Prioritizing Health Interventions in the Americas: Strategies for Improving Maternal and Child Health
This document provides a comprehensive situation analysis of maternal and child health indicators across countries in the Americas, focusing on key challenges and proposed cooperative strategies to improve health outcomes. It highlights trends in maternal mortality, vaccination coverage, and child health, while emphasizing the importance of addressing inequities in access to quality health services. A collaborative approach, combining resources and efforts from various stakeholders, is recommended to strengthen public health infrastructure and improve health system efficiency, especially for vulnerable populations.
Prioritizing Health Interventions in the Americas: Strategies for Improving Maternal and Child Health
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Presentation Transcript
. . Family and Community Health Area Assistant Director Office
Sequence • Situation Analysis • Cooperation Strategy • Resources • Suggested Steps • Challenges • Issues • Discussion Points
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
Key Priority Countries (MDG 4 & 5) CHILD HEALTH INDICATORS ADOLESCENT HEALTH INDICATORS
Percent municipalities with measles vaccination coverage < 95%, priority countries, 2002(MDG 4) Percent municipalities with measles vaccination coverage <95%
Prevalence of underweight (low weight-for-age, <2 SD)(MDG 1)
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
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
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
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
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 toAreato country to networks • Enhancing strategic management of Area
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
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
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
General Challenges • Health Systems • Human Resource (insufficient, retention, trained) • Legislation • Coordination/Collaboration • Partnership/Alliances • Sustainability
Issues • Institutional capacity and reporting • Inequity • National Advocacy and ownership • Building Inter-sectoral Linkages • Sensitivity to prevailing Health Conditions
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?
