Des maternités sécurisées et axées sur la famille
Esta presentción ha sido seleccionada como finalista del desafío
Innovations for Health: Solutions that Cross Borders .
Nous nous engageons à contribuer à l'amélioration des résultats de morbi-mortalité maternelle et néonatale en mettant en oeuvre l'initiative des SFCMH.
Sobre ti
Sobre ti
Nombre
Pablo Manuel
Apellido
Bianculli
Correo electrónico
URL en Twitter
Sobre tu organización
Nombre de la organización
Fundación Neonatológica Miguel Larguía
Sitio web de la organización
País de la organización
Argentina
Países en donde este proyecto está creando impacto social
Argentina
Tu organización es
OSC/ONG
¿Cuánto tiempo ha estado operando la organización?
Más de 5 años
¿Tu organización ha recibido premios y/u honores? Cuéntanos sobre ellos.
2002 – Ashoka Fellow (Argentina)
2003 – Foundation Konex Prize (Science and Technology)
2005 - Miguel Larguia was honored as academic member of the National Academy of Medicine
2005 - Miguel was honored as Outstanding Public Servants
2008 - The Pan American Health Organization recognized the Safe and Family Centered Maternities model.
2009 UNICEF recognized the Safe and Family Centered Maternities model.
2011 - Clinton Global Iniciative
Referencias – Por favor provee dos referencias con una biografía de dos renglones y una dirección de e-mail para cada una.
Guillermina Lazzaro – Ashoka Southern Cone ED – glazzaro@ashoka.org , Tel: 54 11 4393 8646
Dra. Graciela Uriburu -Ex OPS member.
La información que brindes aquí será usada para llenar las partes de tu perfil que hayan sido dejadas en blanco, como intereses, organización, y sitio web. Ninguna información de contacto será hecha pública. Por favor desmarca esta casilla si no deseas que esto suceda..
Innovación
Selecciona la fase que describa mejor el momento en el que se encuentra tu emprendimiento
Expansión (el siguiente paso será crear un impacto a escala regional o incluso mundial)
¿Cuánto tiempo se lleva poniendo en práctica tu iniciativa?
Operando más de 5 años
La necesidad: ¿Cuál es el problema que tratas de solucionar?
More than 700,000 people are born in Argentina every year and 60% of these births take place in public hospitals. While the institutionalization of childbirth has improved health results and reduced at-home births to almost zero, this change has not been accompanied by the preservation of the rights of women and their families with respect to the birth of their children. But it is not a problem that only affects Argentina: the lack of protection, support and protagonism of the families before, during and after pregnancy is common to many regions in the world.
La solución: ¿Cuál es tu solución? Sé específico.
Fundación Larguía is committed to change the system of maternity wards in hospitals. Our approach uses scientific and technological progress and is based on a supportive focus dedicated to the well-being of pregnant women in the perinatal stage, valuing pregnant women and their children as the real protagonists in their families during childbirth. The institutionalization of birth has resulted in a policy of "Family Out": restricted visiting hours, medicalization of delivery and interference in mother-infant bonding and attachment.
The Safe and Family Centered Maternity Hospitals is implementing a "Family In" policy in all areas of the hospital and empowerment for women and their families. That means that pregnant women are able to have the company they choose during prenatal care and delivery. Parents may also enter and stay during hospitalization of their newborns, including special care areas like the neonatal intensive care unit.
El Modelo: Muéstranos a través de un ejemplo específico cómo tu solución hace una diferencia, incluye tus actividades primarias
1 – A child’s birth is always a social and familiar event. It is further more inclusive and transcendental than a biological fact.
2- SFCMH implies a paradigm shift: to include parents and their children within the context of their family groups, in their integrated and participative care. Families empowered in their roles and being protagonists contribute to the progress of science and technology applied in perinatology.
3- SFCMH includes the pregnant mother and her child before and after being born within the context of their family group. This practice is replicable and sustainable at low cost.
4- The implementation of SFCMH is based upon a procedure manual with evidence based axes, principles and steps, such as beneficial interventions. It might be modified according to beliefs and cultures of each community.
5-Main Activities:
- Support in the hospital: Flexible Scheduling; confortable spaces to stay with theirs sons and family; educative and awareness material about their rights, sexual/reproductive health care, including our model: safe and family centered health care; artistic activities;
Maternity Residence for vulnerable families.
-Training to hospital staff: training and awareness material about women rights in the hospital (respectful treatment, privacy), safe and family centered health care.
-Community: the maternity is open to the community, volunteers receive training to support pregnant women and their family before, during and after the childbirth.
El mercado: ¿Quiénes son tus pares y competidores? Identifica a otros que también estén trabajando para dar respuesta a las necesidades que tú abordas y en qué te diferencias de ellos. ¿Cuáles son los desafíos que estos jugadores podrían representar para tu éxito o crecimiento?
APAPREM (Parents Association of Prematures) group self-managed that support parents of prematures.
UNICEF supports different projects related to the SFCM Initiative and adopted it with Its work in maternal and child health.
FUNDASAMIN: they are working with some activities associated with our iniciative (eg: training of nurses). The spectrum of his approach is more restricted than ours. But from the point of view of a potential donor could be considered our work (in our view, wrongly) redundant.
CEDES: started working on the problematic a year ago. Looking to extend their influence but 'a priori' they lack in experience and fieldwork.
Esta presentación se trata de
Impacto social
Historia de la fundación: Queremos saber acerca del momento en el que hiciste "¡Ajá!". Comparte la historia de dónde y cuándo el/los fundador(es) vio (vieron) el potencial de esta solución para cambiar el mundo.
The family-centered maternity hospital model has been developed and implemented by members of Larguia Foundation in the Ramón Sardá Maternity Hospital, in Buenos Aires, for the last 35 years. Development of this model was non-planned; indeed, it was performed in a progressive way. Miguel Larguía, the founder, comes from a family of distinguished pediatricians and was elected as an Ashoka Fellow in 2002.
At the beginning, the Sardá Maternity Hospital incorporated different innovative and proven effective interventions; step by step, these different interventions were articulated in a complex process, in continuous evolution.14 Its theoretical basis has been recently developed with the purpose of sharing, improving and replicating the experience of Ramón Sarda Maternity Hospital. Inspired in the “The Baby-Friendly Hospital Initiative”, created in 1991 by the World Health Organization (WHO) and UNICEF in order to promote breastfeeding, the Family Centered Initiative was proposed.
Por favor, describe el objetivo de tu iniciativa: un resumen de lo que están tratando de lograr
The current objective is the replication of the program which is considered a model for good practices in Buenos Aires, in maternity wards throughout Argentina and Latin America, working together with other national organizations and UNICEF. Our key goal is to replicate the initiative in the main 100 maternities with more than 1000 deliveries per year –where the 80% of public deliveries takes place. Given the fact that SFCMH is based upon a procedure manual with evidence based axes, principles and steps, It might be modified according to beliefs and cultures of each community in different regions.
¿Cuál ha sido el impacto de la solución hasta la fecha?
Currently, the SFCMH Initiative influences the population cared at the Sardá Maternitiy (~8000 deliveries/year) and at around 50 other maternities with different stages of their local replication processes. The model complies with the national law 25,929 which establishes rights to parents and children during the pregnancy: It promotes respect for the biological and psychological time of women and their right to choose how and with whom give birth.
Cuál es tu impacto proyectado para los próximos 5 años?
In Argentina more than 700,000 babies are delivered each year, 60% in public hospitals, and all of these newborns and their parents are potential beneficiaries of the SFCMH Initiative. Our key goal is to replicate the initiative in the main 100 maternities with more than 1000 deliveries per year –where the 80% of public deliveries takes place. This means that the nation-wide implementation of the initiative will affect directly ~350,000 newborns & their families.
Las iniciativas ganadoras presentan un plan fuerte de cómo van a alcanzar y realizar un seguimiento del crecimiento. Identifica tus metas a seis meses para el crecimiento de tu impacto
Our first milestone is to potentiate the performance and the participation of local team’s members at the SFCMH virtual platform
Identifica tres grandes tareas que tendrás que completar para llegar a las metas de seis meses.
Tarea 1
‘refresh’ and relaunch the virtual teachers team
Tarea 2
Add technological & multimedia support
Tarea 3
Potentiate the participation with alternative ways of communication (eg. SMS alerts).
¡Ahora piensa en grande! Identifica tu meta de impacto a 12 meses.
Extend the replication to 75 of the 100 main maternities of Argentina
Identifica tres grandes tareas que tendrás que completar para llegar a tu meta de impacto a 12 meses
Tarea 1
Advocate for the awareness and engagement of more public health authorities & the general public about the change of paradigm
Tarea 2
Trainings with local SFCMH Teams
Tarea 3
Build the SFCMH Practice Community for knowledge management & subsequent regional & global spread.
Sostenibilidad
Cuéntanos sobre tus alianzas.
UNICEF
Argentina Health Ministry
Epson Foundation
Ashoka Argentina
Clinton Foundation
¿Actualmente te estás dirigiendo a otras poblaciones, lugares o los mercados para tu innovación? Si es así, ¿dónde y por qué?
Provinces in Argentina and Latin America
¿Qué tipo de sistema operativo y factores internos de la organización hacen que tu innovación sea un éxito?
We have been working for more than 35 años in maternity and hospitals. It is considered a model for good practices in Buenos Aires and supported by the Argentina Health Ministy.
We compiled a procedures manual for these organizations that defines the 5 goals, 15 principles and 10 steps as well as the foundations and strategies of implementation
Por favor, pon en claro las necesidades u ofertas que hayas mencionado anteriormente y/o sugiere categorías de apoyo que no están especificadas en la lista
We would like to have more local o regional investments to replicate the model in other Maternities. We also need human resources (interns, volunteers) for our media strategy. We can offer knowledge and systematized information about health care in maternity hospitals.
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