Family and Community Health Area

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Family and Community Health Area Assistant
Director Office
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Sequence

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

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SITUATION ANALYSIS BY MDG
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Maternal Mortality in the Americas(MDG 5)
Source PAHO Basic Indicators 2001
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Key Priority Countries (MDG 4 5)
CHILD HEALTH INDICATORS
ADOLESCENT HEALTH INDICATORS
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Percent municipalities with measles vaccination
coverage lt 95, priority countries, 2002(MDG 4)
Percent municipalities with measles vaccination
coverage lt95
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Prevalence of underweight (low weight-for-age, lt2
SD)(MDG 1)
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Bahamas Barbados Costa Rica Panama
GF
Argentina Brazil Chile Ecuador Mexico Paraguay Ven
ezuela
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
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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
Young Adults
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Highlights of the Revised BPB 2004-05
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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

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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

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Broadened strategic approach of Technical
Cooperation (i)

• Mechanism to monitor level and composition of
  TC towards 5 priority countries
• Area Managers and the ADs Office have been
  assigned 1 priority country, to complement CSUs
  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 ? to Area ? to country ?
  to networks
• Enhancing strategic management of Area

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Broadened strategic approach of Technical
Cooperation (ii)

• Country Assignments eventual rotation
• BOLIVIA - Gina Tambini
• GUYANA Steve Corber
• HAITI - Jose Luis di Fabio
• HONDURAS ADs Office
• NICARAGUA Luiz A. Galvao

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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

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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

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General Challenges

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

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Issues

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

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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?

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• THANK YOU