Safe and Family Centered Maternity Hospitals

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Safe and Family Centered Maternity Hospitals

ArgentinaArgentina
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
Scaling
Budget: 
$250,000 - $500,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

We commit to contribute to the improvement of maternal & neonatal morbi-mortality results by the implementation of the SFCMH Initiative.

About Project

Problem: What problem is this project trying to address?

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.

Solution: What is the proposed solution? Please 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.
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its 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. 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.
Sustainability

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

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.
Team

Founding Story

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.
About You
Organization:
Fundación Neonatológica Miguel Larguía
About You
First Name

Pablo Manuel

Last Name

Bianculli

About Your Organization
Organization Name

Fundación Neonatológica Miguel Larguía

Organization Country
Country where this project is creating social impact
How long has your organization been operating?

More than 5 years

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Innovation
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.

Social Impact
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
Task 1

‘refresh’ and relaunch the virtual teachers team

Task 2

Add technological & multimedia support

Task 3

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
Task 1

Advocate for the awareness and engagement of more public health authorities & the general public about the change of paradigm

Task 2

Trainings with local SFCMH Teams

Task 3

Build the SFCMH Practice Community for knowledge management & subsequent regional & global spread.

Sustainability
Tell us about your partnerships

UNICEF
Argentina Health Ministry
Epson Foundation
Ashoka Argentina
Clinton Foundation

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.