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Thematic Session: Intersectoral Action and Health – Global Learnings CPHA Conference

Integrated action for social equity: Chile Barrio Chile Solidario Chile Emprende Chile Crece Contigo. Thematic Session: Intersectoral Action and Health – Global Learnings CPHA Conference Halifax, Nova Scotia June 2, 2008. Dr. Patricia Frenz.

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Thematic Session: Intersectoral Action and Health – Global Learnings CPHA Conference

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  1. Integrated action for social equity:Chile Barrio Chile SolidarioChile EmprendeChile Crece Contigo Thematic Session: Intersectoral Action and Health – Global Learnings CPHA Conference Halifax, Nova Scotia June 2, 2008 Dr. Patricia Frenz

  2. Poverty and Indigence Indicators: A policy driver Chile Solidario Chile Emprende Chile Barrio Stagnation in extreme poverty reduction Chile Crece Contigo Source: MIDEPLAN, CASEN Surveys

  3. Infant Development Gap % of children with deficits, comparing I and V SE quintiles Source: Infant Module, National Health and Quality of Life Survey 2006

  4. 1990 1994 2000 2006 2010 Policy Timeline

  5. Moving towards an Integrated Policy System for Social Welfare

  6. SOCIAL PROTECTION SYSTEM 2006 -2010 INTEGRATED SOCIAL INFO. SYSTEM SOCIAL PROTECCION CARD CASEN: NATIONAL S.E. SURVEY Work and Income Protection Chile Crece Contigo Chile Solidario Job Intermediation Basic Solidarity Pension Monetary Benefits Biopsicosocial Support Children from the poorest homes Children from gestation to pre-kinder (0-4) Families Homeless People Seniors All citizens Programatic Benefits Source: MIDEPLAN, adapted by the author based on conversation with the Executive Secretary of Chile Solidario.

  7. From dispersion to integration SectoralEfforts = FragmentedServices IntegratedIntersectoralAction Strategy: organize benefits and accompany families

  8. Longitudinal Accompaniment Scheme during the child’s development Primary Care Center Enters ChCC 1° Prenatal Control 2° Prenatal Control Universal Benefits (Biopsychosocial Support Program) Enters ChCC 4 years Leaves ChCC What is ChCC To the health institution Health control To the basic municipal network Differenciated benefits, according to the needs of the child Vulnerability score Risk Checklist To the extended network Gestation Guide Registry Examples Health institution Home visits 1. Late start to prenatal controls Entry into Chile Solidario (Bridge Program) Local ChCC Network Vulnerability Score Apply social protection scorecard Basic municipal network Receives Family subsidy 2. Low income family with unemployed adult and no social protection scorecard Extended network Employment program

  9. Local Network ChCC Lo Municipality Health Educatiob MINSAL MIDEPLAN MINEDUC Operational Network Municipal level Preschool Institutions Social Protection Coordinator Provincial level Governors ChCC Managers Intendentes Enc Regional ChCC Regional level Health Services Health Authority Education Secretary Planning Secretary Decentralized implementación articulated especially by three central Ministries: Nationallevel Intersectoral Technical Committee (Social Protection Executive Secretary– MINISTRIES – HEALTH – EDUCATION PRESCHOOL – LABOR – YOUTH – HOUSING – WOMEN – BUDGET OFFICE - PRESIDENCY– REGIONES (INTERIOR) MINISTERS COMMITTEE ON INFANCY

  10. MINISTRY MINISTRY SERVICE 1 SERVICE 1 MINISTRY 1 MINISTRY 1 BUDGET OFFICE MINISTRY 2 BUDGET OFFICE MINISTRY 2 SERVICE 2 SERVICE 2 MINISTRY MINISTRY GOVERNOR GOVERNOR FAMILY UNIT SERVICE 1 PRIMARY CARE PRIVATE SECTOR NGO LABOR EDUCATION MAYOR National Coordination National Network 1 Model of Integrated IA Municipal Network Community Network 2 FAMILY UNIT NGO SERVICE 1 PRIMARY CARE NGO PRIVATE SECTOR NGO LABOR EDUCATION MAYOR

  11. Multidimensional Management Model Systemic management Values management Network management Shared Outcome Targets Knowledge management Budget management Information management Electronic Platform

  12. Monitoring and evaluating outcomes Independentevaluationmechanisms

  13. Monitoring and evidence as a driver Politicalwillis crucial butnotenough Commonoutcome targets, notjustsharedobjectives (strategicpolicyframework) Themanagementmodel and tools determine theresults Santiago’sgreatexpectationsdependon local capacity and needs Expertisefor IA: social policy managers A new culture of respect and dialogue Institutional social capital Strengtheningthecommunity: participation and social cohesion Monitoring and measuringsuccess Persist, workingtogetherisnoteasy Insights on IA from the Chilean experiences Effective IA

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