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Family and Community Health Area Child and Adolescent Health Unit

. Family and Community Health Area Child and Adolescent Health Unit. 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. International summits and resolutions.

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Family and Community Health Area Child and Adolescent Health Unit

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  1. . . Family and Community Health Area Child and Adolescent Health Unit

  2. . . 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

  3. 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)

  4. 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

  5. MDG Goal 4 Target 5 Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate

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

  7. Tackles the major killers of children through prevention and treatment by improving skills of health staff, health systems and family and community practices

  8. WHO/UNICEFKey family practicesCore 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

  9. Strengthening collaboration between the health sector, family and community ++++++++ CHW Health services Family Other sectors Effective health system Family and community NGOs • Universities Mayor Caritas Volunteers • Faith-based org. JCIs Schools CHW

  10. 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 !!!

  11. Sources: Cause-specific mortality: EIP/CAH/WHO; Malnutrition: Pelletier DL et al AMJ Public Health 1993:83:1130-3

  12. Under-five mortality rate by WHO Region Achieving the MDGs Source: Data from Ahmad O et al. The decline in child mortality: a reappraisal. Bull WHO;2000, 78:1175-91

  13. 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

  14. Selected results for prevention interventions

  15. 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

  16. PAHO key priority countries Bolivia Haiti Honduras Guyana Nicaragua

  17. Countries’ Contribution to the Achievement of the Millennium Development Goal 4 Region of the Americas

  18. 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

  19. JCIs can save lives……!!

  20. Thank you …

  21. Celebrating 100 Years of Health

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