The Integrated Health program is based in Latin America and has three primary goals: to reduce maternal and under-5 mortality among the most disadvantaged people, improve health system responsiveness to these groups, and catalyze positive change in the health system.
Access to care is a key area of focus for the program. Expanding the availability and utilization of high-quality healthcare for children and pregnant women in the catchment area will have significant impact on health outcomes for the population served.
Building local capacity to treat the most common conditions affecting children and pregnant women requires training both local indigenous communities and health systems to meet and sustain their own healthcare needs.
Identifying the highest prevalence diseases and highest risk groups and individuals in the region can prevent conditions become serious or irreversible
Prevention, identification and early intervention can preclude an illness or lessen the burden on the individual and society.
The Baylor College of Medicine Children’s Foundation-Colombia (Baylor-Colombia) aims at improving the lives of indigenous mothers and children who live north of Riohacha on the Guajira peninsula of Colombia.
The Wayúu are the largest indigenous group in Colombia. They live in remote areas far from health and other services, largely in family groups called rancherías. It is a harsh environment, suffering from long-term drought and few natural resources. Severe malnutrition is common, as is illness caused by lack of access to health care.
In addition to providing physicians, social workers and a dietitian, the Salud y Autosuficiencia Indigena en La Guajira or Indigenous Health and Self-Sufficiency in La Guajira program, (SAIL) trained a team of Wayúu women to World Health Organization standards to work as health promoters in the communities. They identify life threatening illness in at-risk pregnant women and children, launch initial treatment locally, organize health fairs, and refer ill and at-risk patients to health facilities for more care. This highly successful program was recognized by the United Nations Development Programme and the Government of Colombia as a best social investment practice.
During 2015, the physicians directly saw more than 3,400 patients, reached 6,875 indigenous people with the program, and trained more than 300 health professionals.
Papua New Guinea
Texas Children’s and BIPAI, along with the government of Papua New Guinea and ExxonMobil undertook a public-private partnership with the University of Papua New Guinea (UPNG) to build pediatric and public health faculty capacity at UPNG and ensure sustainable growth and capacity in the attached teaching hospital.
The program began with one pediatrician and one public health specialist seconded to UPNG by BIPAI and Texas Children’s to increase and improve the baseline faculty. A robust monitoring and evaluation framework was developed to capture pertinent data in teaching, training and improved care outcomes. The program continues today.
Through long term faculty attachments to UPNG, the ability to increase the number of residents that may be retained as the next generation of faculty can ensure sustainable growth and capacity at UPNG and teaching hospitals throughout PNG.