The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #65358

Laura C. Altobelli, DrPH, MPH¹, Ricardo Díaz, MD, MHA¹, Daniel Taylor-Ide, PhD², Carl E. Taylor, MD, DrPH³, and José Cabrejos, MD⁴. (1) Future Generations, Av. El Polo 740, C-140, Santiago de Surco, Lima 33, Peru, 511-434-2791, laura@future.org, (2) Future Generations International, P.O. Box 10, Franklin, WV 26807, (3) Bloomberg School of Public Health, The Johns Hopkins University, 515 North Wolfe Street, Baltimore, MD 21205, (4) Futuras Generaciones Perú, Av. Andres Reyes 165 - E, San Isidro, Lima, 18, Peru

The Ministry of Health of Peru, in the past eight years, has implemented a unique decentralized program for primary health care with legalized citizen participation in the resources management of primary level health services. The program has grown since initiation in 1994 to include over 2000 of 6700 health centers and health posts nationwide. While expansion has been rapid and national coverage approaches 30%, it is clear that increased community leadership will further improve the quality of services, expand coverage to reach currently under-served subgroups, and create more sustainable financing and public support. Therefore, a project of Futuras Generaciones Perú is developing a system for MODEL CLAS based on the SEED-SCALE Methodology from a pattern identified in many projects worldwide and recently described by Carl E. Taylor and Daniel Taylor-Ide. The goal is to expand the work of CLAS to focus on behavioral change in the home, improvement of equitable distribution, and promotion of local community planning, environmental health and local development. A discussion will be presented on how Peru is applying the core concepts of SEED-SCALE: (1) three-way partnership between government, community, and outside health and community development experts; (2) data-based decisions, including local health censuses organized and conducted by community members; (3) behavior change from a locally-developed work plans; and (4) the seven-step process of the SEED-SCALE Methodology to achieve the desired home-based behavior changes.

Learning Objectives:

• At the end of the session, participants will be able to:
• (1) Describe the structure of the Shared Administration Program and community-owned CLAS Associations that provide social control over administration of primary care facilities in Peru.
• (2) Identify the seven steps of the SEED-SCALE Methodology for scaling-up sustainable community health and development.
• (3) Identify how a project for MODEL CLAS in Peru is applying the concepts of SEED-SCALE for scaling-up quality primary health services with a focus on home health behaviors and environmental protection, with community involvement.

Keywords: Community-Based Health Promotion, Community Involvement

Related Web page: www.future.org

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Future Generations
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment