Public Health
17.10.2013

Brazilian program for social inclusion of children reduces hospitalizations by 90%

For three years, U.S. researchers followed 299 families with children with chronic doenaçs

Foto: Maurício Bazílio/SECOM RJ
Methodology of the program includes an action plan family responsibility that meets the health, income generation, housing, education and citizenship
Methodology of the program includes an action plan family responsibility that meets the health, income generation, housing, education and citizenship

Recent research from American University of Georgetown showed a Brazilian program geared for needy families with children with chronic diseases contributed to the reduction of more than 90% of the length of stay of these children in public hospitals in Rio

For three years, researchers followed 299 needy families with children in the state in that situation, and 127 had had access to the program developed by the non-governmental organization (NGO) Child Health Association. It was found that the length of stay fell from 62 to nine days for those who were part of the program. In addition, the children were 11% less likely to surgery or medical treatment than those who did not have access to the program. Among the chronic cases recorded had infectious diseases, cancer, heart disease and sickle cell anemia.

The methodology of the program used for over ten years by the NGO, includes an action plan family responsibility that meets the health, income generation, housing, education and citizenship. The founder of the association, the medical Vera Cordeiro, explained that the program covers the entire family and beyond to support the child, help relatives overcome extreme poverty.

Much of the disease is a result of poor conditions in which these families live. So how poverty is multidimensional, if we do not tackle the problem of a multidisciplinary not diminish readmissions, said Vera.

The program team includes lawyers, psychologists, social workers, architects, nutritionists, educators, doctors, and others. Often, reformed the child's home, which was the reason of asthma, we provide education for brothers exemplified.

The relative undertakes to attend the monthly local service to monitor the action plan. There are a number of counterparts. If the mother stop doing her part, she is off the project, said the doctor, remember to income generation, enrollment and attendance of children in school as counterparts. Medicine and human rights must go hand in hand, argued.

The study also showed that the income of families served by the program has nearly doubled and there was a substantial increase in the percentage of employed adults, 54% to 70%. The percentage of school attendance rose from 10% to 92%. The adults of the families who were impacted by the methodology were 12% more likely to be employed than other people in the same geographical area, after three years in the program. The rate of families with home ownership also increased from 25% to 50%, in addition to those with access to cash transfer programs.

Research has shown that the program is effective in breaking the vicious cycle of poverty, readmission and death, said Vera. She said the goal of the NGO, established 22 years ago and operates in six states, is that the program assists all public hospitals in Brazil through partnerships.

The funds come from the private sector and sponsor visits in 11 units in the states of Rio, Rio Grande do Sul, Pernambuco, Goiás, São Paulo and Santa Catarina. The methodology is also replicated by social franchises in six states and has been adopted as public policy in Belo Horizonte.

Source: Isaude.net