One Heart World-Wide, Mexico
Esta presentción ha sido seleccionada como finalista del desafío
Healthy Mothers, Strong World: The Next Generation of Ideas for Maternal Health .
One Heart Worldwide (OHW) recognizes that in order to make a lasting impact on the infant and maternal mortality rates and reverse the hardships experienced by children due to maternal death, all of its programs must be sustainable, culturally relevant and build the capacity of local people to prevent childbirth related deaths not only for this generation, but for those to come. OHW has developed an innovative, effective, culturally acceptable, replicable and sustainable model to reduce preventable deaths related to pregnancy and childbirth among vulnerable populations suffering from local barriers to care. OHW's model is based on culturally sensitive training and awareness-raising at several different levels, (1) at the community/home level; (2) with first-level health care providers; and (3) at relevant referral centers with the ultimate goal of increasing the number of birth attended by a skilled birth attendant, teach the communities and health providers to appropriately recognize and deal with obstetric emergencies and ultimately reduce the maternal and newborn mortality and morbidity.
Sobre ti
Sección 1: Sobre ti
Nombre
Arlene
Apellido
Samen
Organization
One Heart World-Wide
Country
Estados Unidos, CA
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
No
Sección 2: Sobre tu organización
Nombre de la organización
One Heart World-Wide
Sitio web de la organización
Teléfono de la organización
415-829-7904
Dirección de la organización
831 Mason Street San Francisco, CA
País de la organización
Estados Unidos, CA
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tu idea
Name Your Project
One Heart World-Wide, Mexico
Country your work focuses on
México, CHH
Describe Your Idea
One Heart Worldwide (OHW) recognizes that in order to make a lasting impact on the infant and maternal mortality rates and reverse the hardships experienced by children due to maternal death, all of its programs must be sustainable, culturally relevant and build the capacity of local people to prevent childbirth related deaths not only for this generation, but for those to come. OHW has developed an innovative, effective, culturally acceptable, replicable and sustainable model to reduce preventable deaths related to pregnancy and childbirth among vulnerable populations suffering from local barriers to care. OHW's model is based on culturally sensitive training and awareness-raising at several different levels, (1) at the community/home level; (2) with first-level health care providers; and (3) at relevant referral centers with the ultimate goal of increasing the number of birth attended by a skilled birth attendant, teach the communities and health providers to appropriately recognize and deal with obstetric emergencies and ultimately reduce the maternal and newborn mortality and morbidity.
Website URL
Innovación
What makes your idea unique?
What is most unique about our idea is the integration of local resources, collaboration with local communities and providers, and respect for cultural norms and practices. OHW uses a community-based participatory approach to works in collaboration with local communities and local health providers to raise awareness, teach good birthing practices, and distribute Clean and Safe Birth Kits to ensure that mothers and babies survive delivery and the first months of life and put an end to easily preventable birth-related infant and maternal deaths. OHW’s goal has always been to ensure that the majority of their program staff and volunteers are locals, training their fellow colleagues and community members.
Do you have a patent for this idea?
Impacto
Esta presentación se trata de
What impact have you had?
Using the our model in Tibet, OHW had a number of significant successes. In collaboration with the local Health Bureau, OHW trained a total of 93 SBA and was able to decrease unattended home births from 85% to 20% over the last ten years, mostly by ensuring the presence of a skilled attendant at delivery. In 2008, in the two counties where OHW was working, the Lhasa Prefecture Health Bureau reported no maternal deaths and newborn death rates dropped from 10% to 3% (over the 10 years since the start of the OHW project). Our program was rated by Chinese Health Officials as being one of the “most professional and trusted” NGOs working in Lhasa
Problem
Pregnancy and delivery related problems are major issues among the Tarahumaras indians of the Copper Canyon. The average number of births/women is 5 and almost 90% of all births are unattended by a Skilled Birth Attendant (SBA). Among the women who deliver without an SBA, 30% deliver entirely alone. Most houses are at least 3 hours away from the nearest clinic or hospital and the maternal mortality ratio is 998/100,000 live births. The mortality rate among children under 5 years was 40%, and among these, 27% died in the neonatal period (between birth and 28 days of life). While the primary cause is the lack of access to care, distance to medical facilities is not the only barrier to care. Three other important barriers include (1) the Tarahumara’s fear (based on facts) that medical providers will disrespect them, violate their right to make informed medical and family planning choices, and otherwise mistreat them; (2) the total lack of trained traditional birth attendants within this population, and (3) other Tarahumara-specific cultural barriers.
Actions
OHW plans to implement the model (pregnancy and village outreach training program, PAVOT) that we have developed and tested in Tibet among the Tarahumara indians of the Copper canyon, Mexico. To this effect we plan to implement a skill and knowledge training program and awareness raising at several levels of the local community, including:
(1) at the community/home level: OHW will strengthen the skills and knowledge of Community Based Providers (CBP) and community members to recognize obstetric emergencies and provide basic preventive and maternal-child health management services within their communities
(2) At the first level of care: OHW will support Maternal Child Health providers during and after completion of local training programs,
(3) At the relevant referral centers: OHW will support awareness raising for indigenous cultural issues and offer appropriate obstetrical management training
Results
(1) Formation of a working coalition for MCH in our target areas (composed of local government officials, federal government representatives, local organizations and community stakeholders)
(3) Improved knowledge, cultural attitudes and obstetrical management skills among health care provider trained at all three level
(4) Increased community knowledge, skills and mobilization levels for maternal and pediatric emergencies
(5) Increased number of women attending prenatal care, taking prenatal supplements, delivering with a clean and safe birth kit
(6) Increased number of women delivering with a skilled birth attendant
(7) Decreased maternal and infant mortality and morbidity from pregnancy and delivery complications
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
(1) Community and governmental support and buy-in for year 1,2 and 3
(2) Continued financial support from our donors for year 2 and 3
(3) Expansion to other regions of Mexico for year 3
What would prevent your project from being a success?
(1) Lack of community and/or governmental support and buy-in
(2) Un-ability to expand project to other areas of Mexico
How many people will your project serve annually?
Más de 10,000
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Sí
Sustenibilidad
¿En qué fase está el proyecto?
Operando más de 5 años
Tu organización es
OSC/ONG
Is your initiative connected to an established organization?
Sí
If yes, provide organization name.
The Mexican Government, both at the federal and the regional level
How long has this organization been operating?
Más de 5 años
Does your organization have a Board of Directors or an Advisory Board?
Sí
Does your organization have a non-monetary partnerships with NGOs?
Sí
Does your organization have a non-monetary partnerships with businesses?
Sí
Does your organization have a non-monetary partnerships with government?
Sí
Please tell us more about how these partnerships are critical to the success of your innovation.
One of OHW greatest strength is to link existing services and existing organizations (both at the governmental and the non-governmental level) to provide for the needs of our target population. OHW aims at forming a coalition of these existing services in the Sierra Tarahumara, in order to improve the lives of mothers and infants in that region.
What are the three most important actions needed to grow your initiative or organization?
Link existing services
Seek and obtain local community support and buy-in
Seek and obtain local government support and buy-in
La historia
What was the defining moment that you led to this innovation?
In 1999, while starting to work in Tibet, Ms Arlene Samen and her team were introduced to a pregnant women in a hospital that was not expected to survive (she had severe toxemia and anemia). The OHW team saved her and her baby was named after Arlene. This incident led the OHW team to sit and listen to the Tibetan women and their families on their stories about childbirth and the challenges that women and children regularly face around childbirth. This was the first time that anyone ever listened to the concern of this particular community (vulnerable indigenous population of Tibet) and these discussions led us to design a culturally appropriate intervention to empower women, give them a voice and reduce their pregnancy related morbidity and mortality.
Tell us about the social innovator behind this idea.
Despite growing up with a single mother in a destitute household, our founder and executive Director, Ms Arlene Same has always been committed to help others. In 1997, Ms Samen was contacted by the health minister of the government of Tibetans in exiles to work on children health issues in Tibet. That year, Ms Samen met His Holiness, the Dalai Lama who told her " you must help the women and children of Tibet if our culture is to survive". This led Ms Samen to dedicate the last ten years to the health of mothers and infants in Tibet. Following last year's political upheavals in Tibet, OHW and Ms Samen decided to transfer the leadership of our Tibetan work to our Tibetan colleagues (to ensure long-term sustainability). Against all odds, Ms Samen decided to launch a new OHW initiative in Mexico, adapting and implementing the culturally appropriate model that she originally developed for the vulnerable indigenous populations of Tibet in order to continue her fight for the rights of mothers and infants to adequate and appropriate prenatal care and save lives, on birth at the time.
How did you first hear about Changemakers?
Email from Changemakers
If through another, please provide the name of the organization or company
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| -6.jpg | 8.81 KB |
 | 108 weeks agoNaveen Shakir said: On April 15, 2010 the judges reviewed the entries for the Changemakers "Healthy Mothers, Strong World" competition and would like to ... about this Competition Entry. - leer más > |
| 108 weeks agoOne Heart World-Wide, Mexico has been chosen as a finalist in Healthy Mothers, Strong World: The Next Generation of Ideas for Maternal Health. |
| 114 weeks agoArlene Samen updated this Competition Entry. |
| 114 weeks agoArlene Samen updated this Competition Entry. |
| 116 weeks agoArlene Samen submitted this idea. |