The Salud Mesoamerica Initiative - cgdev.org 1_Panel 2_PPT 1... · The Salud Mesoamerica...
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The Salud Mesoamerica Initiative: Context & Model Inter-American Development Bank Social Protection and Health Division Dr. Ferdinando Regalia, Division Chief [email protected]
Transcript of The Salud Mesoamerica Initiative - cgdev.org 1_Panel 2_PPT 1... · The Salud Mesoamerica...
The Salud Mesoamerica Initiative: Context & Model
Inter-American Development BankSocial Protection and Health DivisionDr. Ferdinando Regalia, Division Chief [email protected]
Mesoamerica
Source: Latin America is the world's most unequal region. Here's how to fix it,
World Economic Forum, 2016
When we started, 2x as many
poor children died compared to
national averages
SMI Areas: Baseline situation (2012) – Child Health
27.8
59.1
12.5
31.5
48
9.9
39.446.5
68.8
35.3
53.9
73.6
41.8
14.6
62.1
23.6
13.3
55.9
Complete vaccination for age, according to vaccine card Anemia, children 6-23 months Stunting, children 0-59 months
Population Health Metrics, 2015: Salud Mesoamérica 2015 Initiative: design, implementation, and baseline findings
What does SMI aim to change?
What does SMI aim to change?
SMI areas: baseline situation (2012) – quality of care
0.0%
21.8%
23.7%
35.7%
39.0%
10.0%
60.0%
38.3%
40.0%
Continous availability of equipment and supplies for EmONC
Obstetric complications managed according to the norm
Neonatal complications managed according to the norm
Continous availability of equipment and supplies for EmONC
Obstetric complications managed according to the norm
Neonatal complications managed according to the norm
Continous availability of equipment and supplies for EmONC
Obstetric complications managed according to the norm
Neonatal complications managed according to the norm
Bel
ize
Ho
nd
ura
sN
icar
agu
a
What does SMI aim to change?
SMI Baseline areas: Crude vs Effective Coverage of Measles Immunization in Mexico and Nicaragua, 2012
Chiapas, Mexico Nicaragua
Citation: Colson KE, Zúñiga-Brenes P, Ríos-Zertuche D, Conde-Glez CJ, Gagnier MC, Palmisano E, et al. (2015) Comparative Estimates of Crude and Effective Coverage of Measles Immunization in Low-Resource Settings: Findings from Salud Mesoamérica 2015. PLoS ONE 10(7): e0130697. doi:10.1371/journal.pone.0130697
Example of Lancet Ranking of
cost-effective interventions for
children <5
Maternal deaths
Proportion ofpregnancies at risk
Proportionusing MCP
-
Preganancies
+
Spacing
+
-
+
Live births
+
Probability ofneonatal
death
Neonataldeaths
+
+
+
Averageneonatal
health status-Average women's
health status
-
Women ofreproductive
age Girls
+
+
+
- MaternalMortalityRatio
NeonatalMortatlityRate+
-
-
+
-
Proportionusing service
Gettingservice
+
Qualitysupply ofservice
+
Ratio of supplyto demand
+
Acceptability
AccessibilityAffordabilityof service
+
+
Seekingservice
+
+
+
+
+
+
Averagequality
+
+
Performance
+
+
Observedperformance
Performancegap
+
+
+
+
+
+
+-
-
-
-
-
+
-
R1
B1
B2
B3
B4
R2
R3
B5
B6
-
R4R5
R6R7
MCP = modern contraceptive practicesANC = antenatal care ID = institutional deliveryPPC = postpartum/postnatal care
MCP
ID
ANC
PPC
Factors involved in Reducing Maternal and Neonatal Mortality, Honduras
Designed with the Social Systems Design Lab, WUSTL, 2016
Mesoamerica Today:Results and what
we’ve learned
