Saúde Criança: Holistic Health Solutions for Low-Income Families

Competition Finalist

This entry has been selected as a finalist in the
Innovations for Health: Solutions that Cross Borders competition.

Project

This innovation also has a Project Page where you can read more about its latest progress.
Go to Project: Saúde Criança: Holistic Health Solutions for Families in Favelas.

Saúde Criança is a non-profit organization that works together with local hospitals to promote the self-sustainability of families with children at social risk.

About You

Organization: Saúde Criança Visit websitemore ↓↑ hide↑ hide

About Your Organization

Organization Name

Saúde Criança

Organization Website

Organization Country

Brazil, RJ, Rio de Janeiro

Country where this project is creating social impact

Brazil, RJ, Rio de Janeiro

Is your organization a

Non‐profit/NGO/citizen sector organization

How long has your organization been operating?

More than 5 years

Has the organization received awards or honors? Please tell us about them

1993 - Dr. Vera Cordeiro elected as Ashoka Fellow
1996 - Woman of the Year Award by Social Service of Commerce
1997 - 50th SESI Anniversary Medal for citizen who perform effective social work in RJ
1997 - Kanitz & Associates High Efficiency Award
1998 - Tiradentes Medal for Great Impact in Social Work by RJ Government
1998 - Hummingbird Trophy by RJ Volunteer and Community Partnership
2000 - First International Ivy Inter-American Foundation Award
2000 - Rio de Janeiro Government Award for Recognized Services
2001 - Recognition as one of 20 leaders in social work in Brazil by Gazeta Mercantil
2001 - 40 Social Entrepreneurs in the World Award by Schwab Foundation
2001 - Recognizition as one of world's 100 best charities by World Magazine
2001 – One of ten finalists for Global Development Award
2002 - Kanitz & Associates High Efficiency Award
2002 – First Place Global Development Award for Most Innovative NGO in the world
2003 - Bank of Brazil Social Technology Certification
2004 - Dose da Vida Award by Laboratório Aché
2005 - Vera Cordeiro elected as PATH Board Member
2005 - Kanitz & Associates High Efficiency Award
2005 - Vera elected as most influential woman in Brazil in Health by Forbes Brazil Magazine
2006 - Vera elected as Skoll Foundation social entrepreneur
2006 – UBS Visionaris
2006 – Kanitz & Associates High Efficiency Award
2007 - Dose de Vida Award by Laboratório Aché
2007 – Orilaxé Prize for Social Responsibility
2008 - ODM Brazil Prize - Brazil Millennium Objectives
2009 - 6th Annual World Health Care Congress - Grameen Health
2009 - One of 100 best practices - Dubai International Award for Best Practices (DIABP)
2011 - Ashoka Changemakers: Making More Health Competition winner
2011 – Inclusion in The Future Quotient: “50 Stars in Seriously Long-Term Innovation” by Volans and JWT
2011 – Woman of Achievement Award by Business and Professional Women’s Foundation
2011 – Pride of Rio Award by Jornal O Dia
2011 - Ranked 38th Best NGO in the World by Global Magazine

References - Please provide two references with a two-sentence biography, email address, and phone number for each

Mariana Ferreira Velloso:
Mariana graduated with a degree in marketing from Pontifical Catholic University of Rio de Janeiro and began work at Saúde Criança as a volunteer. She now works as Fundraising Coordinator.
mariana@saudecrianca.org.br
+55 21 2266 1446 r.27

Cristiana Ferreira Velloso:
Cristiana is Chief Operating Officer of Saúde Criança. Along with her sister, she began as a volunteer but soon felt such a strong connection to the organization that she decided to work full time for it.
cristiana@saudecrianca.org.br
+55 21 2266 1446 r.23

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Innovation

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Select the stage that best applies to your solution

Scaling (the next step will be growing impact on a regional or even global scale)

How long have you been in operation?

Operating for more than 5 years

Which of the following best describes the barrier(s) your innovation addresses? Choose up to two

Access, Cost, Quality, Equity.

The Need: What problem are you trying to solve?

Childhood illnesses among the poor occur within a larger socioeconomic context in which the conditions of poverty instigate and perpetuate the symptoms of disease. In this environment, acute and chronic medical conditions have severe and long-lasting consequences, not only on the child´s health but on the entire family’s overall welfare as well. Medical treatments are expensive, and even if purchased, are too often rendered ineffective when the child returns back to the meager living conditions that caused his or her disease in the first place to get sick yet again. Families become ensnared in a financially and socially debilitating vicious cycle of sickness, treatment, and relapse, in which the true problem is more than the disease—it’s the underlying poverty.

The Solution: What is your solution? Be specific!

Saúde Criança aims to break the cycle of poverty and suffering by providing holistic support to underprivileged families to address their total well-being and prevent relapse. It espouses a model of healthcare that transcends the traditional medical perspective of disease as a simple matter of biology and addresses all aspects that contribute to total well-being, including biological, social, and psychological factors. With tailor-made family plans that address several different dimensions of health at once, including health, housing, income generation, education, and citizenship, Saúde Criança´s methodology treats the root of the problem by bringing the family out of poverty. More than a mere donation, the assistance that Saúde Criança provides supports the family for the long-term by empowering them to become economically and socially self-sufficient.

The Model: Walk us through a specific example of how your solution makes a difference; include your primary activities

The key to Saúde Criança´s methodology is the Family Action Plan, a 2-year blueprint made in conjunction with the family that outlines all of the major goals the family should aim to achieve in all five pillars of health in order to graduate from the program. The process begins when Saúde Criança’s partner hospital refers the family to the organization after a thorough history to determine if Saúde Criança intervention is necessary.
- Health: Saúde Criança provides specialized food, medicine, and technical support to ensure that the child’s chronic or acute illness is well-managed. By the end, every member of the family should be in at least satisfactory condition, as defined by the hospital.
- Housing: Homes in poor condition are repaired and refurbished using materials and labor provided by Saúde Criança to have access to basic amenities, such as water, sewage, painted walls, and a roof without leakages.
- Income Generation: Family members (particularly mothers) are enrolled in professional training courses where they learn marketable skills that help ensure stable and higher incomes upon graduation.
- Citizenship: Saúde Criança provides guidance and legal advice in obtaining official registration documentation, which permits access to government social service programs.
- Education: Parents and teenagers attend educational lectures on issues such as nutrition, hygiene, violence and domestic abuse, infant development, family planning, STDs, AIDS, and basic care. In addition, Saúde Criança acts as an intermediary between children and their school counselors.

The Marketplace: Who are your peers and competitors? Identify others also working to address the needs you are and what differentiates you from them. What challenges could these players pose to your success or growth?

To our knowledge, Saúde Criança is the only systematic anti-poverty program developed in Brazil and fully-run by members of civil society. Rather than compete with medical professionals, Saúde Criança complements their services by expanding on their treatments and making them more effective. A similar project, called Health Leads, exists in the United States, with respect to the fact that it focuses on the social determinants of health in order to treat disease for low-income patients. But whereas Health Leads primarily aims to mobilize undergraduate volunteers in partnership with urban clinics, Saúde Criança utilizes a centralized approach that focuses on the family over the long-term. In any case, the two are not competitors but peers in the fight against poverty-induced illness.

Social Impact

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Founding Story: We want to hear about your "Aha!" moment. Share the story of where and when the founder(s) saw this solution's potential to change the world.

While working at one of Rio de Janeiro's largest public hospitals, Dr. Vera Cordeiro often felt helpless and frustrated when children who had been successfully treated and discharged returned to the hospital in worse condition after being reinfected at home. She realized that without changing the reasons the children were getting sick in the first place, any medicine she gave would only be treating the symptoms. Compelled to make a difference, she founded Saúde Criança in 1991.
What began as a small operation in which Dr. Cordeiro auctioned off her own bed sheets to buy the first supplies has since become an efficient social franchise that counts 11 chapters in six states in Brazil. Despite early resistance from social workers who felt she was interfering or that she didn’t have any focus, Vera persevered, working with volunteers and listening to the families to refine a comprehensive methodology that offers low-income families greater self-sustainability and self-respect.

Please describe the goal of your initiative; outline what you are trying to achieve

Saúde Criança aims to provide sick, low-income children and their families with effective long-term aid and break the cycle of admission/readmission. The core problem of poverty is a complex, multidimensional disease that requires an equally broad, comprehensive cure. Thus, Saúde Criança offers a holistic package of solutions that addresses both the biological disease and the socioeconomic factors that aggravate it. The end goal is to ensure the health of the child by lifting the family out of poverty and helping it to become completely self-sufficient.

This methodology has had success in Rio de Janeiro and five other states in Brazil, but Saúde Criança knows it can do more. It ultimately seeks to influence public policy and spread internationally as well.

What has been the impact of your solution to date?

With a comprehensive metric developed in conjunction with McKinsey & Co. for evaluating the social impact made in each of the five key areas of health, Saúde Criança has carefully tracked the progress of families within the program from their initial interview to their final graduation. The results of this review program show significant results. Family income increased by an average of 32% while the average number of days of hospitalization was reduced by more than 66%. Considering that the average cost of hospitalization is US $500 per day, Saúde Criança’s intervention results in vast savings for both patients and public hospitals. In addition, before Saúde Criança, only 28% of the children were considered to be in good health, 48% in satisfactory health, and 24% in life-threatening conditions. After families were assisted by the organization, the numbers dramatically shifted to 52% in good health, 41% in satisfactory health, and only 7% in life-threatening conditions.

What is your projected impact over the next five years?

To date, Saúde Criança has assisted over 40,000 people. Because of the organization’s transformation into a social franchise in 2010, this number will only continue to grow as the various social franchise chapters become better established. It fully expects to reach over 10,000 more people within the next five years. Indirectly, Saúde Criança will also have an impact on a regional level. It works closely with the municipalities of Belo Horizonte, Rio de Janeiro, and Florianópolis, which have all adopted its methodology in various pilot public health programs. Belo Horizonte has already invested heavily in the “Família Cidadã: Cidade Solidaria” program while Rio de Janeiro is initiating a similar pilot project (called “Carioquinha Saúdavel”) in several favelas in Zona Sul.

What barriers might hinder the success of your project? How do you plan to overcome them?

The largest foreseeable barriers are a lack of funds and complications within the bureaucracy of Brazil. To secure greater financial sustainability, Saúde Criança has created a permanent trust fund headed by Armínio Fraga, former president of the Central Bank of Brazil. The organization also fundraises through sales of hand-crafted merchandise, with plans for online distribution as well. Though bureaucracy is Brazil is often slow and rife with internal contentions between departments that potentially may obstruct the development of programs, Saúde Criança is exploring a variety of forms of media (TV, print, and internet) with pro-bono support from the advertising agency DM9 to increase visibility and garner greater political clout.

Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact

Major advertising and rebranding campaign to disseminate Saúde Criança’s name and message throughout Brazil.

Identify three major tasks you will have to complete to reach your six-month milestone

Task 1

Video and written testimonials from influential people from business, politics, and social development (Mohammed Yunus, etc)

Task 2

Advertising campaign run pro-bono through DM9 for TV, magazines, internet, and other forms of media.

Task 3

A road show presentation to various companies all over Brazil to fundraise for the growth of Saúde Criança.

Now think bigger! Identify your 12-month impact milestone

The establishment of two additional franchises, one in São Paulo and one in Colombia.

Identify three major tasks you will have to complete to reach your 12-month milestone

Task 1

Support to São Paolo and Colombia franchise teams by initiating contact with local hospitals, potential board members, sponsors.

Task 2

Broaden fundraising goals of all franchises. Every R$4000,00 raised by each franchise will be matched by the main headquarters.

Task 3

Have all heads of Saúde Criança franchises participate in all capacity-building courses offered at Saúde Criança's main HQ.

Sustainability

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Tell us about your partnerships

Beyond its partnerships with regional governments, Saúde Criança receives specific assistance through partnerships with various businesses, such as: McKinsey & Company (logistics), Skoll Foundation (growth), Ursula Zindel Hilti Foundation (finances, growth), Unimed (medical supplies), Instituto Kinder do Brasil (academic scholarships), L’Oreal (technical support, professional training), Queiroz Galvão (house refurbishing program), Johnson & Johnson (educational lectures, transport), Praxair Foundation (growth), DM9 (advertising), and the Renner Institute (culinary courses).

Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?

Saúde Criança aims to establish a franchise chapter in São Paolo and Colombia. Generally, the organization is motivated to extend its reach to any low-income areas with families in need, in partnership with local hospitals, but these sites are targeted in particular because partners who are already intimately familiar with Saúde Criança and who are strong, capable supporters are present at these locations. With these contacts, the difficult step of gaining a foothold in a new community has already passed and the founding of a new franchise can proceed much more easily and smoothly.

What type of operating environment and internal organizational factors make your innovation successful?

Saúde Criança fosters an open environment of collaboration and mutual respect with integral participation from highly-motivated volunteers. Indeed, the Family Action Plan was not solely the brainchild of Vera Cordeiro, but rather a collaborative effort from Saúde Criança’s earliest team members who listened and responded to the families they assisted. Saúde Criança also values cross-sector partnerships which allow it to remain highly flexible and able to maximize the quality of support offered to families. Finally, in line with its integral perspective of health, the organization maintains a centralized workflow that allows for easy communication between different departments and for families to efficiently receive the assistance they require in one location.

Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list

123 weeks ago Saúde Criança: Holistic Health Solutions for Low-Income Families has been chosen as a winner in Innovations for Health: Solutions that Cross Borders.
132 weeks ago Vera Cordeiro updated this Competition Entry.
132 weeks ago Vera Cordeiro updated this Competition Entry.
133 weeks ago Vera Cordeiro updated this Competition Entry.
133 weeks ago Vera Cordeiro updated this Competition Entry.
134 weeks ago Vera Cordeiro updated this Competition Entry.
135 weeks ago Vera Cordeiro updated this Competition Entry.
135 weeks ago Vera Cordeiro updated this Competition Entry.
137 weeks ago Vera Cordeiro updated this Competition Entry.
137 weeks ago Vera Cordeiro submitted this idea.