Annual Report 2006

Salud y Desarrollo Comunitario de

Cd. Juárez A.C.

Health and Community Development of Cd. Juarez

SADEC-FEMAP

Institutional mission

“Contribute to improve the quality of life of people living in

poverty”

Practice of SADEC’s institutional mission

SADEC’s mission, sustained on research,

education and community participation is

carried out through the provision of health

services, the promotion of environmental

health and sanitation and the establishment

of actions to facilitate the individual,

economic and social development of

SADEC’s target population.

SADEC’s geographical & population coverage

Guadalupe

Praxedis G. Guerrero

Porvenir

Zaragoza

During the year 2006, SADEC cover with information, education and services to an estimated population of 349,763 inhabitants.

SADEC-FEMAP

Infrastructure for health services:

1,311 Health Promoters (volunteers)

547 Employees:

515(94%) Employees in SADEC’s medical programs

32 (6%) Employees in community programs

Medical programs consisting of:

Hospital de la Familia with 110 hospital beds

Hospital Santa María-SADEC with 65 hospital beds

Primary care clinic

Nursing school in partnership with UACJ (280 students)

Two Pharmacies

SADEC’s Community Based Programs

Human & Social Capital

Development

Health Education

& Prevention

Economic Development

Reproductive Health

Health Education & Prevention Program

Outreach Accomplishments

Health Education & Prevention Activities Number of Activities Coverage

Educational talks: 318 5,287

Nutrition Talks: 83 1,218

Food preparation 19 342

Nutrition talks for adolescents 50 715

Diabetes education & prevention 133 2,484

Cardiovascular Risk education & prevention 33 528

One to One health information 8,107 8,107

Pesticides use workshops 15 223

Health Fairs 32 3,819

Subtotal: 8,472 17,436

Health Education & Prevention Program

Outreach Accomplishments

Health Education & Prevention Activities Number of Activities Coverage

High risk detections 4,988 4,988

Obesity 1,835 1,835

Nutrition 83 83

Diabetes 1,596 1,596

Cardiovascular Risk 1,474 1,474

Capillary blood sugar 1,491 1,491

Blood pressure 1,472 1,472

Distribution of educational material 4,866 4,866

Subtotal: 12,817 12,817

Total health education & prevention activities: 21,289 30,253

Reproductive Health Program

Outreach Accomplishments

Reproductive health information & education Number of Activities Coverage

Total talks: 295 5,015

Cervical cancer 25 437

Breast cancer 25 330

Family planning 245 3,430

One to one information & education 16,108 16,108

Healt outreach workers workshops 109 2,507

Sexual health model, discussion groups 12 180

Subtotal: 16,524 23,810

Reproductive Health Program

Outreach Accomplishments

Reproductive health information & education Number of Activities Coverage

High risk detections: 849 849

Breast cancer 671 671

Cervical Cancer 178 178

Family planning users 13,521 13,521

Active Users 4,415 4,415

New Users 1,214 1,214

Social marketing clients 7,892 7,892

Papanicolau studies 447 447

Health services references 32,862 32,874

Subtotal: 47,679 47,679

Total reproductive health program: 64,203 71,501

Activities (for children and adolescents) Number of

Activities Hours Coverage

School tutorial assistance & support 317 1,081 97

Use of free time workshops 5 95 114

Reading circles (worshops) 2 29 34

Summer camps 2 40 37

Youth development workshops 2 54 27

Recreational activities 6 6 311

Food assistance program (nutrition) N/A N/A 100

TOTAL 334 1305 720

Human & Social Capital Development

Program

Human & Social Capital Development

Program

Project Central theme Volunteers Beneficiaries

Male Female Direct Indirect Target

population

Ephemeris Museum Reading

promotion 7 0 3,255 45 Youth

Safe School Security 0 5 1,000 0 Children

Computer center

Build of a space

for computer

center

6 6 326 0 Children

Handcraft workshop Adult job

education 1 11 180 0 Senior citizens

“El Arrollo” Park

Building of a

recreational

space

10 40 1,000 12

General

population &

children

Subtotal: 5 groups 24 62 5,761 57

Project Central theme Volunteers Beneficiaries

Male Female Direct Indirect Target

population

Building

Opportunities

Handicapped

Accessibility

facilities

7 33 150 0

Children with

different

capacities

Library Equipment and

Books for a library 0 10 230 12

Children and

Parents

Subtotal: 2 7 43 380 12

Grand Total: 7 groups 31 105 6,141 57

Human & Social Capital Development

Program

7 Comm. Based Groups

“Del Arroyo” Park

(Terrenos nacionales)

Sewing Shop

(Héroes de la Revolución

Library

(Santa Maria)

Computer Center

(First Phase) Ampl. Felipe Ángeles

Safety School

(Felipe Ángeles)

Ephemeris Museum

Handicapped accessibility

(Frac. Panamericano)

Economic development program

Concept Total

Total loans 1099

Customers 621

Capital (revolving fund) US $339,528

Loan average per customer US $547

Average per loan US $309

Income US $91,628

Expenses US $121,879

Level of economic self-sufficiency 75%

Contingency fund US $9,428

Assistance to training workshops 669

SADEC Research Projects

Project Participants Period

Survillance of respiratory diseases related

with the environment

SADEC, FEMAP, Hospital Thomason,

Texas Tec, PAHO y EPA

October 2004 to

May 2007

Share safe sex. Conductual intervention for

women with high risk behaviours in Mexico

UABC en Tijuana, UCSD en

California, SSA de Baja California,

UACJ. y SADEC

September 2004

To July 2006.

Pilot Project: Women from El Paso, Texas

buying oral contraceptives in Juarez,

Mexico.

IBIS, Population Council, UTEP, SADEC May to

September 2004

Breast cancer risk: A molecular

biological and public health approach

among women in Juarez, México

Paso del Norte Health Foundation,

Universidad de Nuevo Mexico en Las

Cruces, SADEC

June 2006 to

July 2007

Cervical Cancer: A molecular

biological and public health approach

among women in Juarez, México

Paso del Norte Health Foundation,

Universidad de Nuevo Mexico en Las

Cruces, SADEC

June 2006 to

July 2007

SADEC participation in National and

International conferences

Organization Subject Place & date

APHA 133rd Annual

Meeting

Risk behaviors of middle school students in

Juarez, Mexico,

Philadelphia,

December 2005

APHA 133rd Annual

Meeting Pregnancy risk assessment in Juarez, Mexico

Philadelphia,

December 2005

Universidad Fh-Joanneum,

Austria

Risk behaviors of population in Juarez, Mexico,

and What is SADEC.

Austria, June

2006

5th Nordic Health

Promotion Research

Conference

Risk behaviors & Chronic dessease

of population in Juarez, Mexico,

Denmark, June

2006

APHA 134rd Annual

Meeting

Development of educational interventions to

address risk factors associated with chronic

disease in the adult population of Juarez, Mexico

Boston,

November 2006

SADEC Medical Units

SADEC’s Medical levels of intervention

Health education &

prevention

Tertiary Health

Care Attention

Secundary Health

Care Attention

Primary Health

Care Attention

Medical services per unit: 2006

557,256

212,132

20,454

0

200000

400000

600000

HF HSM C#1

HF HSM C#1

Services

Total Services : 789,842

% distribution of medical services 05-06

HF

70%

HSM

27%

C#1

3%

HF

76%

HSM

22%

C#1

2%

UMS Health education & prevention Activities Coverage

Health education talks 770 34,650

Nutrition 229 10,305

Diabetes 300 13,500

Cardiovascular Risk 241 10,845

One to one information & education 50,370 50,370

Risk detection surveys 39,770 39,770

Obesity 5,983 5,983

Nutrition 5,761 5,761

Diabetes 5,834 5,834

Cardiovascular Risk 5,834 5,834

Oral Health 5,412 5,412

Blood pressure 1,082 1,082

Distribution of educational material 45,918 45,918

SUBTOTAL: 137,910 171,790

Health education & prevention at SADEC’s

Medical Units

UMS Health education & prevention Activities Coverage

Reproductive Health talks: 908 39,044

Cervical cancer 364 16,016

Breast cancer 342 14,706

High Risk Pregnancy 155 6,610

Other 47 1,712

Risk detection Surveys 11,946 11,946

Breast Cancer 4,138 4,138

Cervical Cancer 3,965 3,965

High Risk Pregnancy 3,843 3,843

SUBTOTAL: 24,800 50,990

Grand total: 162,710 222,780

Health education & prevention at

SADEC’s Medical Units

Births: 1976 - 2006 4

71

90

4

14

16 18

27

24

66

25

09

28

18

28

55

25

63

24

39

23

74

21

68

18

61

16

33

14

92

15

99

17

08

19

02

21

90

27

83 3

26

7 36

00 40

50 4

61

6

47

76

46

55

45

51

44

50

54

65

56

04

50

87

0

1000

2000

3000

4000

5000

6000

76 77 78 79 80 81 81 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 0 1 2 3 4 5 6

Births

Total Births: 89,999

Prenatal care 1981-2006

40.4

83.2

83.7

83.6

80.4

80.2

83.8

83.4

79.6

78.6

78.3

78.4

68.1

56.8

40

50

60

70

80

90

81 83 85 87 89 91 93 95 97 99 1 3 5 6

% women

Percentage

Infant Mortality & miscarriages: 1981-2006

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

Infant Mort. 96 63 45 43 39 39 38 35 34 24 24 21 20 19

Miscarriages 54 36 29 19 17 16 16 16 14 13 13 12 12 11

81 83 85 87 89 91 93 95 97 99 1 3 5 6

Infant deaths per every 1,000 born alive Miscarriages per every 1,000 born alive

Operational Costs of SADEC’s Medical Units

$59,524,798

$52,469,973

$48,020,923

$44,382,401

$37,830,907

$72,081,457

$78,024,707

2000

2001

2002

2003

2004

2005

2006

2000 2001 2002 2003 2004 2005 2006

In Mexican pesos

Comparison of Medical Service Cost

SADEC vs. Public Sector: 2000-2006

0

100

200

300

400

500

600

SADEC 70.08 76.63 79.02 83.81 87.94 86.2 98.44

Public Sector 281.7 346.49 396.46 470.19 492.68 512.38 524.68

2000 2001 2002 2003 2004 2005 2006

In Mexican pesos

$152.43

$200.61

$242.10

$297.82

$333.50

$428.47$414.44

$0.00

$50.00

$100.00

$150.00

$200.00

$250.00

$300.00

$350.00

$400.00

$450.00

Millions

2000 2001 2002 2003 2004 2005 2006

Considering the average cost per service provided by the public sector 2000=$281.70, 2001=$346.49, 2002=$396.46, 2003=$470.19,2004=$492.68, 2005=$512.38, 2006=$524.68

2000-2005: $2,069.35 millions of pesos

Cost of SADEC’s Medical Services if they had been

Provided by the Public Sector

Projects supported by The FEMAP

Foundation during 2006

Seeds across the border (economic development project in the south border of the State of Texas).

Action for youth (Juarenses for a healthy youth).

Binational tracking system of respiratory diseases and its correlation to environmental situations.

Medical equipment for the Family Hospital.

Expansion and remodeling of Family Hospital

Border diabetes in the Paso del Norte region.

Scholarships for commercial sex workers.

Qué sabrosa vida.

Physical activity promotion.

Scholarships for nursing school

Concept Amount

QUE SABROSA VIDA Project (PDNHF) $8,398.00

Commercial Sex Workers Scholarship Fund $7,924.44

Rarámuri Children's Support $350.00

Purple Pipe Project (PDNHF) $77,500.00

Diabetes initiative, cycle 2006-2007 (PDNHF) $30,000.00

Fund raising event Sep-06 $20,162.50

Thousand smiles program $1,000.00

Dr. Heydemann Program $1,900.00

Family Hospital General Support $1,500.00

Seed Across the border $500.00

Nursing School $21,250.00

Donation by Mr. and Mrs. Axelson to SADEC $100.00

TOTAL $170,584.94

Financial support by FEMAP Foundation

SADEC international donors

The FEMAP Foundation.

Friends of FEMAP

Paso del Norte Health Foundation.

Cooper Industries.

Johnson & Johnson.

Dean Foods.

National Institute for Environmental Health Sciences (NIEHS) & UTEP.

The Population Council.

IBIS Reproductive Health.

El Paso Empowerment Zone.

El Paso Community Foundation/Leon Apteckar

New Mexico State University at Las Cruces

•Fundación del Empresariado Chihuahuense, A.C. (FECHAC).

•Fundación Gonzalo Río Arronte IAP

•Almacenes Distribuidores de la Frontera, S.A. de C.V. (Del Rio y Superettes).

•Carta Blanca de Ciudad Juárez, S.A. de C.V.

•Operadora ALPI de Ciudad Juárez, S.A. de C.V. (Domino’s Pizza).

•Sra. Guadalupe Arizpe de De La Vega.

•Instituto Nacional de Desarrollo Social (INDESOL).

•Fundación Comunitaria de la Frontera Norte, A.C.

•Tiendas SMART

•Fundación Rosario Campos de Fernández.

•Secretaría de Fomento Social del Estado de Chihuahua.

•Distribuidora de Medicamentos y Servicios del Norte, S.A.

•Grupo Pisis, S.A. de C.V.

•Vishay Electrónica Dale de México S.C.

•Grupo MAFE S.A. de C.V.

•Salud Siglo XXI S.A. de C.V.

•Electro-Tec, S.A.

•Wood head.

National Donors

SADEC Income *

Generated

Income

85,468,873.67

90%

National

Donations

1,316,403

1%

SADEC'S Board

2,723,936.99

3%

International

Donations.

4,763,875.84

5%

Financial

Products

763,388.71

1%

Income: $95,036,326.21 Mex. pesos

* From 1o. Of January to 31 of December 2006

SADEC Expenses*

Ingresos: $95,036,326.21 pesos MN.

Utilities

2,539,258.90

2.67%

Financial E.

931,447.78

0.98%

Fund Raising

Event

802,147.10

0.84%

Depreciations,

807,435.04

0.85%Mantainance

1,569,909.96

1.65%

Special P. E.,

1,147,786.62

1.21%

Equipment &

Remodeling,

5,127,461.65

5.40%

O. Direct Cost,

6,256,802.50

6.58%

Medical Suplies

12,690,151.13

13.35%

Office E.

687,375.86

0.72%

Others

1,029,822.61

1.08%

Salaries

60,889,392.51

64.07%

Expenses: $95,036,326.21 Mex. pesos

* From 1o. Of January to 31 of December 2006

SADEC Expenses*

Ingresos: $95,036,326.21 pesos MN. Gasto: $95,036,326.21 pesos MN.

SADEC Medical Units

78,024,706.91

82%

Financial E.

931,447.78

1%

Community Based

Programs

7,342,761.76

8%Administrative E.,

3,609,948.11

4%

Equipment &

Remodeling

5,127,461.65

5%

* From 1o. Of January to 31 of December 2006

Expenses: $95,036,326.21 Mex. pesos

For more information, please contact:

SADEC-FEMAP

Plutarco Elías Calles # 744 norte

Colonia Progresista, Cd. Juárez, Chihuahua

CP 32314

(01152-656) 616-0833; 616-1396; 616-6161

esuarez@femao.org

FEMAP Foundation

Wakefield Plaza

415 E. Yandell Ste. 120

(915)544-4151

aaleman@femap.org