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Pan American Health Organization

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Childhood Illness (IMCI) Strategy ... early detection and treatment of childhood illness. Prevention of illness (key family practices) Health promotion and ... – PowerPoint PPT presentation

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Title: Pan American Health Organization


1
Pan American Health Organization Pan American
Sanitary Bureau Regional Office for the Americas
of the World Health Organization Family and
Community Health Child and Adolescent Health
2
Strengthening the Catholic Health Care Network in
the Americas - using the Integrated Management of
Childhood Illness (IMCI) Strategy
Bristol-Myers Squibb Foundation Catholic Medical
Mission Board 9 September 2003 New York
3
Contents
  • PAHO Organization
  • Child health situation in the Americas
  • Integrated Management of Childhood Illness (IMCI)
  • strategy
  • Evidence to save childrens lives
  • CMMB/PAHO Project Action for Family Health
  • Future perspectives and partnership

4
Pan American Health Organization Mission
statement
The oldest international health agency in the
world. 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 live of the people in
the Americas.
5
Child health situation in the Americas
  • Thousands of children continue to die from
    diseases that could be prevented or treated
  • Two-thirds of child deaths could be prevented by
    using interventions that are available today and
    are feasible for implementation in low-income
    countries
  • Improving childrens health is a priority.
    Requires
  • Promoting healthy conditions
  • Preventing and treating childrens diseases

6
Child health situation in the Americas
  • Poor access to health services and trained
    personnel
  • 30 of population without access to
  • health services
  • Clinical evaluation inadequate
  • Excessive use of antibiotics
  • Low coverage of activities for PMTCT of HIV/AIDS
  • 40 of population without access to essential
  • drugs

7
Brings it all together
Tackles the major killers of children through
prevention and treatment by improving skills of
health staff, health systems and family and
community practices.
8
IMCI strategy
  • IMCI was developed by WHO and UNICEF
  • Focuses on the child and not on the illness
  • Is considered the most cost-effective strategy
  • Facilitates
  • An integrated approach for early detection and
    treatment of childhood illness
  • Prevention of illness (key family practices)
  • Health promotion and follow-up

9
Main causes of more than 500,000 annual deaths in
children under five years of age in the Region of
the Americas
Malnutrition is also associated with the majority
of deaths from infectious diseases, diarrhea and
pneumonia
10
What is IMCI?
Integrated Management
Health Services
Family/community
Diagnosis Treatment Prevention Promotion
Educational activities
Lost opportunities
Effective treatment
Early detection
11
COMPONENTS OF THE IMCI STRATEGY
  • Planning
  • Health Policy
  • Interagency Coordination
  • Mobilization of Resources

Improving Health Worker Skills
Improving the Health System to Deliver IMCI
Improving Family and Community Practices
  • Essential drug supplies
  • Health services organization
  • Information systems
  • Clinical case management training
  • Pre-service training
  • Pediatric societies
  • Follow-up after training
  • Neonatal health
  • Training courses
  • Growth and child development
  • Key family practices
  • Social communication
  • Community networks
  • Operational research
  • Monitoring
  • Evaluation
  • Impact

12
Current progress
13
Evidence to save childrens lives
  • Malnutrition is associated with more than 25 of
    all child deaths
  • Child mortality could be reduced by more than 20
    by intake of vitamin A
  • Antiretroviral drugs when administered properly
    could reduce the rate of mother-to-child
    transmission by as much as 50
  • Timely and appropriate care seeking could reduce
    mortality causes by ARI by more than 20
  • Correct home care for diarrhea could save
    thousands of child deaths cause by acute diarrhea

14
Quality of care improves with introduction of
IMCI
Proportion of children receiving
Evaluations, pre-and post-IMCI health facility
surveys in Bolivia
15
and mothers leave the facility better able to
care for their child
Proportion of mothers leaving health facility who
reported correctly
Evaluations, pre-and post-IMCI health facility
surveys in Bolivia
16
Reductions in Mortality from Causes Targeted by
IMCI Strategy in Departments in Peru with and
without IMCI Implementation, from 1996 to 2000
Reduction in the percentage of deaths from causes
targeted by IMCI (6.4 times less)
Reduction in the number of deaths from causes
targeted by IMCI (1.6 times less)
Source Regional IMCI Data Base. CA/FCH,
PAHO/WHO, 2003.
17
Trends in mortality from all causes, diarrheal
diseases and acute respiratory infections in
children under five years of age in 18 countries
of the Americas, from 1975 to 2000. Rates per
100,000 and proportional reduction per five-year
period from 1975 to 2000
All Causes
Diarrhea
ARI
Source FCH/CA - AIS. PAHO/WHO, 2003.
18
Comparison of mortality from diseases targeted by
IMCI in some countries of the Americas
  • 10 of children less than 5 years of the Americas
  • 40 of deaths from diseases targeted by IMCI
  • 30 of children less than 5 years of the Americas
  • 1.4 of deaths from diseases targeted by IMCI

19
Action for Family Health 2003-2005 CMMB/PAHO
  • 3 years
  • Countries
  • Dominican Republic
  • El Salvador
  • Haití
  • Honduras
  • Nicaragua

20
Project Description
  • Scale-up the capacity of the Catholic health care
    network to increase coverage and access to
  • Three components of the IMCI strategy
  • Training skills
  • Health systems
  • Community and family
  • Activities for the prevention of mother-to-child
    transmission of HIV/AIDS
  • Provide essential medicines

21
Participating Institutions
  • Catholic Medical Mission Board
  • Catholic health care network (Pastoral, Caritas,
    universities)
  • Ministries of Health
  • National IMCI Program
  • National Essential Medicine Programs
  • National HIV/AIDS Program
  • Pan American Health Organization
  • - Family and Community Health Area
  • - HIV/AIDS Unit
  • - Essential Drug and Technology Unit

22
WHO/UNICEFKey family practicesCore set of
practices that contribute to a childs survival
and healthy growth at the community level
  • Promote physical growth and mental development
  • Prevent disease
  • Facilitate appropriate home care
  • Facilitate care seeking behaviors

23
Strengthening collaboration between the health
sector and the community
NGOs
Caritas
  • Universities

CMMB
  • Catholic church

24
Project Advances
  • Country Catholic health-care network assessments
    completed
  • Country planning visits accomplished
  • Country coordinating teams formed
  • National agreements being prepared
  • Development of country projects underway

25
U
U
U
U
26
Monitoring and evaluation
  • Standardized definitions of indicators
  • Reporting done on a routine basis to track
    country performance
  • Health facility reviews and community survey
    tools
  • Use of information/feedback

27
Value-added partnershipCMMB/PAHO
  • Bottom-up approach
  • CMMB comparative advantage lies in its ability to
    leverage the vast network of faith-based
    organizations
  • PAHO technical support and country network
  • Potential to scale-up local resources to address
    public health problems

28
Future perspectives
  • Increase access to quality health care delivery
    in high-risk areas, build local capacity and
    sustain actions
  • Mobilize financial resources for country and
    regional expansion
  • Establish a unique partnership which makes
    meaningful change and improvement in peoples
    lives
  • SAVE childrens lives !!!

29
Millennium development goals
  • The Project will implement activities to support
    and endorse the Millennium Development Goal of
  • Reducing under-5 mortality by two thirds by 2015.
  • Have halted by 2015 and begun to reverse the
    spread of HIV/AIDS
  • In cooperation with pharmaceutical companies,
    provide access to affordable essential drugs in
    developing countries
  • These child survival goals can be achieved, but
    only if strategies for delivery interventions are
    greatly improved and scaled-up.

30
Lancet Child Survival Series
  • The first four articles provided a technical
    basis for a new approach to child health, moving
    from epidemiology of child deaths to saving lives
    using currently available interventions
  • The fifth paper addressed what should be done in
    terms of leadership, health systems, resources,
    and public awareness
  • Lead to debate and action to sustain momentum in
    child health

31
Pan American Health Organization
  • Regional Office for the Americas for the
  • World Health Organization

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