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Presentation Structure. The Oportunidades program today Primary health-related results Conclusions Challenges for the future. (Originally called Progresa). It is a program: that targets the poorest families and communities in Mexico, based on conditional cash transfers, that is multi-sect
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1. The Oportunidades Human Development Program: lessons learned
2. Presentation Structure
3. The Oportunidades Program
4. The Oportunidades Program
5. Growth of the Program
6. Components of the Program
8. Conditional Transfer Scheme
9. Basic Package of Health Services
10. Oportunidades has great potential for improving women’s and children’s health
15. Oportunidades does not have an effect on weight for height in urban areas
16. Impact of the Program on the prevalence of anemia in urban areas
17. Other child health findings
18. Other child health findings Exclusive maternal breastfeeding for both groups was 2.5 months on average
Cognitive development: McCarthy and WJM IIIExclusive maternal breastfeeding for both groups was 2.5 months on average
Cognitive development: McCarthy and WJM III
19. Irregular sessions
Insufficient information about nutritional complements
Language barriers in rural areas
Poor learning and teaching conditions In rural and urban areas, the educational component is weak
21. Trend toward an increase in obesity among women >18 years old in urban areas
22. Change in the BMI. Women >18 years old in urban areas
23. Impact of Oportunidades on maternal and child mortality
24. Evolution of maternal mortality The analysis of historical data on maternal mortality shows a reduction of:
6.5% between 1990 and 1995
12.7% between 1995 and 2000,
12.8% between 2000 and 2005.
25. Women that know about and use contraceptive methods in rural areas, 2003 Incorporated in 2000
ControlIncorporated in 2000
Control
26. Prenatal care in rural areas 2003
27. Average number of procedures carried out in relation to the NOM* for prenatal and newborn care in rural areas in 2003
28. Other women’s health findings
29. Percentage of women receiving care from a doctor at the time of delivery
31. Percentage of Oportunidades covered by the Popular Insurance Casi 40 % de los beneficiarios en los estados del surCasi 40 % de los beneficiarios en los estados del sur
33. Oportunidades has had an important effect on child health in rural areas (growth and anemia)
Oportunidades has had a smaller effect on the health of the population in rural areas
Oportunidades has had modest effects on women’s health
Oportunidades has had positive effects on the health indicators related to co-responsibilities
Few or no impacts on “hard” health indicators Conclusions
34. Oportunidades has no effect on obesity and overweight in women
There is evidence of an important increase in the overall population
Evidence that the health component needs overall improvement:
Undesirable quality of health services
Weak educational sessions
Limited access to Popular Insurance in the most vulnerable areas Conclusions
35. Challenges for the future
36. Challenges for the future