women IM NU MDG 1: Eradicate Extreme Poverty & Hunger MDG 8: Develop partnerships Healthy lifestyles Adults Adolescents YoungAdults

  10. Highlights of the Revised BPB 2004-05

  11. Situation Analysis • Situation analysis to assess country-specific priorities • Disaggregate data to identify geographical areas • Disaggregate data to identify neglected social groups • Address inequities to access and quality of services 2. Monitoring and Evaluation to • inform decision-makers at operational level • measuring progress 3. Information to evaluate health systems performance 4. Differences among and within countries

  12. Cooperation Strategy 1. Scaling-up of interventions through: • intersectoral linkages • Strengthening national capabilities • Strengthening public health infrastructure • Increasing health system efficiency to serve vulnerable groups • Engaging families and communities • National health policies/plans with outcome-oriented strategic decisions • Interagency coordination • Strengthen “Missing Middle" for attainment of MDGs

  13. Broadened strategic approach of Technical Cooperation (i) Mechanism to monitor level and composition of TC towards 5 priority countries • Area Managers and the AD’s Office have been assigned 1 priority country, to complement CSU’s work • Initially - projects, initiatives, resources and visits to the countries from HQ will be monitored. Valued added • Coherence between priority setting and practice (programming and budget) • Setting the tone - Area Managers’ broadened perspective from program toAreato country to networks • Enhancing strategic management of Area

  14. Broadened strategic approach of Technical Cooperation (ii) Country Assignments – eventual rotation • BOLIVIA - Gina Tambini • GUYANA – Steve Corber • HAITI - Jose Luis di Fabio • HONDURAS – AD’s Office • NICARAGUA – Luiz A. Galvao

  15. Resources • Mobilization of resources • PAHO operations – best use of resources? • Mechanisms for sharing of resources • Strengthen national capabilities • Appropriation of resources to health • Human Resources (placement, capacity building, retention) • Identification of proven cost-effective health interventions

  16. Suggested Steps • Actions based on National Health Strategic Plans • Use Available info • Health Evaluations, Other Social Sector evaluations • MDGs, CCA, PRSP, CCS • Partnerships – divisions of labour (who does what) • Country Priority Areas (Issues/Challenges) • No additional burden to countries

  17. General Challenges • Health Systems • Human Resource (insufficient, retention, trained) • Legislation • Coordination/Collaboration • Partnership/Alliances • Sustainability

  18. Issues • Institutional capacity and reporting • Inequity • National Advocacy and ownership • Building Inter-sectoral Linkages • Sensitivity to prevailing Health Conditions

  19. Discussion Points • Do we feel these are the priorities that we can assist? • Do we need to prioritize within these priorities, taking into consideration the human resources and funds available? • How can the regional level be most effective in supporting the countries?

  20. THANK YOU

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