Addressing high rates of newborn and child mortality around the world remains one of the most urgent health issues of our time. Every year, over 9 million children under age 5 die. Incredibly, almost two-thirds of these deaths are caused by easily preventable and treatable illnesses.
The majority of these deaths occur among children living in marginalized and remote areas that lack access to trained health professionals or well-equipped health facilities.
Save the Children is committed to supporting the Bolivian Ministry of Health in delivering proven, existing life-saving health and nutrition interventions to families living in hard-to-reach, remote communities. This important effort requires Save the Children to raise $1.8 million to help implement a five year comprehensive health and nutrition program to children under age 5, women and adolescents. We are pleased to share this overview of our program and invite you to consider pooling resources with the gifts of others to support this project.
Bolivia suffers from serious health inequities, especially for rural, indigenous children living in small communities ranging from the high Andes to the steamy and flood-prone lowlands of the Amazon. Distance and remoteness contribute to the challenge of providing adequate health services. Approximately half of the rural population lives at least a one hour walk away from the nearest health post and some must walk over ten hours to reach the nearest facilityÃ¢â‚¬â€¢ which may or may not have adequate staff and supplies. Cultural and linguistic differences may also prevent effective treatment.
Save the Children is committed to assisting the Bolivian government in providing effective health care to the youngest and most vulnerable. Our Community Case Management (CCM) strategy reaches children at the village level with early and appropriate treatment for common, yet serious, childhood illnesses. Its simple and cost-effective interventions involve carefully-selected community members who are trained to assess, classify and treat children with signs of infection; the local Ministry of Health which is strengthened to support, supply and supervise community-based workers; and families who are trained to recognize and seek care for signs that indicate serious disease.
In order to attain the long-term objective of reducing illness and preventing maternal and child mortality in Bolivia, Save the Children has prioritized the following strategies:
-Promote evidence-based models and strategies
-Strengthen health systems
-Promote healthy practices at community level
-Advocate for improved funding and policies
Measures of Success:
At the end of the pilot program, we expect to have:
-Established agreements with local authorities to expand methodologies
-Adapted methodologies to local contexts
-Trained community health promoters (volunteers)
-Trained local health workers in support of community health promoters
-Supported mid-level Ministry of Health workers in supervision of the above mentioned processes
-Supported central level Ministry of Health workers with print material, editing and mainstreaming activities.
-Developed Communication strategies with multi-media health messaging campaign
-Signed agreements with national, departmental, municipal and community authorities
-Developed advocacy strategy for Community Case Management
In the communities covered by this program, children under five (at least 8,000), women of reproductive age (at least 12,000) and adolescents 10-19 years (8,000) will directly benefit each year from improved access and quality of services. The program impact will be further expanded by reaching the following indirect beneficiaries: 10.000 older children; 100 health staff; 400 teachers, and 200 community leaders.