Center for Health Market Innovations (CHMI)

Programs

Saúde Criança

last updated Jul 23, 2012

Overview

Implementation Partner(s): 
McKinsey, Skoll Foundation, Ashoka
Legal Status: 
Year Launched: 
1991
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
In-kind contributions

Scale

Personnel Employed: 
100<
Number of Clients Served: 
Since 1991, 2,964 families assisted, 2,748 professional education courses offered
Number of Facilities Operated/Networked: 
Serves 38 hospitals
Summary: 

Saúde Criança’s mission is to break the poverty-illness-hospital admission-readmission-death cycle by providing support for children released from public hospitals and their families.

Key program components: 

The organization developed a multidisciplinary program, tailored to each family, called Plano de Ação Familiar-PAF (Family Action Plan). PAF's goal is to restructure families and enable them to reach a level of self-sustainability by improving conditions of healthcare, family income, housing, education and citizenship.

Volunteers perform triage of all released children at hospitals, searching for the high risk children (those extremely poor, from families under very strained conditions). Mothers go through a thorough interview, where they are asked about family income, family habits, education of children, and living conditions. Soon after the interview, Saúde Criança representatives visit the family house, and document and evaluate their living conditions.

The organization offers direct assistance to their program members, providing food, medicines, medical equipment, and housing (rebuild/improve rental houses, or provide new houses). As part of the program, technical support is also provided, including psychological and psychiatric help, nutrition, legal advice and social assistance. Families are also signed for professional training that would enable them to start working, and are offered recreational programs.

Each month 1,000 families are assisted through all Saúde Criança franchises. The average cost of the program for each family is R$615 (US$362). Since 1991, 2,958 families have been assisted, 2,644 professional education courses have been offered. It is estimated that since the implementation of Saúde Criança activities, the average income of these families has increased by 32%, and expenditures with re-admissions at public hospitals dropped by 66%.

The organization estimates that 60% of the families complete their family plan. Around 35% of families, after receiving some benefits, find other jobs or move away and end the program. Only 3% are disconnected from the program for lack of compliance and 3% are disconnected due to special cases (death or others).

Program history: 

Saúde Criança was founded by Dr Vera Cordeiro in 1991, initially the serving patients from Hospital da Lagoa. By 2010, the organization had expanded through a social franchising model, and served over 28 hospitals in Brazil.

Saúde Criança received the Global Development Award for the most innovative nongovernmental organization in the world in 2003 and a Skoll Award for Social Entrepreneurship in 2006. In October 2009, the Saúde Criança Association celebrated 18 years by affirming a new guiding principle, “Health is social inclusion.” This idea will bring a sharpened focus to Saúde Criança’s work to help low-income families restructure themselves and connect with mainstream society—to promote their health and prosperity in the most powerful way possible.

Saúde Criança is one of the winners of the "Making More Health" competition, organized by Ashoka Changemakers, a global community that supports social entrepreneurship throughout the world. The award recognized the Rio de Janeiro-based organization as one of the top-three organizations seeking innovative models that sustainably increase individual, family, and community well-being. The competition sought organizations with a successful track record and models that can be replicated in other countries to improve health and health services. Saúde Criança was the only Latin American finalist in the competition, which included 470 projects from 82 countries.

Additional Information

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Atendimento4.jpg38.29 KB
cabeleireiro.jpg250.21 KB
CaseStudy_SaudeCrianca.pdf962.13 KB

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