Saúde Criança : solutions médicales holistiques destinées aux familles à faible revenu

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Saúde Criança : solutions médicales holistiques destinées aux familles à faible revenu

Rio de Janeiro, BrazilRio de Janeiro, Brazil
Type d'organisation: 
le secteur de la société civile
Phase du projet:
Développée à grande échelle
Budget: 
$1 million - $5 million
Website:
http://www.saudecrianca.org.br
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Sommaire du Projet
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Saúde Criança est une ONG collaborant avec des hôpitaux afin de promouvoir l'autonomie des familles avec enfants en situation d'insécurité sociale.

About Project

Problème : Quel problème ce projet essaie-t-il d'adresser ?

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.

Solution: Quelle est la solution proposée? S.v.p soyez précis!

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.
Impact: How does it Work

Exemple : Faites nous découvrir comment cette solution fait la différence en utilisant un ou plusieurs exemples concrets ; en incluant aussi ses activités principales.

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.
Viabilité

Marché : Qui d'autre adresse les problèmes mentionnés ici ? Comment ce projet diffère-t-il de ces approches ?

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.
Equipe

Histoire de votre fondation

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.
A propos de vous
Organisation:
Saúde Criança
A propos de vous
Prénom

Vera

Nom

Cordeiro

A propos de votre organisation
Nom

Saúde Criança

Pays

, RJ, Rio de Janeiro

Pays dans lesquels ce projet crée un impact social

, RJ, Rio de Janeiro

Depuis combien de temps votre organisation opère-t-elle ?

Plus 5 années

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Innovation
Depuis combien de temps le projet existe-t-il ?

En place depuis plus de 5 ans

Parmi les propositions suivantes, laquelle décrit le mieux les obstacles que votre projet tente de surmonter ? Jusqu'à deux réponses possibles

Accessibilité, Coût, Qualité, Équité.

Impact social
Décrivez le but de votre initiative, en insistant sur les résultats que vous souhaitez obtenir

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.

Jusqu'à ce jour, quels résultats a obtenu votre projet ?

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.

Quelles sont vos prévisions en termes d'impact au cours des cinq prochaines années ?

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.

Quels sont les obstacles qui risquent de freiner votre projet ? Comment pensez-vous les surmonter ?

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.

Les meilleures propositions possèdent un programme solide détaillant leurs prévisions pour atteindre et suivre leurs objectifs de croissance. Identifiez vos objectifs à 6 mois pour accroître vos résultats

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

Définissez les trois tâches principales à accomplir pour atteindre ces objectifs à six mois
Tâche 1

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

Tâche 2

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

Tâche 3

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

Et maintenant, voyez les choses en plus grand ! Identifiez vos objectifs à 12 mois

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

Définissez les trois tâches principales à accomplir pour atteindre vos objectifs à 12 mois
Tâche 1

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

Tâche 2

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

Tâche 3

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

Viabilité
Quels sont vos différents partenariats ?

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).

Actuellement, votre projet cible-t-il d'autres populations, lieux ou marchés spécifiques ? Si oui, lesquels et pourquoi ?

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.

Quel environnement et quels facteurs organisationnels internes font la réussite de votre projet ?

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.

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