Maternidades centradas na família e na segurança
This entry has been selected as a finalist in the
Innovations for Health: Solutions that Cross Borders competition.
Estão comprometidos em contribuir na melhoria dos resultados da mortalidade materna e neonatal através da implementação da iniciativa SFCMH.
About Your Organization
Fundación Neonatológica Miguel Larguía
Country where this project is creating social impact
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
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
References - Please provide two references with a two-sentence biography, email address, and phone number for each
Guillermina Lazzaro – Ashoka Southern Cone ED – firstname.lastname@example.org , Tel: 54 11 4393 8646
Dra. Graciela Uriburu -Ex OPS member.
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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, Quality, Equity.
The Need: What problem are you trying to solve?
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.
The Solution: What is your solution? Be specific!
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.
The Model: Walk us through a specific example of how your solution makes a difference; include your primary activities
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.
- 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.
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?
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.
This Entry is about (Issues)
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.
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.
Please describe the goal of your initiative; outline what you are trying to achieve
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.
What has been the impact of your solution to date?
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.
What is your projected impact over the next five years?
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.
What barriers might hinder the success of your project? How do you plan to overcome them?
Cultural & Political: the pre-requisite for the local implementation is an Organizational Culture Centered in the Family and in the Safety of Care. This fact applies at a national, regional, jurisdictional & local level. We advocate & work together with different actors at every hierarchical level to align them with the new paradigm values.
Personal: the skills, beliefs, motivations & social influences of the local teams and their members can boost and/or reduce the replication pace. A central part of the replication process is the awareness building & training of local authorities and teams assisting the latters with personal & virtual following.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Our first milestone is to potentiate the performance and the participation of local team’s members at the SFCMH virtual platform
Identify three major tasks you will have to complete to reach your six-month milestone
‘refresh’ and relaunch the virtual teachers team
Add technological & multimedia support
Potentiate the participation with alternative ways of communication (eg. SMS alerts).
Now think bigger! Identify your 12-month impact milestone
Extend the replication to 75 of the 100 main maternities of Argentina
Identify three major tasks you will have to complete to reach your 12-month milestone
Advocate for the awareness and engagement of more public health authorities & the general public about the change of paradigm
Trainings with local SFCMH Teams
Build the SFCMH Practice Community for knowledge management & subsequent regional & global spread.
Tell us about your partnerships
Argentina Health Ministry
Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?
Provinces in Argentina and Latin America
What type of operating environment and internal organizational factors make your innovation successful?
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
Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list
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.