Organización Panamericana de la Salud Family and Community Health Area Child and Adolescent Health Unit

Organización Panamericana de la Salud The role of the family in community-based initiatives to meet the Millennium Development Goals – The potential of JCIs 2004 JCI-UN Leadership Summit New York, NY

Organización Panamericana de la Salud 2004 International summits and resolutions  The family should receive comprehensive protection and support  Recognition of families and other local actors as key players in health promotion  Reorientation of health services to include a family focus  Policies and laws that support and contribute to family’s rights, stability and equality  Millennium Development Goals (MDGs)

Organización Panamericana de la Salud 2004 Foundations of a family health approach  Family, a setting where: –Culture, values, and norms of society are first molded –Health behavior and decisions are first established –Families and communities that are empowered show increased awareness and higher demand for quality health services –Social support networks are established at the community level, workplace, and through social and religious groups

Organización Panamericana de la Salud 2004 MDG Goal 4 Target 5 Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate

Organización Panamericana de la Salud 2004 PAHO Family and Community Health Area (FCH) Neonates Infants Children Adolescents Young Adults Adults The Elderly MDG 6: Combat HIV/AIDS, Malaria& other Diseases MDG 5: Improve Maternal Health MDG 4: Reduce Child Mortality Pregnancies MDG 1: Eradicate Extreme Poverty & Hunger 3 x 5 Initiative Healthy lifestyles MDG 8: Develop partnerships

Organización Panamericana de la Salud 2004 Tackles the major killers of children through prevention and treatment by improving skills of health staff, health systems and family and community practices

Organización Panamericana de la Salud 2004 WHO/UNICEF Key family practices Core set of practices that contribute to a child’s survival and healthy growth at the community level Promote physical growth and mental development Prevent disease Facilitate appropriate home care Facilitate care seeking behaviors

Organización Panamericana de la Salud 2004 Strengthening collaboration between the health sector, family and community CHW Family Health services Family and community Other sectors Effective health system  Faith-based org.  Universities NGOs Caritas Mayor Schools CHW Volunteers JCIs

Organización Panamericana de la Salud 2004 The family and reaching the millennium development goals  About 30,000 children die every day – 10 million every year globally  Almost 50% of all infant deaths occur in the first 28 days after birth  To reduce child mortality by 66% by 2015 we need to change how we do child survival programing…. Right now !!!

Organización Panamericana de la Salud 2004 Sources: Cause-specific mortality: EIP/CAH/WHO; Malnutrition: Pelletier DL et al AMJ Public Health 1993:83:1130-3

Organización Panamericana de la Salud 2004 Source: Data from Ahmad O et al. The decline in child mortality: a reappraisal. Bull WHO;2000, 78: Under-five mortality rate by WHO Region Achieving the MDGs

Organización Panamericana de la Salud 2004

We know enough to act !! Available, feasible interventions could prevent 6 million (63%) child deaths worldwide if improved preventive interventions are made in the home and community

Organización Panamericana de la Salud 2004 Selected results for prevention interventions

Organización Panamericana de la Salud 2004 JCI country advances for selected countries Brazil – PAHO/WHO and UNICEF Child Health Project underway Dominican Republic – National plan developed with 18 national chapters to promote key family practices Peru – IMCI community training and promotion of key family practices

Organización Panamericana de la Salud 2004 PAHO key priority countries Bolivia Haiti Honduras Guyana Nicaragua

Organización Panamericana de la Salud 2004 Countries’ Contribution to the Achievement of the Millennium Development Goal 4 Region of the Americas Mortality in children less than 5 years old (per 1,000 live births) Deaths to prevent % of Regional Deaths prevented Key Priority Countries 39, % >5051, % , % ,2827.8% <1018,0196.0%

Organización Panamericana de la Salud 2004 What JCIs can do May 2002 – Regional declaration JCI/PAHO to support the IMCI Strategy Advocate the use of MDGs in national development agendas and business coalitions Community involvement with families to promote key family practices Strengthen networks and partnerships with local authorities, civil society, NGOs, private sector, and other key partners to increase access to services Meet with PAHO/WHO Country Representative and Ministry of Health for planning

Organización Panamericana de la Salud 2004 JCIs can save lives……!!

Organización Panamericana de la Salud 2004 Thank you …

Organización Panamericana de la Salud 2004 Celebrating 100 Years of Health